Type 1 Diabetes in Children
Conditions
Keywords
child, diabetes, animation, education, metabolic, control, self-care
Brief summary
The aim of this study is to evaluate the attitude towards the disease, perceived social support systems, metabolic control and self-care ability of pediatric patients diagnosed with Type 1 diabetes, by giving video animation training considering their age and developmental level. The main questions it aims to answer are: 1. Nursing interventions using video animations increase self-care abilities in children aged 11-18. 2. Nursing interventions using video animations increase the perception of social support in children aged 11-18. 3. Nursing interventions using video animations support metabolic control in children aged 11-18. 4. Nursing interventions using video animations positively affect the attitudes of children aged 11-18 toward their illness.
Detailed description
With the development and proliferation of technology, an essential part of our daily lives, adaptation and developments in technology have begun to increase in the healthcare sector. Research has shown that games and video animations are effective methods beyond medication. No studies have been found in the literature evaluating the effects of diabetes education provided through video animation on the metabolic control, self-care abilities, and attitudes toward the disease in children with Type 1 diabetes. Therefore, the aim of this study is to evaluate the effects of video animation education given to children diagnosed with Type 1 diabetes on their attitudes toward the disease, perception of social support, and self-care abilities. It is anticipated that this research will provide a proactive, multifaceted approach to care and treatment. The study was designed as a pretest/posttest randomized controlled trial. The study population consisted of children aged 11-18 who were regularly followed in the outpatient clinic and had been diagnosed with Type 1 diabetes for at least 6 months. Children who accepted the study and met the criteria were assigned to the video animation and control groups using a block randomization method. The study sample was determined to be 80 individuals, 40 in the experimental group and 40 in the control group. The video animation scenario to be used in the study was created by the researchers in parallel with the routine diabetes education provided at the hospital, and expert approval was obtained. The video animation scenes were prepared by a voice actor and illustrator as part of the project. The experimental group will receive diabetes education through video animation following the routine diabetes education provided by the hospital. Pre- and post-intervention surveys will be administered. The control group will receive routine diabetes education from the hospital's diabetes nurse. No other intervention will be administered. Pre-tests/post-tests and surveys will be administered before and after the diabetes education.
Interventions
OTHERDiabetes education with video animation
Providing diabetes education to the experimental group through a video animation Following the routine diabetes education provided by the hospital, the experimental group will receive diabetes education using a video animation prepared and staged by the researcher and approved by experts.
Sponsors
Ataturk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Masking description
The control group will receive routine diabetes education from the hospital's diabetes nurse. The experimental group will receive diabetes education using a video animation prepared by the researcher following the routine diabetes education provided by the diabetes nurse. The outcome assessment and group allocation will be conducted by a researcher who is unaware of the outcome.
Intervention model description
Two groups, the traditional experimental and control groups
Eligibility
Sex/Gender
ALL
Age
11 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Agreeing to participate in the study * Diagnosed with Type 1 DM by a specialist * Diagnosed with Type 1 diabetes for at least 6 months * Being between the ages of 11 and 18 * Using an insulin pen * Not using an insulin pump * Coming for regular checkups at the Pediatric Endocrinology clinic * Having no other chronic disease besides diabetes
Exclusion criteria
* Using an insulin pump * Not being mentally healthy * Having any mental or physical disability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Metabolic Control | three weeks | Weight and height measurements will be combined to report body mass index in kg/m². Fasting and postprandial blood glucose values and HbA1C values will be evaluated. |
| Self-care power | three weeks | The five-point Likert-type self-care agency scale, which offers an opportunity for self-assessment, consists of 35 questions. The total score obtained from the scale ranges from 35 to 140. A higher total score indicates that the patient is more independent and competent in self-care. |
| Attitude Towards One's Own Illness | three weeks | It provides an opportunity to assess the attitudes children with chronic illness develop toward their illness. A 13-item, five-point Likert-type scale was designed to self-report children with chronic illnesses. Four of the 13 items are bipolar (very good, somewhat good, not sure, somewhat bad, very bad), while nine items assess how often children experience positive or negative feelings specific to having a chronic illness, using the phrases very often, often, sometimes, not often, never. Mean scores for items measuring children's attitudes toward their illnesses range from 1 to 5. The lowest possible total score is 13, and the highest is 65. There are no reverse items. Scores of 1 and 2 indicate a negative attitude, 3 indicate a neutral attitude, and 4 and 5 indicate a positive attitude. The internal consistency coefficient of the scale was determined to be 0.79. |
| Multifaceted Perceived Social Support | three weeks | The total score available ranges from 12 to 84. A higher score indicates a positive perception of social support. |
Countries
Turkey (Türkiye)
Outcome results
None listed