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Child health
Randomised controlled trial
Group-based educational interventions in 11–16-year-olds can be effective in supporting suboptimal diabetes control
  1. Carole Gelder
  1. Leeds Children's Hospital, Leeds & University of York, Leeds, UK
  1. Correspondence to: Carole Gelder, Children's Diabetes Offices, St James Hospital, Becket St, Leeds LS9 7TF, UK; carole.gelder{at}nhs.net

https://doi.org/10.1136/eb-2016-102366

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    Commentary on: Price KJ, Knowles JA, Fox M, et al. Effectiveness of the Kids in Control of Food (KICk-OFF) structured education course for 11–16 year olds with type 1 diabetes. Diabet Med 2016;33:192–203.OpenUrlCrossRefPubMed

    Implications for practice and research

    • Following a diagnosis of diabetes, group-based interventions should be part of a ‘toolbox’ of resources for children and young people (CYP) and parents and be embedded within routine care.

    • Group sessions delivered by trained educators, following an interactive developmentally appropriate curriculum may be particularly appropriate for 11–16-year-olds with suboptimal (HbA1c>80 mmol/mol, 9.5%) control.

    • Involving CYP and parents in and throughout the research process is key to enhancing engagement and ensuring research is relevant and meaningful.

    • Evaluating the impact of group dynamics, daily peer support and parental involvement could enhance future studies.

    Context

    On average only 18.4% of children and young people (CYP) with diabetes are achieving HbA1c values below 58 mmol/mol1 and even less the revised target of <48 mmol/mol.2 National recommendations for CYP with diabetes emphasise the importance of intensive diabetes …

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    Footnotes

    • Competing interests CG reports personal fees from Medtronic and Animas Education Advisory boards and the FIT Steering group from outside the submitted work. PKJ and KJA contributed in teaching at the University of York and were colleagues in the Yorkshire and Humber CYP Diabetes Network until recently.

    • Provenance and peer review Commissioned; internally peer reviewed.