ArticleFrontiers in public health2026
Impact of a brief diabetes education on teachers' diabetes-related knowledge, attitude, and confidence: a nonrandomized school-based intervention study.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and aims: The involvement of kindergarten and school teachers is crucial for ensuring safe diabetes management in educational settings for children with type 1 diabetes. This nonrandomized, school-based intervention study aims to assess the effectiveness of a one-hour diabetes education program, delivered either online or in person, on teachers' knowledge of diabetes, attitudes toward diabetes, and confidence in diabetes care. Methods: A one-hour diabetes education session led by a diabetes educator included both theoretical and practical modules on managing type 1 diabetes. Participants completed the Diabetes Knowledge Test 2, the Diabetes Attitude Survey 3, the School Personnel Diabetes Attitude Scale, and the Confidence in Diabetes Care scale before, immediately after, and 1 month following the intervention. The session was delivered to 60 educators (24 in person, 36 online; mean age = 43.72 years, SD = 9.48; 56 female, 4 male). Participants were assigned to conditions based on availability rather than randomization. Results: The education program significantly improved diabetes knowledge among all participants, and this improvement was maintained at the one-month follow-up. Confidence in diabetes care also increased after the intervention; however, confidence declined at follow-up in the online group compared to the in-person group. Conclusion: A brief, one-hour diabetes education session is enough to achieve lasting improvements in teachers' diabetes knowledge and confidence. In-person teaching seems more effective at maintaining confidence over time, though online education remains a practical option. Incorporating structured diabetes education into teacher training programs could help create safer, more supportive school environments for children with type 1 diabetes.
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