None listed
Conditions
Brief summary
This study is trialling a new model of care for children and adolescents newly diagnosed with type 1 diabetes. Currently children remain in hospital for an average of 5-6 days while they receive initial stabilisation, commencement of insulin therapy and intensive education. Under the model being trialled, children will be discharged on day 2 after admission and will receive nursing support and education at home over a period of two weeks. They will continue to be under the care of an endocrinologist during this time and phone support will be available at all times. We will be assessing a range of clinical measures, patient satisfaction, knowledge, adjustment and quality of life in order to detemine whether this model of care is the same, better or worse than the existing one in terms of patient outcomes.
Interventions
Ambulatory care - patient will be discharged on day 2 following diagnosis. A nurse will visit to assist with/supervise morning and evening insulin administration for 48 hours following discharge. A diabetes educator and a dietitian will visit on two occasions and a diabetes educator and a social worker will visit on one occasion over the two week period following discharge to complete education and pyschosocial review that would normally be done during inpatient hospital stay. Each visit will be
Ambulatory care - patient will be discharged on day 2 following diagnosis. A nurse will visit to assist with/supervise morning and evening insulin administration for 48 hours following discharge. A diabetes educator and a dietitian will visit on two occasions and a diabetes educator and a social worker will visit on one occasion over the two week period following discharge to complete education and pyschosocial review that would normally be done during inpatient hospital stay. Each visit will be approximately 2 hours in duration. Phone support will be available 24 hours a day to all ambulatory care patients for the two week period following discharge.
Sponsors
Associate Professor Elizabeth Davis
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
3 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
Aged 3-16 years; living within home visit boundaries for Princess Margaret Hospital in the Home service; no immediate family member with existing type 1 diabetes; do not require interpreter; medically suitable for early discharge; no hazards or risks to preclude home visits; no complex social issues or family instability
Exclusion criteria
Not aged 3-16 years; living outside home visit boundaries for Princess Margaret Hospital in the Home service; immediate family member with existing type 1 diabetes; requires interpreter; medically unsuitable for early discharge; idenitifed hazards or risks that preclude home visits; complex social issues or family instability
Outcome results
None listed