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Table 5 Study characteristics and quality appraisal for non-intervention studies (Stream 2)

From: An ongoing struggle: a mixed-method systematic review of interventions, barriers and facilitators to achieving optimal self-care by children and young people with Type 1 Diabetes in educational settings

Study/Country

Design

Participant details

Age (years)

Quality appraisal

Children, young people and/or parents with T1D at school settings

Nabors et al.[46] US

Interviews

105 children whilst at day and summer camp

Mean 10.11 (S.D. 2.2)

ABCDEHI

 

Survey

 

Range 6 – 14.6

 

Bodas et al.[47] Spain

Survey

414 children whilst at summer camps

Target range 6-16

ABCEFI

Peters et al.[48] US

Survey

167 children from diabetes’s clinic

Mean 12.8 (S.D. 2.5)

 

Review of clinic records

 

Target range 8-17

ABCDEFGHI

Lehmkuhl and Nabors [49] US

Survey

58 children whilst at summer camp

Mean 11.5 (S.D 1.0)

ABCEHI

Pilot Study

 

Target range 8-14

Tang and Ariyawansa [50] UK

Survey

11 children & 11 parents from diabetes clinics

Target range 12-16

ABCEFHI

Wang et al.[51] Taiwan

Interviews

2 children

Age 14/Age 15

ABCDEFGHI

Newbould et al.[52] UK

Interviews

26 children & 26 parents from GP practices

Mean 11.7

ABCDEFGHI

Target range 8-15

MacArthur [53] UK

Survey

15 children from diabetes clinics

Target range 10-16

ABCHI

Clay et al.[54] US

Survey

75 children & 75 parents from diabetes clinics

Mean 13.3 (S.D. 2.8)

ABCDEFGHI

Target range 8-18

Schwartz et al.[55] US

Survey

80 children & 80 parents from diabetes clinics

Target range 5-12

ABCEH

Hema et al.[56] US

Self completion diaries

52 children whilst at summer camp

Mean 13.02 (S.D. 2.66)/Target range 8-18

ABCDEFHI

 

8-12 (n = 19)/13–18 (n = 33)

Peyrot [57] Brazil, Denmark, Germany, Italy, Japan, The Netherlands, Spain, USA

Survey

1905 childrena

aMean 21.3 (S.D. 2.4 )/Target range 18-25

ABCDEFHI

4099 parentsb part of DAWN Youth WebTalk study

bMean 10.5 (S.D. 4.2)/Target range 0-16

Carroll and Marrero [58] US

Focus groups

31 children from physicians’ offices

Mean 14.9

ABCDEFGHI

Target range 13-18

13-14 (45%), 15–16 (35%), 17–18 (20%)

Waller et al.[59] UK

Focus Groups

24 children & 29 parents from diabetes clinics

Mean 13.07 (S.D 1.59)

ABCDEFGHI

Target range 11–16

Hayes-Bohn et al.[60] US

Interviews

30 children & 30 parents from diabetes clinics

Mean 17.3

ABCDEFHI

Target range 13-20

Wagner et al.[61] US

Survey

58 children & 58 parents Whilst at summer camp

Mean 12 (S.D 1.9)

ABCDEFHI

 

Target range 8-15

Amillategui et al.[62] Spain

Survey

152 childrena

aMean 10.68 (S.D 1.92)/Target range 6-13

ABCDEFHI

167 parentsb from paediatric unit s of 9 hospitals

6-9 (29%)/10–13 (71%)

 

bMean 10.37 (S.D 2.15)/Target range 6-13

6-9 (35%)/ 10–13 (65%)

Barnard et al.[63] UK

Interviews

15 children & 17 parents registered on the Roche Diagnostics insulin pump user customer database

Mean age 12.07 (S.D. 2.71)

ABCDEFGHI

Target Range 9-17

Low et al.[64] US

Interviews

18 children & 21 parents Whilst at diabetes camps & a regional paediatric endocrinology practice.

