None listed
Conditions
Brief summary
Background The Cambridge Diabetes Education Program (CDEP) is an online inter-professional competency based Continuing Professional Development (CDP) programme underpinned by the UK’s national diabetes competencies frameworks and has been adapted to the Australian context as AusCDEP. Objectives We aim to pilot a trial comparing the effect of AusCDEP, face to face diabetes education, and ‘usual’ staff education on length of stay and management of inpatients with diabetes.. Study Plan This is a pilot cluster randomized controlled trial(CRCT) conducted in Campbelltown Hospital over 22 weeks. The unit of randomisation is the medical ward. Patient length of stay is the primary outcome. Secondary outcomes include glycaemic control, medication errors, patient experience, and appropriate referrals to hospital based diabetes specialist services This pilot CRCT will also evaluate the feasibility, adherence and fidelity of undertaking in the future a larger CRCT . Three wards will be randomized to either 1) three hours of protected time to undertake AusCDEP (and ongoing external access) with one hour of face to face education sessions 2)four hours face to face sessions or 3) professional education as usual. A daily census of all the patients on the three wards with pre-existing diabetes will be conducted and length of stay calculated post-discharge. The charts of all patients identified as having pre-existing diabetes in the previous week will be reviewed using the Diabetes Inpatient Audit Form. As a pilot, no power calculations have been undertaken. Data will inform a larger RCT. We predict 400 patients (130 per group) in this pilot within this time limit. The time limit has been chosen to allow run in, implementation of the whole educational programme and sufficient time to test all components of the trial.
Interventions
Intervention: Cambridge Diabetes Education Program ( CDEP) is an online competency based diabetes education for health professionals developed by expert diabetes clinicians from Addenbrookes Hospital in Cambridge,UK. It is endorsed by Diabetes UK, The Dietitian's Association of United Kingdom and Cambridge University Health Partners. There will be five topics available- time taken is determined by the student. The topics , modified to the Australian clinical and cultural context include: Wha
Intervention: Cambridge Diabetes Education Program ( CDEP) is an online competency based diabetes education for health professionals developed by expert diabetes clinicians from Addenbrookes Hospital in Cambridge,UK. It is endorsed by Diabetes UK, The Dietitian's Association of United Kingdom and Cambridge University Health Partners. There will be five topics available- time taken is determined by the student. The topics , modified to the Australian clinical and cultural context include: What is Diabetes, Hypoglycaemia, Oral Therapies, Injectable Therapies and Managing Diabetes in Hospital. Three hours of protected work time will be offered. CDEP is a competency based diabetes online program underpinned by the UK’s national inter-professional diabetes competency frameworks. It is not a traditional online education program. CDEP takes the approach that enables health professionals to assess and demonstrate their’ knowledge’ and ‘know how’ in diabetes management. A series of quizzes are provided- when questions are answered correctly the participant progresses through the program. When questions are answered incorrectly, credible resource links are provided to assist in answering the question. Progress through the program requires 100% mastery. AusCDEP is the Australian version of CDEP . Online access will be available on the ward or from outside the ward. One hour of face to face education: will also be offered : Role of Nursing in the Continuum of Inpatient Diabetes Care. This power point presentation was developed by the American Association of Clinical Endocrinologists and will be presented by Credentialed Diabetes Educators on the ward for one hour only. The powerpoint slides will be made available to staff unable to attend the face to face sessions . This session has also been modified to the Australian context in relation to clinical ranges according to Australian Clinical Practice Guidelines. Staff are asked to complete AusCDEP within 13 weeks, but will have ongoing access to program. Comparator: Three hours of sessions developed by the National Association of Diabetes Centres( NADC) : What is Diabetes , Hypoglycemia and Medicines (Oral and Injectable therapies) will be presented to staff on the ward by a Credentialed Diabetes Educators. A further one hour :The Role of Nursing in the Continuum of Inpatient Diabetes Care ppt developed by the American Association of Clinical Endocrinologists will also be presented by Credentialed Diabetes Educators to the randomised ward receiving face to face education. All face to face presentations will be presented once Control: Ward education as usual. This involves all educational activities scheduled on the ward. Diabetes related educational activities are provided by credentialed diabetes educators. These are provided on an ad hoc basis following a request from the ward or following an incident/event concerning diabetes safety and/or quality of care.
Sponsors
South Western Sydney Local Health District
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Adult patients on the ward with diabetes. All nursing staff rostered on the three wards will be included in this study.
Exclusion criteria
For the patient experience telephone survey, only people who cannot speak English will be excluded. Medical and allied health staff are excluded from participation in this study to avoid contamination of results because of likelihood of mobility between wards of these health professionals..
Outcome results
None listed