A mixed methods study to evaluate the feasibility of using the Adolescent Diabetes Needs Assessment Tool App in paediatric diabetes care in preparation for a longitudinal cohort study

Hdl Handle:
http://hdl.handle.net/10034/620589
Title:
A mixed methods study to evaluate the feasibility of using the Adolescent Diabetes Needs Assessment Tool App in paediatric diabetes care in preparation for a longitudinal cohort study
Authors:
Cooper, Helen; Lancaster, Gillian A.; Gichuru, Phillip K.; Peak, Matthew
Abstract:
An evaluation study was carried out to determine the feasibility of integrating the Adolescent Diabetes Needs Assessment Tool (ADNAT) App into UK paediatric diabetes care, to ascertain best practice standards and to determine methodological recommendations for a future cohort study. Methods A non-randomised, cohort, mixed methods study design was used to ensure equality of access to ADNAT for all participants at three sites in the North West of England. Following UK Medical Research Council guidance, the RE-AIM (reach, effectiveness (potential and perceived), adoption, implementation, maintenance) framework was used to guide study objectives and feasibility outcomes. Patients who completed ADNAT (completers) were compared with those who failed to complete (non-completers). Patients’ glycaemic control (HbA1c) was accessed from their clinical data at baseline and at 6 months, alongside their ADNAT scores which were correlated with changes in HbA1c levels. The diabetes teams (respondents) completed a web-based survey and attended focus group interviews. Results Eighty-nine patients were recruited. Withdrawal rates were low at 4.5% (n = 4). Forty-four patients (49.4%) completed ADNAT, leaving 45 (50.6%) non-completers. There were large baseline differences in HbA1c and variable rates of change at 6 months. After adjusting for baseline HbA1C and site in an analysis of covariance, completers had a lower post-ADNAT mean HbA1C level than non-completers at 6 months (-5.42 mmol/mol, 95% CI −11.48, 0.64). Patients’ glycaemic control (HbA1c) at 6 months correlated reasonably well with their ADNAT scores (Spearman’s rho = 0.46). Survey and focus group data showed that ADNAT was judged to be an effective clinical tool by the diabetes teams. Value to patients was perceived by the teams to be linked to parental support, age and previous diabetes education. The combined data triangulated. It served to capture different dimensions which were used to define changes to achieve practice standards and methodological recommendations. Conclusions The combined data showed that ADNAT has the potential to be a clinically viable tool. It has demonstrated the need for a randomised design that is tailored for a ‘hard to reach’ adolescent population. A cluster randomised controlled trial that involves sequential but random rollout of ADNAT over multiple time periods may be the most appropriate and is currently being considered for the larger study.
Affiliation:
University of Chester; Keele University; Lancaster University; NIHR Alder Hey Clinical Research Facility; Alder Hey Children’s NHS Foundation Trust
Citation:
Cooper, H., Lancaster, G., Gichuru, P. K., Peak, M. (2017). A mixed methods study to evaluate the feasibility of using the Adolescent Diabetes Needs Assessment Tool App in paediatric diabetes care in preparation for a longitudinal cohort study. Pilot and Feasibility Studies, 4(1), 13-30. DOI: 10.1186/s40814-017-0164-5
Publisher:
BioMed Central
Journal:
Pilot and Feasibility Studies
Publication Date:
6-Jul-2017
URI:
http://hdl.handle.net/10034/620589
DOI:
10.1186/s40814-017-0164-5
Additional Links:
https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-017-0164-5
Type:
Article
Language:
en
EISSN:
2055-5784
Appears in Collections:
Health and Social Care

