Technology Knowledge Optimization for Type 1 Diabetes in Schools

Официальное название

Technology Knowledge Optimization for Type 1 Diabetes in Schools (TeKnO T1D: Schools): A Novel E-learning Platform for School Nurses to Advance Health Outcomes

Обзор

The goal of this study is to evaluate the feasibility and acceptability of a school nurse focused e-Learning application to improve their diabetes device knowledge and confidence. School nurses will be asked to complete pre-/post-surveys around a 16-week curriculum.

Подробное описание

The standard of care for pediatric type 1 diabetes (T1D) is the use of continuous glucose monitoring (CGM) and automated insulin delivery (AID) systems to optimize glycemia. These diabetes technologies hold the potential to decrease the risk of acute and long-term complications. Yet, the rapid developments over the last decade have posed challenges for youth, caregivers, and healthcare professionals who must learn to use these devices. Use of these devices requires significant user interaction and remains labor-intensive, leading to variability in glycemic outcomes. Schools offer a unique opportunity to support these vulnerable populations. Youth with T1D spend nearly one third of their weekdays in school under the care of school nurses. School nurses have expressed a critical gap in their knowledge of T1D devices, which can negatively affect parent and student school experiences. To date, little to no research has explored interventions to support school nurses with T1D devices. Structured education may directly impact school nurse CGM and AID knowledge and confidence and student outcomes. e-Learning, defined as the delivery of education through digital resources, allows for flexible, asynchronous learning at a self-determined pace. App-based CGM and AID education stimulates active, problem-centered learning that improves the knowledge and confidence of endocrinology trainees. This study will adapt an existing diabetes technology e-Learning tool to meet the needs of school nurses. In earlier phases focus groups and user-centered design methods are used to adapt the TeKnO T1D curriculum. The TeKnO T1D: School app content will be pilot tested with school nurses in Pennsylvania to assess feasibility. The curriculum will be delivered to 36 school nurses over 16 weeks according to principles of spaced learning, which has been shown to optimize knowledge retention. Simultaneously, methods to collect health and school outcomes from the students of participating school nurses will be explored.

Вмешательства

• Другое TeKnO T1D curriculum
  The TeKnO T1D: School Intervention will be an e-Learning CGM and AID curriculum developed for nurses and delivered entirely through 20-25 multiple-choice questions developed from case-based scenarios reflecting real-world, school-based T1D management. After answering each question, participants receive immediate access to the correct answer, a comparison of their answer choice with that of their peers, and a detailed explanation of the correct answer choice. Participants receive 2 questions ever

Первичные конечные точки

• Study Enrollment [Срок оценки: Baseline]
• Curriculum completion [Срок оценки: Primary endpoint (completion of 16 week curriculum)]
• Retention [Срок оценки: Primary endpoint (completion of 16 week curriculum)]
• Feasibility of Intervention Measure [Срок оценки: Primary endpoint (completion of 16 week curriculum)]
• Acceptability [Срок оценки: Primary endpoint (completion of 16 week curriculum)]
• Appropriateness [Срок оценки: Primary endpoint (completion 16 week curriculum)]

Вторичные конечные точки (2)

• Device knowledge [Срок оценки: Baseline and primary endpoint (completion of 16 week curriculum)]
• Diabetes device confidence [Срок оценки: Baseline and primary endpoint (completion of 16 week curriculum)]

Критерии участия

Inclusion Criteria (School Nurses):

• Certified school nurse or obtaining certification
• Actively managing at least 1 student with type 1 diabetes ≤14 years of age who uses a diabetes device (CGM, insulin pump, or automated insulin delivery system)
• Employed in a school district in PA
• Equipped with a smartphone or device compatible with the app used to deliver curriculum

Inclusion Criteria (Parent-Child Dyads)

• Parent of a child diagnosed with T1D for ≥6 months
• Child ≤14 years of age and attends in-person school in Pennsylvania
• Child uses a CGM and/or AID system

Критерии исключения

• Not able to participate in English (all)
• For School Nurses: No current work with in-person students (e.g., retired, cyber school only), not clinical school staff, prior participation in the study

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Организация здравоохранения

Центры проведения

США · 1 центр

• University of Pittsburgh — Pittsburgh

Идентификаторы

NCT: NCT07482488 · STUDY25070015 (Aim 3) · 1R21NR022207

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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