Mean age 13.9 (S.D. 2.2)

ABCDEFGHI

 

Target range 11-18

Wilson and Beskine [65] UK

Survey

73 parents via a survey on the UK CWD website

<5 (11%), 5–11 (55%), >12(34%)

ABCDEH

Amillategui et al.[66] Spain

Survey

499 parents from diabetes clinics

Target range 3-18

ABCDEFGHI

3-6(12%), 7-10(26%), 11-14(38%), 15-18(24%)

Pinelli et al.[67] Italy

Survey

220 parents from 15 diabetes units

Mean 10

ABCDEFI

Target range 8-13

Hellems and Clarke [68] USA

Survey

185 parents from diabetes clinics

Target range 5-18

ABCDEGHI

Jacquez et al.[69] US

Survey

309 parents from diabetes clinics

Mean 11.83 (S.D. 3.70)

ABCDEFGI

Target range 4-19

Lewis et al.[70] US

Survey

47 parents from diabetes clinics

ns

ABCEI

Yu et al.[71] US

Survey

66 parents from paediatric endocrinology unit

Mean 12.7 (diagnosed at ≤5 yrs)

ABCDEFGI

Mean 12.6 (diagnosed after 5 yrs)

Lin et al.[72] Taiwan

Interviews

12 mothers from diabetes clinics

Mean 8.4

ABCDEFGHI

Range 7.3 to 9.2

Ramchandani et al.[73] US

Survey

51 students (42 valid) from 5 hospital diabetes centres

Mean 20.1 (S.D. 1.6)

ABCDEFHI

Range 18.4- 25.7

Balfe [74], [75] Balfe and Jackson [76]

Interviews

17 students from 5 university health centres

Actual range 18-25

ABCDEFGHI

Balfe [77], [78] UK

Research diaries

Wdowik et al.[79] US

Survey

98 students from 22 college health providers

Mean 24.4 (S.D. 7.4)

ABCDEFGHI

Wdowik [80] US

Focus groupa

a10 students from 1 university health centre

1Target range 18–35 (2 over 24 years)

ABCDEFHI

Interviewsb

b15 students attended pre-college workshop at local diabetes centre representing 9 colleges across 7 states

bTarget range 19-22

Geddes et al.[81] UK

Case notes

55 students Referrals over a 10 year period to one hospital diabetes centre

Target range 18-24

ABCDEFGH

Ravert [82] US

Survey

450 students T1D on graduate surveys

Mean 20.3 (S.D. 1.6)

ABCDEFI

 

Target range 18-25

Wilson [83] UK

Interviews

23 students no details provided

Actual range 17-19

ABCEFGHI

17 (30%), 18 (44%), 19 (26%)

Miller-Hagan and Janas [84] US

Interviews

15 students Advertisements placed in one university

Mean 22.4

ABCDEFI

 

Actual range 18-40

Eaton et al.[85] UK

Interview

22 students

Mean 20

ABC

From one university medical practice

Target range 19-21

Amillategui et al.[62] Spain

Survey

111 teachers of children with T1D attending the paediatric units of nine public hospitals.

Experience of teaching a child with T1D (100%)

ABCDEFHI

School personnel working with children and young people with T1D

Greenhalgh [86] UK

Survey

85 teachers of children with T1D who attended a diabetes clinic a local hospital 30 teachers

Experience of teaching a child with T1D (96%)

ABCDE

Bowen [87] UK

Survey

School nurse assigned to 5 schools

Had taught a child with diabetes (20%)

ABCDEFGHI

Not linked into specific children with T1D

Alnasir and Skerman [88] Latif Almasir [89] Bahrain

Survey

1140 teachers from 49 randomly selected schools

Not linked into specific children with T1D

ABCDEF [88]

ABCDEFI [89]

Gormanous et al.[90] US

Survey

463 teachers from schools in one US state

Not linked into specific children with T1D

ABCDEHI

Tahirovic [91] Bosnia and Herzegovina

Survey

83 physical education teachers.

