Effect of diabetes self-management education on health related quality of life of Tunisian children with type1 diabetes mellitus and their parents: A randomized controlled trial

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Published Apr 6, 2024
https://doi.org/10.62438/tunismed.v102i4.4846
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Vol. 102 No. 4 (2024): Tunis Med apr 2024

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Imen Ben Abdesselem
Department of physiology, Hospital Farhat Hached, Sousse, Laboratory of physiology, Faculty of medicine of Sousse, University of Sousse, Research laboratory "Heart failure" (LR12SP09), University of Sousse, Sousse, Tunisia.
Raoudha Kebaili
Department of pediatrics, Hospital Farhat Hached, Sousse, Faculty of medicine of Sousse, University of Sousse, Sousse, Tunisia
Khansa Derbel
Department of physiology, Hospital Farhat Hached, Sousse, Faculty of medicine of Sousse, University of Sousse, Sousse, Tunisia
Hichem Ben Said
Department of pediatrics, Hospital Farhat Hached, Sousse, Tunisia
Lamia Boughammoura
Department of pediatrics, Hospital Farhat Hached, Sousse, Research laboratory "Heart failure" (LR12SP09), Sousse, Faculty of medicine of Sousse, University of Sousse, Sousse, Tunisia
Sonia Rouatbi
Department of physiology, Hospital Farhat Hached, Sousse, Laboratory of physiology, Faculty of medicine of Sousse, University of Sousse, Research laboratory "Heart failure" (LR12SP09), University of Sousse, Sousse, Tunisia.
Jihene Bouguila
Department of pediatrics, Hospital Farhat Hached, Sousse, Research laboratory "Heart failure" (LR12SP09), , Sousse, Faculty of medicine of Sousse, University of Sousse, Sousse, Tunisia

Abstract

Aim : To assess the effect of diabetes self-management education (DSME) on health related quality of life (HRQoL) of Tunisian children/adolescents with type 1 diabetes mellitus and their parents.


Methods : This monocentral study used a randomized controlled trial design, during five-month intervention and five-month follow-up and including 110 patients (54 in the DSME intervention group and 56 in the Individual Education by Pediatrician (IEP) control group) and their parents. Pediatric Generic Core Quality-of-Life Inventory 4.0-Scale (PedsQL4.0) evaluated HRQoL.


Results : At baseline, both groups had similar clinical features and PedsQL4.0 scores (p>0.05). In DSME, clinical outcomes were significantly improved from baseline to follow-up (p<0.001), while in the IEP group, which received no intervention, these outcomes remained unchanged.  During follow-up, DSME showed higher PedsQL4.0 scores in parents’ proxy-report and children/adolescents self-report (p<0.001). According to parents’ proxy-report, PedsQL4.0 scores were significantly higher during follow-up compared to baseline in DSME (p<0.001) while they remained the same in IEP (p>0.05). DSME had higher percentage of change in the PedsQL4.0 scores than IEP (p<0.01). The median change varied from -5.01% to 0% vs 5.41% to 36.36% in IEP and DSME, respectively.


Conclusion : Encouraging healthcare professionals to incorporate these interventions could enhance the HRQoL of diabetic children and bolster their self-esteem.

Keywords:

Type 1 diabetes mellitus, child, Health related quality of life , Diabetes self-management intervention

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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