DOI: 10.1159/hrp/adaag020.263 ISSN: 1663-2818

P-205: Diabetes education in childhood: experience report on the development and application of the seven components of self-care wheel

F Vieira de Souza Canuto, C Sousa Costa Pessoa, E Lopes Vieira Marques, N Melo de Almeida, R Carolina Guerra do Prado

Abstract

Introduction

In Brazil, 92,300 children and adolescents have type 1 diabetes (T1D). Significant prevalence, high treatment complexity, and chronicity of the disease require the development of tools to support adherence and improve treatment in specialized services1,2,3,4.

Objectives

To report the experience of a multidisciplinary team in diabetes education through the development and application of the Seven Components of Self-Care Wheel in Diabetes, based on the American Association of Diabetes Educators.

Methods

This is a descriptive study, of the experience report type. Based on the 7 components of self-care in diabetes5, the team developed the Self-Care Wheel from a form with 31 educational questions on the topic.

Results

The seven components of self-care were grouped, and questions were created as described below: Nutrition: consumption of natural and ultra-processed foods, carbohydrate counting; Physical activity: frequency and type, glycemic control management during physical activity and screen time; Insulin: transport, expiration date and storage, knowledge about types, application methods; Blood glucose: measurement and knowledge about the ideal target range; Problem-solving skills / risk reduction: management in special situations; Emotions: family support, emotions and how to deal with them. The use of the instrument allowed for fluid diabetes education with the painting of the self-care wheel according to the form’s score. This strategy facilitated self-assessment by participants and family members, allowing visual identification of the different components related to health care.

Conclusions

The experience report shows that the use of participatory educational strategies, associated with visual support tools, promotes greater engagement, interaction and shared construction of knowledge and care.

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