There were no significant mean reductions for body mass index or serum cholesterol .
Nurse-led interventions produced greater improvements than ' usual care ' for HbA1c , serum triglyceride and smoking cessation and support an increased independent role for nurses in diabetes management
Education and telephone case management for children with type 1 diabetes: a randomized controlled trial.
The purpose of the study was to compare three nursing interventions and their impact on glycemic control among children with type I diabetes . The 75 subjects ' mean + /- SD age was 12.5 + /- 3.4 years , 55 % were boys , and 55 % were White . Subjects were r and omly assigned to a st and ard care ( SC ) , an education ( ED ) , or an education and telephone case management ( ED + TCM ) group . The primary outcome measure was glycemic control ( hemoglobin A1c , or HbA1c ) . Secondary outcome measures were diabetes knowledge ( KNOW ) , parent-child teamwork ( TEAM ) , and adherence ( ADH ) . After 6 months of follow-up , results demonstrated no significant differences among groups in HbA1c . KNOW and TEAM scores improved slightly in the ED and ED + TCM groups , but no statistically significant differences were found among the three groups . Significant improvement in ADH scores among ED + TCM groups was reported when compared with the ED and SC groups . This change may represent a move toward improved adherence to diabetes care and subsequent improvement in diabetes control . The challenges of recruitment and retention of subjects in this study will also be discussed
There were no significant mean reductions for body mass index or serum cholesterol .
Nurse-led interventions produced greater improvements than ' usual care ' for HbA1c , serum triglyceride and smoking cessation and support an increased independent role for nurses in diabetes management