Full metadata record

DC FieldValue Language
dc.contributor.authorCooper, Helenen
dc.contributor.authorLancaster, Gillian A.en
dc.contributor.authorGichuru, Phillip K.en
dc.contributor.authorPeak, Matthewen
dc.date.accessioned2017-08-04T10:54:10Z-
dc.date.available2017-08-04T10:54:10Z-
dc.date.issued2017-07-06-
dc.identifier.citationCooper, H., Lancaster, G., Gichuru, P. K., Peak, M. (2017). A mixed methods study to evaluate the feasibility of using the Adolescent Diabetes Needs Assessment Tool App in paediatric diabetes care in preparation for a longitudinal cohort study. Pilot and Feasibility Studies, 4(1), 13-30. DOI: 10.1186/s40814-017-0164-5en
dc.identifier.doi10.1186/s40814-017-0164-5-
dc.identifier.urihttp://hdl.handle.net/10034/620589-
dc.description.abstractAn evaluation study was carried out to determine the feasibility of integrating the Adolescent Diabetes Needs Assessment Tool (ADNAT) App into UK paediatric diabetes care, to ascertain best practice standards and to determine methodological recommendations for a future cohort study. Methods A non-randomised, cohort, mixed methods study design was used to ensure equality of access to ADNAT for all participants at three sites in the North West of England. Following UK Medical Research Council guidance, the RE-AIM (reach, effectiveness (potential and perceived), adoption, implementation, maintenance) framework was used to guide study objectives and feasibility outcomes. Patients who completed ADNAT (completers) were compared with those who failed to complete (non-completers). Patients’ glycaemic control (HbA1c) was accessed from their clinical data at baseline and at 6 months, alongside their ADNAT scores which were correlated with changes in HbA1c levels. The diabetes teams (respondents) completed a web-based survey and attended focus group interviews. Results Eighty-nine patients were recruited. Withdrawal rates were low at 4.5% (n = 4). Forty-four patients (49.4%) completed ADNAT, leaving 45 (50.6%) non-completers. There were large baseline differences in HbA1c and variable rates of change at 6 months. After adjusting for baseline HbA1C and site in an analysis of covariance, completers had a lower post-ADNAT mean HbA1C level than non-completers at 6 months (-5.42 mmol/mol, 95% CI −11.48, 0.64). Patients’ glycaemic control (HbA1c) at 6 months correlated reasonably well with their ADNAT scores (Spearman’s rho = 0.46). Survey and focus group data showed that ADNAT was judged to be an effective clinical tool by the diabetes teams. Value to patients was perceived by the teams to be linked to parental support, age and previous diabetes education. The combined data triangulated. It served to capture different dimensions which were used to define changes to achieve practice standards and methodological recommendations. Conclusions The combined data showed that ADNAT has the potential to be a clinically viable tool. It has demonstrated the need for a randomised design that is tailored for a ‘hard to reach’ adolescent population. A cluster randomised controlled trial that involves sequential but random rollout of ADNAT over multiple time periods may be the most appropriate and is currently being considered for the larger study.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttps://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-017-0164-5en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectType 1 diabetes mellitusen
dc.subjectNeeds assessmenten
dc.subjectAdolescentsen
dc.subjectEducationen
dc.titleA mixed methods study to evaluate the feasibility of using the Adolescent Diabetes Needs Assessment Tool App in paediatric diabetes care in preparation for a longitudinal cohort studyen
dc.typeArticleen
dc.identifier.eissn2055-5784-
dc.contributor.departmentUniversity of Chester; Keele University; Lancaster University; NIHR Alder Hey Clinical Research Facility; Alder Hey Children’s NHS Foundation Trusten
dc.identifier.journalPilot and Feasibility Studiesen
dc.date.accepted2017-06-18-
or.grant.openaccessYesen
rioxxterms.funderNIHR Alder Hey Clinical Research Facility, Alder Hey Children’s NHS Foundation Trusten
rioxxterms.identifier.projectInternally funded by NIHR Alder Hey Clinical Research Facility, Alder Hey Children’s NHS Foundation Trust; 2013/15, H. Cooperen
rioxxterms.versionAMen
rioxxterms.licenseref.startdate2017-07-06-
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