Abstract
Purpose
Children with diabetes spend a significant portion of time at school and in school-related
activities and rely on school nurses for diabetes management support. Diabetes technologies
are rapidly evolving, and there are no standardized competencies or training programs
for school personnel providing diabetes care.
Design and methods
A virtual diabetes education program was provided to school nurses and staff in 3
Florida school districts. Program feasibility was measured by attendance; acceptability
was measured with a usability survey; and efficacy was measured by participants' improvements
in scores on pre- and post-training knowledge assessments. Descriptive statistics
were generated and improvements in knowledge were evaluated via t-test. P-values <0.05 were considered significant.
Results
Pilot survey data (n = 91) revealed high demand for diabetes technology and basic management education
among school nurses and staff. Eighty-eight school personnel from 64 schools attended
the training, with 67 participants completing the demographic survey and at least
one of the pre- and post-training assessments. Post-test scores demonstrated mean
+ 10.6% absolute improvement on the diabetes technology subscale, +11.5% on the basic
management subscale, and + 10.9% on the ketone management subscale, all p < 0.001. Fifty-three participants completed the usability survey with 92% reporting
they benefitted from training.
Conclusions
Virtual training is feasible and acceptable for delivering diabetes technology education
to large numbers of school personnel. Study results demonstrate improved diabetes
knowledge.
Practice implications
Establishing a standardized training program on diabetes technology for school personnel
can optimize diabetes care in the school setting.
Keywords
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Article info
Publication history
Published online: August 26, 2022
Accepted:
July 29,
2022
Received in revised form:
July 27,
2022
Received:
December 13,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
