Related Experiment Video
Updated: Jun 8, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Meeting the psychosocial needs of children with diabetes within routine clinical practice
S Channon1, H Hambly, M Robling
1Child Clinical Psychology Department, St David's Hospital, Cardiff, UK. sue@channons.me.uk
Insights
Paediatric diabetes teams face challenges in psychosocial care, including communication and integrating diabetes into daily life. Practitioners use education, advice, and listening to encourage behaviour change in young patients.
Area of Science:
- Pediatric Endocrinology
- Psychosocial Health
- Behavioral Science
Background:
- Paediatric diabetes care teams lack guidance on addressing patients' psychosocial needs.
- Routine care presents challenges in engaging diverse age groups and integrating diabetes management into family life.
Purpose of the Study:
- To identify challenges faced by practitioners in paediatric diabetes care.
- To explore practitioners' strategies for encouraging behaviour change.
- To inform the development of a psychosocial intervention training package for the DEPICTED Study.
Main Methods:
- A qualitative survey was conducted.
- Semi-structured telephone interviews were completed with 44 doctors and 7 paediatric diabetes specialist nurses.
Main Results:
- Key challenges included patient engagement, communication, age-specific needs, and integrating diabetes into daily life.
- Practitioners' approaches to behaviour change involved education, advice, and active listening.
Conclusions:
- Communication with heterogeneous paediatric diabetes patient groups is complex.
- Practitioners employ varied strategies for behaviour change within routine care.
- Findings inform psychosocial support and training for paediatric diabetes teams.
Aims:
There is little guidance for paediatric diabetes teams on how best to meet their patients' psychosocial needs. The aims of conducting this survey of practitioners were to examine the challenges they face in delivering routine care, elicit their approaches to encouraging behaviour change and to inform the development of a training package to be evaluated in the Development and Evaluation of a Psychosocial Intervention with Children and Teenagers Experiencing Diabetes (DEPICTED) Study.
Methods:
A semi-structured telephone interview was completed with 44 doctors and seven paediatric diabetes specialist nurses and emergent themes identified.
Results:
The key challenges for practitioners were categorized as engagement and communication, meeting the needs of different ages and helping patients and their families integrate diabetes into their everyday life. Approaches to behaviour change were described in terms of education, advice and listening.
Conclusions:
The survey demonstrates the complexities of communication with such a heterogeneous patient group and the range of approaches taken by practitioners in addressing behaviour change within routine care.
Related Concept Videos
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
Type I Diabetes III: Clinical Manifestations
Insulin: Dosing Regimen and Adverse Effects
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
Diabetes Mellitus: Type 2 and Gestational
Complications of Diabetes Mellitus