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IRCT20200207046403N2 IRCT 2023-06-06 Esfahan University of Medical Sciences Investigating the effect of peer education on blood glucose management and self-efficacy Investigating the effect of peer education compared to Common Education on the children's blood glucose management and self-efficacy of mothers having preschool children with type 1 diabetes 2023-06-09 anticipated 72 Complete https://irct.ir/trial/70285 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Using a simple random sampling method: In this way, a number will be assigned to all the names of the people in the prepared list. The number assigned to each person is written on a piece of paper. All the sheets are mixed together in a container. The first number that is randomly selected from all the numbers will be placed in the control group and the next numbers will be placed is in the peer group with a child with diabetes and the peer group with diabetes, respectively. N/A diabetes. Intervention 1: Control Group receives the usual hospital training which is held by a diabetes education expert. Research samples in the control group in accordance with the routine of the hospital will visit on Tuesday for training, which includes a 4 -hour session with titles: diabetes, blood glucose control method, insulin injection, and dietary control necessities, the methods of control the complications of the disease. All mothers participating in this group are added to one of the virtual messengers formed by the hospital education expert to keep in mind the conditions of the child and the mother and the lack of child or parent diseases. Intervention 2: Intervention group 1: The recipient of the training by the parent with a child with type 1 diabetes. The second number that is randomly taken out from the numbers inside the container is placed in the second intervention group. They come to class on Monday to avoid leakage of information. When parents come to the clinic, written consent is obtained from the parent at first. Then they participate in the classes held by a peer who has a child with type 1 diabetes who met the criteria for entering the study as a peer educator (having a young child with type 1 diabetes; having a diploma or higher; Iranian and resident of Isfahan; ability to conduct meetings and provide training; having the ability and interest in group training). The peer educator will also receive training from the research team (Three two-hour sessions including the definition of the peer and the purpose of doing the work - the principles of diabetes education, answering the questions of the peers - expressing the peer's experiences in each case, checking the ability to practically do each case). In addition, she/he must get a higher score according to the questionnaire of peer coaches made by the researcher, the opinion of the endocrinologist and based on the evidence in the documents such as the results of the tests and periodical examinations of the diabetes specialist in terms of the occurrence of diabetes complications and keeping the child's blood sugar within the normal range and being successful in managing the disease. The second group receives training provided by the peer who has a child with type 1 diabetes which will be held in three two-hour sessions, including the blood sugar check method, insulin injection, diet, disease complications, the practical implementation of the above things and the experiences of peer trainers in each of the above cases. The researcher will be present in all the meetings in order to provide the possibility of holding and monitoring the implementation of the meetings. Also, if this research method is effective for the intervention groups, after the completion of the study, meetings with the same method will be held for the control group. All mothers participating in this group are added to one of the virtual messengers formed by the peer educator who has a young diabetic child to follow up the conditions of the child and the mother. Intervention 3: Intervention group 2: The recipient of education by a peer suffering from type 1 diabetes. The third number that is randomly taken from the numbers inside the container is placed in the third intervention group. They visit on Wednesdays to prevent information leakage. At the time of referral, a written consent obtained from the parent first, then participate In the classes held by a peer has type 1 diabetes who met the criteria for entering the study as a peer educator (having type 1 diabetes; having a diploma or higher; Iranian and resident of Isfahan; Ability to conduct meetings and provide training; Having the ability and interest in group training) She has also received training from the research team(Three two-hour sessions including the definition of the peer and the purpose of doing the work - the principles of diabetes education, answering the questions of the peers - expressing the peer's experiences in each case, checking the ability to practically do each case) and According to the questionnaire of peer coaches made by the researcher, they got a higher score Also, according to the opinion of the endocrinologist and based on the evidence in the file, such as: the results of the tests and periodical examinations of the diabetes specialist in terms of the occurrence of diabetes complications and keeping their child's blood sugar within the normal range, they have been successful in managing the disease. The third group receives training provided by a peer who has type 1 diabetes these trainings are held in three two-hour sessions, including the blood sugar check method, insulin injection, diet, disease complications, the practical implementation of the above, and the experiences of peer trainers in each of the above cases. The researcher will be present in all the meetings in order to provide the possibility of holding and monitoring the implementation of the meetings. Also, if this research is effective for the intervention groups, after the completion of the study, meetings with the same method will be held for the control group. All mothers participating in this group are added to one of the virtual messengers formed by the peer educator who had type 1 diabetes to keep in mind the conditions of the child and the mother and the lack of child or parent diseases. Yes - There is a plan to make this available What will be shared: Total individual data after de-identification and parental self-efficacy and glycemic management data When: The start of the 6-month access period after the results are published To whom: Researchers working in scientific institutions Conditions: There are no special conditions Where to obtain: Email to this email address f.joonbakhsh@nm.mui.ac.ir How to obtain: First, she/he sends the request email and after checking the request, the answer and data will be provided to her/him Comments:
public Fatemeh Joonbakhsh
Room number 158; Faculty of Nursing and Midwifery; Isfahan University of Medical Sciences; Hazar Jarib Street
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3668 0048 f.joonbakhsh@nm.mui.ac.ir Esfahan University of Medical Sciences scientific Fatemeh Joonbakhsh
