Interventions and outcome measures for programmes which produced significant improvements
| Cadario et al30 | Gholap et al27 | Holmes-Walker et al32 | Lane et al25 | Nakhla et al31 | Vidal et al33 | |
|---|---|---|---|---|---|---|
| Intervention | ||||||
| Disease specific education programme | ✓ | ✓ | ✓ | ✓ | ||
| Generic education/skills training | ✓ | ✓ | ||||
| Transition co-ordinator | ✓ | ✓ | ||||
| Joint paediatric/adult clinic | ✓ | ✓ | ✓ | |||
| Separate young adult clinic | ✓ | ✓ | ✓ | |||
| Out of hours phone support | ✓ | |||||
| Enhanced follow-up | ✓ | ✓ | ||||
| Intervention vs control group (30 vs 32 patients) | Intervention group (68 patients) vs recent population figures | Single group, pre-intervention and post-intervention (91 patients) | Intervention vs control group (96 vs 153 patients) | Comparison of existing centres with differing transition procedures (1507 patients) | Single group, pre-intervention and post-intervention (80 patients) | |
| Outcome measures used (✓ = statistically significant result, x = not significant, ? = statistical significance not stated) | ||||||
| Comparison | ||||||
| HbA1c | ✓ | ✓ | ✓ | ✓* | ✓ | |
| Acute complications (diabetic ketoacidosis, hypoglycaemia) | ✓ | × | ✓ | ✓ | ||
| Rate of loss to follow-up/clinic attendance rate | ✓ | ? | × | |||
| Chronic complications (hypertension, nephropathy, retinopathy) | ✓ | ✓ | ||||
| Self-management skills | ✓ | |||||
| Disease specific knowledge | ✓ | |||||
| Rate of screening for complications | ✓ | ✓ | ||||
| Diabetes-related quality of life score | × | |||||
↵* For the tertile with highest HbA1c; no significant difference for group as a whole.