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Winners of the 2003 DESG Awards |
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Page 2 of 3
Best two abstracts on Therapeutic Patient Education presented during the 18th IDF Congress, Paris, 2003:
S. H. Assaad-Khalil1, F. El Siwy1, K. F. Kamel2, R. Gaber1: Impact of an educational video film: "The Jinn's Party" on the knowledge, practices and attitudes of school children and adolescents with Type 1 diabetes and their parents. (Abstract No 254)
Alexandria, Egypt.
Background and Aims: The WHO recognizes education as a corner stone of diabetes therapy which should be tailored to the local socio-economic and cultural circumstances. The aim of the present work included assessment of: 1) The state of knowledge, practices and attitudes of school children and adolescents with type 1 diabetes and/or their parents. 2) The impact of a short therapeutic education program including projection and discussion of a video film "The Jinn's Party" prepared to fulfill the local needs within the frame of the DESG-EASD educational guidelines. 3) The impact of this program on diabetes control namely HbA1c, frequency of absenteeism, ketoacidosis and hypoglycaemic episodes.
Materials and Methods: The study was conducted on 100 subjects (school children or adolescents) with type 1 diabetes and 56 parents randomly selected from 1600 subjects receiving health care from the Students Diabetes Center in Alexandria. Study design: Pre-test, post test quasi-experimental design. The study comprised 4 phases: 1) Initial pretest assessment, 2) Educational program including a full one day camp in a sporting club, projection of the video film & interactive discussions, 3) Immediate post-test assessment and 4) Final assessment (3 months later). Data Collection comprised: 1) Predesigned questionnaire covering knowledge, misconcepts, skills & practices, attitudes & perception. 2) Physical examination. 3) Assay of HbA1c . 4) Review of the absenteeism & hospitalization records. The Video Film describes in 60 minutes the story of a teenager with diabetes who had the visit of nice Jinnies in his dream. These Jinnies discuss with him the basic knowledge about diabetes, the local misconcepts; demonstrate the skills and practices for management and discuss his attitudes towards the disease and its management.
Results: The mean percent scores of patients knowledge was 57.20 % ± 20.10 in the pre-test, 88.79% ± 10.88 in the immediate post test and 81.60% ± 9.05 in the remote post test. Those of patients' skills were 45.35% ± 41.59; 77.47% ± 13.58 and 84.94% ± 26.3 respectively. The percent scores for attitudes were 42.53% ± 45.33; 81.33% ± 31.62 and 81.00% ± 13.64 respectively. The mean percent scores for parents knowledge were 64.85% ± 11.96; 87.32% ± 13.91 and 80.55% ± 13.55; for skills 76.26% ± 41.01; 73.00% ± 23.70 and 84.87% ± 29.03 and for attitudes 66.19% ± 39.75; 79.52% ± 33.07 and 72.50% ± 28.48 respectively. The mean HbA1c one year before the educational intervention was 9.72% ± 2.22 and 1 year after intervention 7.75% ± 1.15 (p < 0.001). Frequencies of absenteeism were 5.35 days/year ± 6.53 and 2.52 ± 3.10, respectively (p < 0.001); those of ketosis 0.90 ± 1.52 and 0.28 ± 0.62 respectively (p < 0.001); those of severe hypoglycaemia 0.085 ± 0.065 and 0.012 ± 0.090 respectively (p = 0.03) and of mild hypoglycaemia 28 ± 12 and 22 ± 15 (p = 0.008) respectively.
Conclusion: The present study demonstrates the positive impact of this short educational program. A result peculiarly significant, as the present intervention has been especially designed to the target population; a population with rather poor resources and special cultural background.
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