The management of type 1 diabetes in Australian primary schools

Marks, A; Wilson, V; Crisp, J

The management of type 1 diabetes in Australian primary schools

Marks, A Wilson, V

Crisp, J

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Publication Type:: Journal Article
Citation:: Issues in Comprehensive Pediatric Nursing, 2014, 37 (3), pp. 168 - 182
Issue Date:: 2014-01-01

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Field	Value	Language
dc.contributor.author	Marks, A	en_US
dc.contributor.author	Wilson, V https://orcid.org/0000-0001-7138-5591	en_US
dc.contributor.author	Crisp, J	en_US
dc.date.issued	2014-01-01	en_US
dc.identifier.citation	Issues in Comprehensive Pediatric Nursing, 2014, 37 (3), pp. 168 - 182	en_US
dc.identifier.issn	0146-0862	en_US
dc.identifier.uri	http://hdl.handle.net/10453/117863
dc.description.abstract	Aim: The aim of this study was to explore the management of type 1 diabetes in Australian primary schools: kindergarten-Year 2, from the parent's perspective. The study questions were: What diabetes treatment is being delivered? Who is providing the treatment? Where is the treatment given? Methods: A cross sectional, descriptive approach was used to collect data from parents (66) of children with type 1 diabetes attending an Australian primary school (kindergarten-Year 2). An online self-administered questionnaire was designed in Survey Monkey and was available via a dedicated Facebook page. Data were analysed using statistical analysis (SPSSv21). Results: Blood glucose testing was occurring for all children, with 49% of children self testing. 77% of children were receiving an insulin bolus or injection at school. 34% was provided by the child and 53% of insulin was given via pump. Teachers, parents and teacher's aides also provided insulin at school. There was a statistically significant association between the number of children receiving insulin at school and the insulin delivery device, χ<sup>2</sup>=16.75, df=1, p0.000). Children using insulin pump therapy were more likely (97%) to receive insulin at school than children who used injections (55%). Children who were able to self-administer insulin were more likely to receive insulin (93%) at school than children who were unable to self-administer insulin (65%) (χ<sup>2</sup>=7. 38, df=1, p=0.007) 81% of children received diabetes treatment in the classroom, with the remainder in the school administration office. Conclusion: Insulin administration across Australian primary schools was inconsistent. Not all children were receiving the recommended insulin treatment. Insulin pump therapy appears to increase access to this treatment at school. © 2014 Informa Healthcare USA, Inc.	en_US
dc.relation.ispartof	Issues in Comprehensive Pediatric Nursing	en_US
dc.relation.isbasedon	10.3109/01460862.2014.932860	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Diabetes Mellitus, Type 1	en_US
dc.subject.mesh	Questionnaires	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Parents	en_US
dc.subject.mesh	Schools	en_US
dc.subject.mesh	Faculty	en_US
dc.subject.mesh	Child	en_US
dc.subject.mesh	Child, Preschool	en_US
dc.subject.mesh	Disease Management	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	The management of type 1 diabetes in Australian primary schools	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	37	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	37	en_US

Abstract:

Aim: The aim of this study was to explore the management of type 1 diabetes in Australian primary schools: kindergarten-Year 2, from the parent's perspective. The study questions were: What diabetes treatment is being delivered? Who is providing the treatment? Where is the treatment given? Methods: A cross sectional, descriptive approach was used to collect data from parents (66) of children with type 1 diabetes attending an Australian primary school (kindergarten-Year 2). An online self-administered questionnaire was designed in Survey Monkey and was available via a dedicated Facebook page. Data were analysed using statistical analysis (SPSSv21). Results: Blood glucose testing was occurring for all children, with 49% of children self testing. 77% of children were receiving an insulin bolus or injection at school. 34% was provided by the child and 53% of insulin was given via pump. Teachers, parents and teacher's aides also provided insulin at school. There was a statistically significant association between the number of children receiving insulin at school and the insulin delivery device, χ²=16.75, df=1, p0.000). Children using insulin pump therapy were more likely (97%) to receive insulin at school than children who used injections (55%). Children who were able to self-administer insulin were more likely to receive insulin (93%) at school than children who were unable to self-administer insulin (65%) (χ²=7. 38, df=1, p=0.007) 81% of children received diabetes treatment in the classroom, with the remainder in the school administration office. Conclusion: Insulin administration across Australian primary schools was inconsistent. Not all children were receiving the recommended insulin treatment. Insulin pump therapy appears to increase access to this treatment at school. © 2014 Informa Healthcare USA, Inc.

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http://hdl.handle.net/10453/117863