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Type 2 diabetes in adolescents

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Natalie Holland

on 1 July 2013

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Transcript of Type 2 diabetes in adolescents

Type 2 Diabetes in Adolescents
Rationale
The Finished Product
Initial idea: Diabetes
The 6'C's Vision
Product Development
Ideas?
Team working in projects
Type 1 in children
Type 2
Gestational Diabetes
Lots of information and support provided to children and their families once diagnosed
Problems with early identification of type 1 diabetes
Need to make people more aware of the risk factors and signs and symptoms of type 1 diabetes
A wealth of information available on the internet for type 2 diabetics
Little or no support provided from health professionals once diagnosed
Element of blame attached
Increasing number of type 2 diabetics
Increasing prevalence in children and adolescents
No information targeted at this client group
Women with diabetes are given counseling pre-conceptually.
Once pregnant, seen fortnightly by diabetic specialist staff.
Screening at every antenatal appointment.
Diabetes testing carried out from 28 weeks for gestational diabetes.
Individualised care plans developed.
Chosen topic?
Type 2 Diabetes in Adolescents
Why is this important?
Financial
Mortality
Physical
Retinopathy
Cardiovascular disease
Depression
Kidney disease
Amputation
Sexual dysfunction
Impact of Diabetes
Great strain on the NHS
2010/11 - 10% of budget spent on diabetes
£286 every second!!!
Decreased life expectancy
5th most common cause of death in the world
15-16% of all deaths in England
Facts and Figures
Obesity
Biggest risk factor for developing diabetes (Diabetes UK 2012)
Approx 31% of boys and 28% of girls in England aged 2-15 are overweight or obese
In 2011/12, 1/10 children in reception were obese
In 2011/12, 1 fifth of children in year 6 were obese
(The Health and Care Information Centre 2013)
Diabetes
2000, initial cases in overweight girls aged 9-16 of Indian and Arabic descent
(Ehtisham et al 2000)
2002, initial cases in overweight white adolescents aged 13-15
(Drake et al 2002)
~23,000 children with diabetes in England
1.5% type 2 = 345 children
Most prevalent in over 10's
(Royal College of Paediatrics and Child Health 2009)
High prevalence in ethnic overweight girls with family history
(Ehtisham et al 2004)
One of the biggest health challenges facing the UK
Rising population of diabetics
By 2025, over 5 million people will be diagnosed
Estimated approx. 800,000 diabetics undiagnosed
Mainly type 2
in obesity and aging population
Type 1
Type 2
85% type 2
Usually affects over 40's
Asian and Afro-carribean common in under 25's
in obese children = type 2 diabetes in children and adolescents
Need to increase awareness of risk factors, promote changes in lifestyle, promote self management and improve access to diabetes services
Stakeholders
Developing the culture of compassionate care
Creating a vision for Nurses, Midwives and Care-Givers
The NHS vision
Incorporating the vision into our product
Care

Limited information for our target group
Creating additional information ensuring it is patient centered
Supporting target group to take responsibility for their own health
Compassion

Using an empathetic, kind, respectful and dignified manner
Without judgment or blame
Demonstrated compassion by understanding impact of what we are delivering in our product
Competence
Evidence based research
Utilised our skills and knowledge as health professionals
Instiling confidence in our audience
Communication

Product is a relevant communication tool for target group, empowering them to take control of their condition
Information communicated to teenagers in an appropriate manner
Courage
Plain honest delivery of material within the product
Demonstrated courage when providing the information in the target groups best interest
Commitment

To be accountable in creating a product to improve the health and well being of our target group
Functions
Identified diabetes as a link topic between all three disciplines of health care
Identified gap in market where education and sources are weak or lacking in substance
Process
Research carried out within sub groups allowing effective identification of information
Sources of information - internet, hospital trust guidelines, local support groups
Structure
Through team work identified our product and information required
Investigated pathways to explore to help create a holistic information base
Market
Acknowledged increase in mobile technology and the use of mobile phone apps
Developed simplistic app to inform, educate and empower patient group
Innovation
Further development of app to encompass parents and educators of teenagers
Linking app to diabetic organisations
Product development
with
Model of change
Natalie Holland, Lucy Ison, Debbie Wood, Steph Sealey, Michelle Manders and Jenny Marsh
Justification
Why a mobile app?
Easy for teenagers to access
Free to access
Smartphone use on the increase in teenagers, 47% own a smartphone (Offcom 2011)
Apps very popular with teenagers (Offcom 2011)
Diabetes explanation
Language used to ensure it is understood by target audience
Condition details broken down
Non offensive phrasing
Advice
Medical professional link
Designed as information tool not a tool to gain a diagnosis
Final Idea......
http://manage.theappbuilder.com/Dashboard/Dashboard.aspx
How to access our app
Diagnosed through GP
Refereed to diabetic clinic
Provided with information directing them to the app
Headphone splitters with name of app and logo
Teenagers more likely to use this
Encourages teenagers to share with friends
Future Developments
Additional information on app
Tracker function
Recipe ideas
Frequently asked questions
Forum
Other client groups
Type 1 diabetics
Parents with children with diabetes
Conclusion
Any Questions????
References
What did Diabetes UK think?
South Coast Paediatric Diabetes Team
Fewer type 2 than type 1
Less support given to type 2 diabetics than type 1
More prevalent in lower socio-economic groups
Don't tend to make changes to lifestyle or manage condition well
Strengths
Identified emerging area of health practice
Identfied a suitable media for our target group
The app is easy to use
Support from stakeholders
Delegation
Time management
Team working
MDT working
Our Product will.......
Food Facts
Approves of efforts to help young people with this condition
Applaud any help for young people to protect their long-term health with diabetes
Good communication tool to target group
Thousands of young people currently using Diabetes UK tracker app - launched September 2011
(Diabetes UK 2012)
(Diabetes Health Intelligence 2010)
Complications during pregnancy
Tends to be a family history of obesity and diabetes
Be aimed at teenagers with type 2 diabetes aged 14-16
Provide education on:
AIM: To empower teenagers to take control of their type 2 diabetes
Limitations
May not be readily available to lower socio-economic groups
Needs to be overseen by medical professionals
Financial implications
Geographical parameters
So, what's the result of our app???
Acknowledgments
We would like to say a massive thank you to our stakeholders, John Whiteside and Jenny Komorowski and to Diabetes UK for their support and advice on our project. Additionally, thank you to Jen Leamon for your guidance through this process.
Diabetic charities
Contact made with JDRF, the world's leading type 1 diabetes research charity
Very interested in app if client group included type 1 diabetics
Flexibility
Increase knowledge base
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But.........
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