Assessment of diabetes-specific knowledge and its determinants among children with type 1 diabetes mellitus and their primary caregivers: Experience from a tertiary care center in North India
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Rimjhim Maheshwari
,
Anju Seth
and
Rajeev Kumar Malhotra
Abstract
Objectives
Assessment of diabetes-specific knowledge among children with type 1 diabetes (T1D) and their caregivers using a validated diabetes knowledge test (DKT) and to determine the factors associated with DKT score.
Methods
A cross-sectional study was conducted in a tertiary care hospital, New Delhi (India). Children 5–18 years with T1D and caregivers were evaluated using a validated DKT tool to assess knowledge in basic and advance domains. The factors associated with DKT scores were studied.
Results
A total of 110 T1D children with mean (SD) age 12.2 (3.3) years and duration 5.3 (2.7) years were assessed. The mean (SD) composite DKT score (%) was 58.0 (11.1) while in basic and advance domains were 66.4 (9.5) and 50.4(1.5), respectively. Maternal education (≥graduate), socio-economic strata (≥upper middle), annual per capita income (>Rs 50,000/700 USD), urban setting and HbA1c<8.5 % were significantly associated with higher odds of DKT score>50 %. HbA1c<8.5 % and urban setting were significant predictors of the DKT score on multivariate logistic regression analysis (p<0.001).
Conclusions
DKT can identify individual challenges in specific (basic or advance) domains related to diabetes self-management skills. Higher maternal education significantly impacted achieving a high DKT score and improved glycemic control.
Acknowledgments
Special thanks to Dr Vijayalakshmi Bhatia, Professor, SGPGI, Lucknow, and Dr Pragya Mangla, Assistant Professor, UCMS, New Delhi for sharing and allowing us to use the Validated Diabetes Knowledge test in the study.
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Research ethics: Approved by the Institutional Ethics Committee, Lady Hardinge Medical College, LHMC/IEC/2019/106. Thee study was conducted in accordance with the Declaration of Helsinki (as revised in 2013).
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Informed consent: Informed consent was obtained from all individuals included in this study, or their legal guardians or wards.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission. Details of the contribution of each author: RM: literature review, collected and analysed the data, helped in drafting the manuscript. PS: conceived, designed the study, data analysis, literature review, drafted and finalized the manuscript. AS: provided critical inputs in designing the study, data analysis, preparing and finalizing the manuscript. RKM: data analysis and drafting the manuscript. All authors approved the final version of the manuscript and are accountable for all aspects of the study.
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Use of Large Language Models, AI and Machine Learning Tools: None declared.
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Conflict of interest: The authors state no conflict of interest.
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Research funding: None declared.
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Data availability: The datasets generated and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
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Articles in the same Issue
- Frontmatter
- Review
- Selecting optimal progestational agents either alone or in combination in common pediatric endocrine settings: challenges of unmet needs
- Original Articles
- Comparison of the effectiveness of prepubertal growth hormone treatment on height and predicted adult height in children with short stature born small for gestational age vs. with a growth hormone deficiency
- Expanded phenotypic spectrum in MODY 5 patients with 17q12 deletion syndrome: experience from an Indian tertiary care hospital
- Endocrine sequelae after pediatric craniopharyngioma treatment: a single-center retrospective cohort study
- Premature ovarian insufficiency in pediatric cancer patients: a 10 year Rady Children’s Hospital experience
- Alterations in optical coherence tomography and optical coherence tomography angiography findings in children with partial biotinidase deficiency
- Slow growth and short stature in children with attention deficit hyperactivity disorder (ADHD): a retrospective study of 493 children who underwent growth hormone provocation testing at one tertiary paediatric endocrine centre
- Short Communication
- Assessment of diabetes-specific knowledge and its determinants among children with type 1 diabetes mellitus and their primary caregivers: Experience from a tertiary care center in North India
- Letters to the Editor
- Comment on “Diagnostic utility of the average peak LH levels measured during GnRH stimulation test”
- Author’s reply “Comment on diagnostic utility of the average peak LH levels measured during GnRH stimulation test”
- Case Reports
- Estrogen-insensitivity syndrome (EIS) in a female adolescent patient – a case report
- The complexities of managing a newborn with 6q24 transient neonatal diabetes mellitus: a case report
- Homozygous mutation of KISS1 receptor (KISS1R) gene identified in a Chinese patient with congenital hypogonadotropic hypogonadism (CHH): case report and literature review
- Selpercatinib prior to radioactive iodine for pediatric papillary thyroid carcinoma
