Type 1 Diabetes Mellitus
Conditions
Brief summary
Study into the use of a diabetes specialist transition nurse in the care of young people aged 16-20 years, with type 1 diabetes; undergoing transition from the paediatric to the adult diabetes services at the Northampton General Hospital
Detailed description
Does the use of a structured diabetes transition program in the care of young people transitioning from the paediatric to the adult diabetes services at Northampton General Hospital improve the study group mean HbA1C, reduce the number of diabetes related hospital episodes and increase attendance at the adult diabetes clinic following transition to the adult service?
Interventions
OTHERTransition intervention group
Support and on-going treatment intervention; monitoring the uptake of routine annual diabetes tests and encouraging to access where default observed General specialist diabetes support and provision of education and referral to other specialist healthcare agencies as individual requires
OTHERPost transition group
The previous fifty eligible young people who have transitioned to adult service, will be compared with the active comparator group.
Sponsors
Northampton General Hospital NHS Trust
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Next 50 eligible young people entering transition
Eligibility
Sex/Gender
ALL
Age
16 Years to 20 Years
Healthy volunteers
Yes
Inclusion criteria
* established type 1 diabetes for minimum of 1 year * attended the Northampton general Hospital, children's and young peoples diabetes service for at least 6 months prior to transition * between the ages of 16 - 20 years * ability to participate in all aspects of the trial * written informed consent must be obtained
Exclusion criteria
* any condition which may interfere with the subjects ability to participate in the study including cystic-fibrosis related diabetes * subjects who move away from the Northampton General Hospital clinic during the transition process * those unable to give informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The rates of diabetes related hospital episodes, including Diabetic Ketoacidosis, between the 2 study groups before and after transition | 3 years | Rates of admission |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The mean Hba1C between the 2 study groups before and after transition | 3 years | Hba1C measurement |
| The frequency of testing according to National Institute for Health and Care Excellence between the 2 study groups | 3 years | Annual diabetes routine checks |
| Emotional health of the 2 study groups | 3 years | HADS Questionnaire |
| To compare the proportion of young people in the study groups who fail to attend at least one out-patient adult diabetes appointment during the first year after transition | 3 years | Compare attendance rates |
Countries
United Kingdom
Outcome results
None listed