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Comparison of hospital-based and hospital-based home care at diabetes onset in children

Tiberg, I. LU ; Hallström, I. LU ; Jönsson, L. LU and Carlsson, A. LU (2014) In European Diabetes Nursing 11(3). p.70-74
Abstract

The aim was to compare two different regimens for children diagnosed with type 1 diabetes, hospital-based care and hospital-based home care (HBHC), in terms of the child's metabolic control, episodes of severe hypoglycaemia, the disease's impact on family and the parents' health-related quality of life, one year after diagnosis. The study had a randomised controlled design and included 60 children, aged 3-15 years old. Children were randomised to either continued hospital-based care or to HBHC. This article presents data one year after diagnosis. The results showed overall equivalence between groups. There were no differences in terms of the children's HbA1c (p=0.804), in episodes of severe hypoglycaemia (p=1.0), in insulin dose/kg/24 h... (More)

The aim was to compare two different regimens for children diagnosed with type 1 diabetes, hospital-based care and hospital-based home care (HBHC), in terms of the child's metabolic control, episodes of severe hypoglycaemia, the disease's impact on family and the parents' health-related quality of life, one year after diagnosis. The study had a randomised controlled design and included 60 children, aged 3-15 years old. Children were randomised to either continued hospital-based care or to HBHC. This article presents data one year after diagnosis. The results showed overall equivalence between groups. There were no differences in terms of the children's HbA1c (p=0.804), in episodes of severe hypoglycaemia (p=1.0), in insulin dose/kg/24 h (p=0.115) or parents reported impact of the child's disease on the family (p=0.163). However, parents in the HBHC showed significant higher social functioning compared to parents in the hospital-based care (p=0.006). In conclusion, few studies provide high-quality evidence when comparing hospital-based care with different models of home-based care. The results of this study one year after diagnosis support the safety and feasibility of HBHC when a child is diagnosed with type 1 diabetes.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Disease management, Family impact, Quality of life, Randomised controlled trial, Type 1
in
European Diabetes Nursing
volume
11
issue
3
pages
5 pages
publisher
John Wiley and Sons Ltd
external identifiers
  • scopus:84911966040
ISSN
1551-7853
DOI
10.1002/edn.253
language
English
LU publication?
yes
id
80ca1ce0-076a-47be-bc28-a2360f900dac
date added to LUP
2017-12-21 08:30:04
date last changed
2019-02-20 11:01:58
@article{80ca1ce0-076a-47be-bc28-a2360f900dac,
  abstract     = {<p>The aim was to compare two different regimens for children diagnosed with type 1 diabetes, hospital-based care and hospital-based home care (HBHC), in terms of the child's metabolic control, episodes of severe hypoglycaemia, the disease's impact on family and the parents' health-related quality of life, one year after diagnosis. The study had a randomised controlled design and included 60 children, aged 3-15 years old. Children were randomised to either continued hospital-based care or to HBHC. This article presents data one year after diagnosis. The results showed overall equivalence between groups. There were no differences in terms of the children's HbA1c (p=0.804), in episodes of severe hypoglycaemia (p=1.0), in insulin dose/kg/24 h (p=0.115) or parents reported impact of the child's disease on the family (p=0.163). However, parents in the HBHC showed significant higher social functioning compared to parents in the hospital-based care (p=0.006). In conclusion, few studies provide high-quality evidence when comparing hospital-based care with different models of home-based care. The results of this study one year after diagnosis support the safety and feasibility of HBHC when a child is diagnosed with type 1 diabetes.</p>},
  author       = {Tiberg, I. and Hallström, I. and Jönsson, L. and Carlsson, A.},
  issn         = {1551-7853},
  keyword      = {Disease management,Family impact,Quality of life,Randomised controlled trial,Type 1},
  language     = {eng},
  number       = {3},
  pages        = {70--74},
  publisher    = {John Wiley and Sons Ltd},
  series       = {European Diabetes Nursing},
  title        = {Comparison of hospital-based and hospital-based home care at diabetes onset in children},
  url          = {http://dx.doi.org/10.1002/edn.253},
  volume       = {11},
  year         = {2014},
}