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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?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

{not concealed}.*

GraphicBlinding:

blinded {healthcare providers and data collectors}*.

GraphicFollow up period:

24 months.

GraphicSetting:

diabetes centre in Boston, Massachusetts, USA.

GraphicPatients:

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.

GraphicInterventions:

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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