Diabetes is a health condition that does not leave children behind. Diabetes in children has had difficulties in assessing self-care practices that entail effective, child-centered, and high quality health information. In this, children with long-term and acute conditions struggle with low glycaemic control. The provision of health information is an intervention strategy for the treatment of diabetes in children (CDC, 2011). Children who can access high-quality information have the potential to control the sugar levels and achieve optimal glycaemic control. Issues such as life complications and acute readmissions are minimized. This paper describes the development of diabetes information and outlines the protocol and study design to evaluate health information in a routine nursing practice. Diabetes information is important to the life of children as it improves the quality of life through increased self-efficacy.
The intervention of diabetes was conducted through research that focused on qualitative analysis and published evidence. The research engaged young people as the key stakeholders in order to produce and design an appropriate age for the diabetes diaries of children. At this stage, information was packed in recording sheets and assembled in a manner, in which young people and children could understand. The folders contained published information that could be personalized by the stakeholders with stickers and pens. The resources were designed for young people and children aged 6-10, 11-15, and 16-18 (Noyes et al., 2010). A pragmatic randomized control trial was designed to assess the effectiveness of the age-appropriate diabetes diaries for the young people and children.
The research intended to collect data regarding the intervention of diabetes health information to the children for a period of two years. The data would be collected through interview and questionnaires. The research also aimed at relating electronic blood glucose monitoring and insulin management to the support of self-care and decision making. The research would relate this to clinical practice and the available resources. The current nursing practice entailed the organization and delivery of medicine for young people and children to facilitate information for carers, prescribers, and children. The set up of the Medicine for Children Research Network (MCRN) is one of the outcomes of this research. The Information Matters Project (IMP) also supports this EPIC project (Noyes et al., 2010).
Among the significant areas for this research, there is a revie of currently available information such as the findings from the linked qualitative IMP, gold-standard clinical practice, and the formats/types of information, which has the potential to assist the children in insulin management and monitoring of blood glucose as well as age-appropriate decision-making. Another clinical finding is to establish the age-appropriate information intervention, which is suitable to the information pack, and the child-centered diabetes diary for the young people and children as well as support the appropriate use of glucose meters in order to optimize concordance and management of the insulin regime (Noyes et al., 2010).
The aim of this research is to explore the information pack and the child-centered diabetes diary. In this, fitness is ensured during the study within the grounds, in which young people and children can manage diabetes care both at school, home, and community. The children should be able to manage diabetes with or without support from healthcare professionals, parents, and alternative grounds. The research should explore the manner, in which young people and children support decision-making with and without teachers, parents, and doctors. This will be used to determine how they use information pack and the diabetes diaries. In short, the research will investigate how children self-prescribe the correct or incorrect insulin dose.
The clinical findings for this research also entail the identification of the similarities and differences between the information pack and the diabetes diary, which is developed for the children and which is available at the diabetes services. The study is also focused on evaluating the information pack and diabetes diaries within the grounds of routine diabetes care. This will be related to patient outcomes such as generic health-related quality of life, diabetes-related quality of life, acceptability, medicine and treatment concordance, glycaemic control, and the ease of use. Other findings involve identifying knowledge gaps in order to inform future research agenda on diabetes care in children (Noyes et al., 2010).
A four stage study has been designed to meet the objectives of the research as reflected by the phases of the MRC Framework for the complex interventions. Stage 1 provides the literature review of the currently available health information. The review also takes into consideration other systematic activities such as best practice clinical guidance, evidence of cost-effectiveness, management plans, and policy. These will be used throughout the study through an extended focus on the devellopment of information packs and diabetes diaries. The currently available information will be used to provide an analysis of the IMP project (Noyes et al., 2010). The findings will be used to focus on the detailed childhood diabetes and explore the insulin management and monitoring as the key concerning self care, medicine management, and concordance.
Information sources across sectors and mediums such as pharmaceutical and the National Health Service (NHS) also help depict the similarities and differences (Noyes et al., 2010). This study sought these information mediums as the key to self-care discourses and medicine management. Stage 2 is focused on developing suitable information packs and diabetes diaries as well as consulting children when useful. Stage 3 includes findings that enable nurses to evaluate cost effectiveness, acceptability, and assess to utility while developing information pack and the diabetes diaries. These practices will be conducted through the development of a null hypothesis and the secondary hypothesis as well as the setting and the site selection. The main hypothesis will target young people and children aged 6-18 years using and receiving individually-tailored information pack in order to increase the quality of life. The secondary hypothesis also uses and receives individually-tailored information to improve HbA1c. In this, nurses are required to set preparation and selection procedures in order to identify children with diabetes type 1, which depends on the amalgamation of trust and the current NHS re-organization (American Diabetes Association, 2010). The selection of the sites will be implemented through guidance from MCRN research network, which provides trials and encompasses an overall strategic participant recruitment, which will facilitate site. The fourth stage will provide a comparative analysis and synthesis of data in order to familiarize nurses with information pack and diabetes care.
Diabetes is a health problem that can affect all people. The problem is common in adults and children. According to the above study, diabetes can be managed through medicine administration and information on diabetes care. The research can help process test results that entail blood glucose meter use and the readings of insulin before it is taken to the hand-held records. The clinical findings lead to the establishment of individually-tailored information, which can help improve the glycaemic level. Qualitative research as well as the existing health information has been used to provide diabetes management and care to young people and children.