Evid Based Nurs 7:42 doi:10.1136/ebn.7.2.42
  • Treatment

A case manager plus psychoeducation reduced adverse outcomes in youth with type 1 diabetes

 Q In children and adolescents with type 1 diabetes, does a low intensity, non-medical intervention using a case manager to monitor and encourage routine diabetes care visits, with or without supplementation by psychoeducational modules, reduce acute adverse outcomes and improve glycaemic control?



randomised controlled trial.


{not concealed}.*


blinded {healthcare providers and data collectors}*.

GraphicFollow up period:

24 months.


diabetes centre in Boston, Massachusetts, USA.


301 children and adolescents aged 7–16 years (mean age 12 y, 56% girls, mean duration of diabetes 5.2 y) who had had type 1 diabetes for >6 months. Inclusion criteria included ⩾1 outpatient medical visit in the previous year, no major psychiatric problems in the patient or parent, stable living environment, and intention for routine follow up at the study centre.


low intensity, non-medical intervention using a case manager (called a “Care Ambassador”), who monitored clinic attendance and assisted families with appointments (CA group, n = 95); CA plus 8 sessions …

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