All schools within the region included

Not linked into specific children with T1D

ABCDEFH

MacArthur [53] UK

Survey

11 teachers

Experience of teaching a child with T1D (100%)

ABCHI

Linked with children from one local diabetes centre who took who took pre lunch injections at school

Boden et al.[92] UK

Interviews

22 teachers

No experience (9%)/Currently teaching (46%)

In directly involved (9%)/taught in previous year (27%)

Taught a child though no longer in school (9%)

ABCDEFGHI

25 primary schools with a child with diabetes in the school (currently or who had left very recently)

Nabors et al.[93] US

Survey

247 teachers from 5 elementary schools in one city

Not linked into specific children with T1D

ABCEFGHI

Lewis et al.[70] US

Survey

65 teachers

Not linked into specific children with T1D

ABCEI

222 schools in 3 counties were randomly selected to participate in the study.

Rickabaugh and Salterelli [94] US

Survey

32 physical education teachers linked with 25 children with T1D from schools across three states.

Had taught on average 4 children with T1D

ABCDEGHI

Chmiel-Perzynska et al.[95] Poland

Survey

52 teachers Part of a wider survey

Currently teaching or had taught a child with diabetes.

ABCDE

 

Not linked into specific children with T1D

Fisher [96] US

Survey

70 school nurses from a convenience sample of 115 schools

Experience of children with T1D: 63%

ABCDEGHI

Number of children with T1D: 0 (37%)/1 (31%)/2(21%)/3 (6%)/4(3%)/5(1%)

Guttu et al.[97] US

Survey

21 counties, 19 provided school nurse services

Each county was characterised as having a good nurse-student ratio (1 nurse < 1,000 students) or a fair to poor nurse-student ratio (1 nurse >1,000 students

ABCDEI

Joshi et al.[98] US

Survey

43 school nurses from schools in 1 US state

Not provided

ABCEH

Nabors et al.[99] US

Survey

38 school nurses from schools in 3 US states

Experience of children with T1D: 87%

Number of children with T1D: ns

ABCDEHI

Wagner and James [100] US

Survey

132 school counsellors attendees at two school counsellor association annual meetings

Experience of children with T1D: 83% children with diabetes in their schools.

ABCDEFGHI

14% did not know if there were children with diabetes in their schools.

Number of children with diabetes average of 4 students

Schwartz et al.[55] US

Survey

28 school personnel Linked with children from a hospital diabetes centre. 20 schools represented

Experience of children with T1D: 63%

Number of children with diabetes:

ABCEH

School nurses (85%);

0(5.9%) / 1–2 (27.5%)

Dieticians, teachers, & other (15%)

3–4 (41.2%) / 5–10 (13.7%)

>10 (11.8%)

Darby [101] US

Interviews

11 school nurses helped students with CSII therapy

Experience of children with T1D: 100%

ABCDEFHI

Survey of local schools across 3 counties

Number of children with T1D: 1-4

  

RN(n = 6), CNP or APN: (n = 2)/LPN (n = 3)

  
  1. Key: APN - Advanced practice nurses; CNP - Certified nurse practitioners; DAFNE - Dose Adjustment For Normal Eating; G1 – group 1, G2- group 2, LPN - Licensed practical nurses, NS – not stated, RR – response rate, RN – Registered Nurse.
  2. Quality criteria key: A-Clear statement of the aims of the study; B-Adequate description of the context for the study; C-Clear specification of research design and its appropriateness for the research aims; D-Reporting of clear details of the sample and method of recruitment/sampling; E-Clear description of data collection; F-Clear description data analysis provided G-Attempts made to establish rigour of data analysis; H-Discussion of ethical issues / approval details; I-Inclusion of sufficient original data to support interpretations and conclusions.