Room number 158; Faculty of Nursing and Midwifery; Isfahan University of Medical Sciences; Hazar Jarib Street
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3668 0048 f.joonbakhsh@nm.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) Definite diabetes diagnosis by a pediatric endocrinologist Being the Child in the age range of 3 to 6 years Absence of an evolutionary disorder or other chronic illnesses in child The ability to read and write by parents Passing at least three days and a maximum of one month of diagnosis of diabetes Not participation of parents in other educational programs related to child care with diabetes Parents' awareness of child's disease (type 1 diabetes) 21 years no limit Both Parents are involved in other processes that require child care, such as hospitalization of the child or parent The parents' discontent to participate in the study E10.9 Type 1 diabetes mellitus without complications Other Other Other Control Group receives the usual hospital training which is held by a diabetes education expert. Research samples in the control group in accordance with the routine of the hospital will visit on Tuesday for training, which includes a 4 -hour session with titles: diabetes, blood glucose control method, insulin injection, and dietary control necessities, the methods of control the complications of the disease. All mothers participating in this group are added to one of the virtual messengers formed by the hospital education expert to keep in mind the conditions of the child and the mother and the lack of child or parent diseases. Intervention group 1: The recipient of the training by the parent with a child with type 1 diabetes. The second number that is randomly taken out from the numbers inside the container is placed in the second intervention group. They come to class on Monday to avoid leakage of information. When parents come to the clinic, written consent is obtained from the parent at first. Then they participate in the classes held by a peer who has a child with type 1 diabetes who met the criteria for entering the study as a peer educator (having a young child with type 1 diabetes; having a diploma or higher; Iranian and resident of Isfahan; ability to conduct meetings and provide training; having the ability and interest in group training). The peer educator will also receive training from the research team (Three two-hour sessions including the definition of the peer and the purpose of doing the work - the principles of diabetes education, answering the questions of the peers - expressing the peer's experiences in each case, checking the ability to practically do each case). In addition, she/he must get a higher score according to the questionnaire of peer coaches made by the researcher, the opinion of the endocrinologist and based on the evidence in the documents such as the results of the tests and periodical examinations of the diabetes specialist in terms of the occurrence of diabetes complications and keeping the child's blood sugar within the normal range and being successful in managing the disease. The second group receives training provided by the peer who has a child with type 1 diabetes which will be held in three two-hour sessions, including the blood sugar check method, insulin injection, diet, disease complications, the practical implementation of the above things and the experiences of peer trainers in each of the above cases. The researcher will be present in all the meetings in order to provide the possibility of holding and monitoring the implementation of the meetings. Also, if this research method is effective for the intervention groups, after the completion of the study, meetings with the same method will be held for the control group. All mothers participating in this group are added to one of the virtual messengers formed by the peer educator who has a young diabetic child to follow up the conditions of the child and the mother. Intervention group 2: The recipient of education by a peer suffering from type 1 diabetes. The third number that is randomly taken from the numbers inside the container is placed in the third intervention group. They visit on Wednesdays to prevent information leakage. At the time of referral, a written consent obtained from the parent first, then participate In the classes held by a peer has type 1 diabetes who met the criteria for entering the study as a peer educator (having type 1 diabetes; having a diploma or higher; Iranian and resident of Isfahan; Ability to conduct meetings and provide training; Having the ability and interest in group training) She has also received training from the research team(Three two-hour sessions including the definition of the peer and the purpose of doing the work - the principles of diabetes education, answering the questions of the peers - expressing the peer's experiences in each case, checking the ability to practically do each case) and According to the questionnaire of peer coaches made by the researcher, they got a higher score Also, according to the opinion of the endocrinologist and based on the evidence in the file, such as: the results of the tests and periodical examinations of the diabetes specialist in terms of the occurrence of diabetes complications and keeping their child's blood sugar within the normal range, they have been successful in managing the disease. The third group receives training provided by a peer who has type 1 diabetes these trainings are held in three two-hour sessions, including the blood sugar check method, insulin injection, diet, disease complications, the practical implementation of the above, and the experiences of peer trainers in each of the above cases. The researcher will be present in all the meetings in order to provide the possibility of holding and monitoring the implementation of the meetings. Also, if this research is effective for the intervention groups, after the completion of the study, meetings with the same method will be held for the control group. All mothers participating in this group are added to one of the virtual messengers formed by the peer educator who had type 1 diabetes to keep in mind the conditions of the child and the mother and the lack of child or parent diseases. Self-efficacy score based on researcher-made questionnaire. Timepoint: At the beginning of the study, one and three months after the intervention. Method of measurement: Self-efficacy questionnaire developed by the researcher. The blood sugar management score is based on the researcher's checklist. Timepoint: At the beginning of the study, one and three months after the intervention. Method of measurement: Checklist made by the researcher. HBA1C value based on experiment. Timepoint: Before starting the intervention and three months after the intervention. Method of measurement: Using the A1C Clover device. Esfahan University of Medical Sciences Approved 2023-05-22 Ethics committee of Faculty of Nursing, Management and Rehabilitation, Isfahan University of Medical Hazar Jarib St., Isfahan University of Medical Sciences, Faculty of Nursing and Midwifery Isfahan Isfehan Iran (Islamic Republic of)