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The Diabetes Educator
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Comparing Outpatient and Inpatient Diabetes Education for Newly Diagnosed Pediatric Patients

Linda M. Siminerio, RN, PhD, CDE

Department of Pediatric Endocrinology, Children's Hospital of Pittsburgh, 3705 5th Avenue, Pittsburgh, PA 15213, Pennsylvania

Denise Charron-Prochownik, PhD, RN, CPNP

School of Nursing and Graduate School of Public Health, University of Pittsburgh, Pennsylvania

Carolyn Banion, RN, MN, CDE

Barbara Davis Center for Childhood Diabetes, Denver, Colorado

Barbara Schrelner, RN, MN, CDE

Diabetes/Endocrine Care Center, Texas Children's Hospital, Houston

PURPOSE

the purpose of this study was to compare the efficacy of outpatient vs inpatient programs on medical, cognitive, behavioral, and psychosocial outcomes.

METHODS

Using three large, tertiary medical centers in the United States, the sample of 32 children newly diagnosed with diabetes and their parents were recruited. Children and parents who received outpatient education were compared with those who received inpatient education. The following outcome variables were compared: (1) rates of hospital readmissions and/or emergency room visits for either severe hypoglycemia or ketoacidosis, (2) knowledge, (3) sharing of responsibilities, (4) adherence, (5) family functioning, (6) coping, and (7) quality of life.

RESULTS

In general, no statistically significant differences were found between the groups. A trend was noted in the outpatient group with regard to improved use of emergency precautions on the adherence measure, roles on the family functioning measure, maintaining family integration on the parental coping measure, and disposition on the children's coping instrument.

CONCLUSIONS

Findings support the safety and efficacy of the outpatient program method.

The Diabetes Educator, Vol. 25, No. 6, 895-906 (1999)
DOI: 10.1177/014572179902500607
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