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- W2791386814 abstract "Background Optimising attendance rates in outpatient’s clinics is important to ensure good clinical care and to avoid waste of scarce medical resources. In 2016, we identified a cohort of 17 teenagers that frequently Do Not Attend (DNA) the Paediatric Diabetes Multidisciplinary Clinics, compromising patient care and reducing compliance with NICE and BPT standards. As this cohort was found to be enrolled in a cluster of 5 schools we explored the benefit of taking diabetes clinics into school. Objectives Design and deliver additional school-based clinics to facilitate teenager’s engagement with healthcare services. Patients and methods During 6 months quarterly school-based clinics were offered to all teenagers with T1DM in these secondary schools. A semi-structured interview was administered to identify their concerns about diabetes. Patients were invited to provide feedback about hospital clinics. 34 teenagers were targeted (17 initially identified as frequent non-attenders and 17 controls at same schools). Results The hospital DNA rate was reduced by 50%. HbA1c levels remained unchanged over the study period but school clinics allowed early identification of patients with rapid deterioration.School-based clinics improved teenagers’ ability to express their real beliefs about diabetes and be actively involved in the management of their condition. This unveiled significant knowledge gaps not previously identified by the team in 50% of the participants. This clinic format improved communication and partnership with school nurses/health assistants, enabling healthcare plans to be more effectively carried out.Although patients were usually happy with hospital-based clinics, they complained about missing school, time spent in hospital and lack of privacy. Some teenagers perceived judgemental attitudes in healthcare professionals or parents. Conclusions This pilot shows promise in improving contact in this difficult to reach group while reducing wasted hospital clinic slots. School clinics are an effective way to engage young people in self–management, actively preparing them for transition. A well powered trial may allow HbA1c improvement to be shown." @default.
- W2791386814 created "2018-03-29" @default.
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- W2791386814 date "2018-03-01" @default.
- W2791386814 modified "2023-09-26" @default.
- W2791386814 title "G391(P) School-based diabetes clinics: qi to engage frequent non-attenders and improve teenager’s self-management" @default.
- W2791386814 doi "https://doi.org/10.1136/archdischild-2018-rcpch.380" @default.
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