<scp>ISPAD</scp>Clinical Practice Consensus Guidelines 2022: Management and support of children and adolescents with diabetes in school

Lawrence, Sarah; Albanese‐O’Neill, Anastasia; Besançon, Stéphane; Black, Taryn; Bratina, Nataša; Chaney, David; Cogen, Fran R.; Cummings, Elizabeth A.; Moreau, Elizabeth; Pierce, Jessica; Richmond, Erick; Mahmud, Farid H

doi:10.1111/pedi.13432

Cited by 20 publications

(13 citation statements)

References 89 publications

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“…Most importantly, we wanted to address the challenges associated with a lack of structured communication and the ensuing confusion and misunderstandings regarding roles and responsibilities [8,9,18]. Apart from these needs assessment results, it was also important to remain in line with-and thereby expand directly upon-the existing ISPAD guidelines [19,20].…”

Section: Discussionmentioning

confidence: 99%

“…The recently updated clinical practice consensus guidelines from the International Society for Pediatric and Adolescent Diabetes (ISPAD) [19] very competently outline how to promote optimal management of childhood and adolescent diabetes within the school environment.…”

Section: Introductionmentioning

confidence: 99%

“…In the ISPAD guidelines, it is specified that parents are responsible for informing school personnel about their child's diagnosis, that it is the school's responsibility to take care of the children during school hours and that parents should not be expected to compensate for inadequate school resources to attend to their child's diabetes management during the school day [19].…”

Section: Introductionmentioning

confidence: 99%

“…The guidelines also state that all school personnel, including administrative staff, counsellors and nursing staff, should receive appropriate diabetes training [19].…”

Section: Introductionmentioning

confidence: 99%

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Diabetes Management Support in Preschool and Primary School: A Qualitative Ideation Study Presenting Recommendations for Improved Communicative Practice

Grabowski,

Johansen,

Nannsen

et al. 2024

Healthcare

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Diabetes care in institutional settings is a significant challenge that affects the whole family as well as care workers and teachers. The present study is the ideation part of a rigorous development process in the KIds with Diabetes in School (KIDS) project. We have previously conducted a thorough three-part needs assessment in which we explored the problem area from the viewpoints of (1) municipal administrative staff, (2) preschool and school staff and (3) families. Based on the identified needs and to a great extent on the contents and shortcomings of existing guidelines, the objective of the present study is to explore and develop possible solutions and recommendations for addressing the challenges and problems. To meet this objective, we held comprehensive multistakeholder participatory workshops in each of the five Danish regions. Five main themes with multiple subthemes were identified as areas to be addressed: (1) training and knowledge, (2) communication and collaboration, (3) the designated contact/support person, (4) national guidelines, and (5) the Diabetes Coordinator. Our findings demonstrate that communicative structures and dynamics are at the very heart of the identified problems and challenges and that the possible solutions should revolve around improving existing structures and highlighting the importance of constantly working on understanding and developing communication strategies. We propose a set of recommendations for practice based on these communicative needs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The guidelines also state that all school personnel, including administrative staff, counsellors and nursing staff, should receive appropriate diabetes training [19].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Diabetes Management Support in Preschool and Primary School: A Qualitative Ideation Study Presenting Recommendations for Improved Communicative Practice

Grabowski,

Johansen,

Nannsen

et al. 2024

Healthcare

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“…The number of young people with diabetes attending school is increasing, therefore the importance of support and management of the child is growing not only among families and the health care system, but also among school staff. The International Society for Pediatric and Adolescent Diabetes (ISPAD) underlined that a collaborative approach among parents, the student’s health care team and schools, together with advancements in communication and technology, should be used to optimally support students for successful diabetes management at school ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Management of Type 1 Diabetes in a school setting: effectiveness of an online training program for school staff

Bassi,

Scalas,

Spacco

et al. 2024

Front. Public Health

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Background and aimsSince Type 1 Diabetes (T1D) onset usually occurs at a young age, a relevant number of affected people attend school for most of their time; it is necessary that school personnel receive appropriate education and training. We aimed to evaluate the effectiveness of the online training program offered by IRCCS Istituto Giannina Gaslini during and after COVID-19 pandemic.MethodsThe Institute’s Diabetes team offered an online training program to school staff of the Region during COVID-19 pandemic. A validated questionnaire was proposed to all the schools in which training meetings were held in the previous 2 years (2020–2021 and 2021–2022). The questionnaire consisted of four sections: Section 1 (Socio-demographical data), Section 2 (Theoretical knowledge on T1D), Section 3 (Confidence in handling T1D), and Section 4 (Practical skills and Glucagon Administration). To evaluate the effectiveness of the online training program, the answers between participants (Group A) and non-participants (Group B) were then compared.Results225 subjects from 19 schools participated in the survey. People who participated to the training (Group A, n = 53) demonstrated better T1D theoretical knowledge compared to non-participants (Group B, n = 154; p < 0.001). Group A revealed to feel more confident in the management of children with T1D during scholastic (p = 0.006) and extra-scholastic activities (p = 0.01), in supporting the children in the administration of insulin (p < 0.001) and in recognizing hypoglycaemia (p = 0.006). Moreover, results confirmed good levels of confidence among scholastic personnel who participated in the training of administration of glucagon in case of severe hypoglycaemia.ConclusionSchool staff who took part in the online training program on management of T1D showed better theoretical knowledge and better confidence in the management of daily needs and possible emergencies of students with T1D. It appears essential to offer educational programs on T1D for school staff by implementing the use of technological tools to reach a wider population. Moreover, it is advisable to offer a more practical approach, involving educational nurses.

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Implementation Science and Pediatric Diabetes: A Scoping Review of the State of the Literature and Recommendations for Future Research

Price,

Hawkins,

Amante

et al. 2024

Curr Diab Rep

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Purpose of Review This scoping review aimed to identify implementation science (IS) research in pediatric diabetes, report integration of IS theory and terminology, and offer guidance for future research. Recent Findings Of 23 papers identified, 19 were published since 2017 and 21 focused on type 1 diabetes. Most involved medical evidence-based practices (EBPs; n = 15), whereas fewer focused on psychosocial (n = 7) and diabetes education (n = 2). The majority either identified barriers and facilitators of implementing an EBP (n = 11) or were implementation trials (n = 11). Fewer studies documented gaps in EBP implementation in standard care (n = 7) or development of implementation strategies (n = 1). Five papers employed IS theories and two aimed to improve equity. Summary There is a paucity of IS research in pediatric diabetes care literature. Few papers employed IS theory, used consistent IS terminology, or described IS strategies or outcomes. Guidance for future research to improve IS research in pediatric diabetes is offered.

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ISPADClinical Practice Consensus Guidelines 2022: Management and support of children and adolescents with diabetes in school

Cited by 20 publications

References 89 publications

Diabetes Management Support in Preschool and Primary School: A Qualitative Ideation Study Presenting Recommendations for Improved Communicative Practice

Diabetes Management Support in Preschool and Primary School: A Qualitative Ideation Study Presenting Recommendations for Improved Communicative Practice

Management of Type 1 Diabetes in a school setting: effectiveness of an online training program for school staff

Implementation Science and Pediatric Diabetes: A Scoping Review of the State of the Literature and Recommendations for Future Research

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