Feasibility and organization of a population-based screening for pre-symptomatic type 1 diabetes in children — evaluation of the Fr1da study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-09-28

AUTHORS

Kerstin Kick, Verena S. Hoffmann, Karin Lange, Martin Lang, Otto Laub, Susanne Bechtold-Dalla Pozza, Dominik Böcker, Sonja Braig, Brigitte Dietz, Desiree Dunstheimer, Stefan Eber, Uwe Ermer, Antonia Gavazzeni, Eva-Maria Gerstl, Martin Götz, Friederike Huhn, Ursula Kuhnle-Krahl, Wolfgang Landendörfer, Georg Leipold, Karl-Heinz Leppik, Herbert Müller, Iris Müller, Nicole Nellen-Hellmuth, Christian Ockert, Christian Renner, Marina Sindichakis, Stefanie Tretter, Katharina Warncke, Christiane Winkler, Stefan Zeller, Peter Achenbach, Anette-Gabriele Ziegler

ABSTRACT

AimType 1 diabetes is the most common chronic metabolic disease in childhood. Often diagnosis comes with acutely life-threatening ketoacidosis and requires hospitalization. To avoid this, early detection of children at a pre-symptomatic stage is worthwhile. This task is met by a population-based screening in Bavaria, Germany – the Fr1da study. Here, we aim to evaluate the study concept, feasibility and medical evidence of the Fr1da study.Methods308 pediatricians, 16 diabetes care centers and participating families were asked to evaluate the Fr1da study by completing questionnaires assessing study concept and feasibility, educational program and study organization. The assessment was done anonymously. In order to evaluate the effectiveness of the training the parents had to answer questionnaires to assess their knowledge about diabetes.Results48% of pediatricians and 56% of pediatric diabetes care centers filled out the questionnaire. The majority positively judged the collaboration with the Fr1da coordinating center and the feasibility to integrate the project into daily routine. Medical evidence of the screening was recognized and most of the respondents endorsed the screening to be permanently integrated into standard care-program. The majority of parents would recommend the study to other parents with young children since they were satisfied with the collaboration with pediatricians, diabetes care centers and the coordinating center. Quality control of the educational program revealed good understanding of the teaching content.ConclusionThe Fr1da study received high acceptance and recognition by both, health care providers and participating families, and demonstrated sustainable success with the developed educational program. More... »

PAGES

553-560

Journal

TITLE

Journal of Public Health

ISSUE

5

VOLUME

27

Author Affiliations

  • Forschergruppe Diabetes, Technical University Munich, Klinikum rechts der Isar, Munich, Germany
  • Institute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstraße 1, 85764, Munich-Neuherberg, Germany
  • Department of Medical Psychology, Hannover Medical School, Hannover, Germany
  • Berufsverband der Kinder- und Jugendärzte e.V., Landesverband Bayern, Augsburg, Germany
  • PaedNetz Bayern e.V., Rosenheim, Germany
  • Klinikum der Universität München, Dr. Von Haunersches Kinderspital, Munich, Germany
  • Klinikum Nuremberg, Nuremberg, Germany
  • Klinikum Bayreuth, Bayreuth, Germany
  • Berufsverband der Kinder- und Jugendärzte e.V., Landesverband Bayern, Taufkirchen, Germany
  • Klinikum Augsburg, Augsburg, Germany
  • Berufsverband der Kinder- und Jugendärzte e.V., Landesverband Bayern, Munich, Germany
  • Kliniken St. Elisabeth, Neuburg/Donau, Germany
  • Kinderarzt Praxis Bogenhausen, Munich, Germany
  • Klinikum Dritter Orden, Passau, Germany
  • Berufsverband der Kinder- und Jugendärzte e.V., Landesverband Bayern, Elisabethszell, Germany
  • Diabetes Center Gauting, Gauting, Germany
  • Berufsverband der Kinder- und Jugendärzte e.V., Landesverband Bayern, Nuremberg, Germany
  • Berufsverband der Kinder-und Jugendärzte e.V., Landesverband Bayern, Regensburg, Germany
  • Berufsverband der Kinder- und Jugendärzte e.V., Landesverband Bayern, Erlangen, Germany
  • Klinikum Kempten, Kempten, Germany
  • Familienarztpraxis Dr. med. Hans-Jörg Hellmuth & Kollegen, Würzburg, Germany
  • RoMed Klinikum Rosenheim, Rosenheim, Germany
  • Praxis für Kinder- und Jugendmedizin, Deggendorf, Germany
  • Klinikum Traunstein, Traunstein, Germany
  • Klinikum Weiden, Weiden, Germany
  • Department of Pediatrics, Klinikum rechts der Isar, Technical University Munich, Munich, Germany
  • Berufsverband der Kinder- und Jugendärzte e.V., Landesverband Bayern, Kempten, Germany
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10389-018-0981-x

    DOI

    http://dx.doi.org/10.1007/s10389-018-0981-x

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1107303692


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