P-365: Transforming diabetes care at school: a scalable KiDS-based intervention improves staff knowledge in a resource-limited setting
D Mourão, A K Borges Viana, A Fonseca Mendes, R da Lapa ConceiçãoAbstract
Introduction
Safe glycemic management in children and adolescents with type 1 diabetes (T1D) requires informed school support; however, most staff lack structured training.
Objectives
To evaluate the impact of an educational intervention on school staff knowledge regarding care of students with T1D.
Methods
Pre–post interventional study based on the International Diabetes Federation KiDS program, conducted in 12 public schools in southern Bahia, Brazil. A total of 213 participants received training on T1D versus T2D, recognition of hypo- and hyperglycemia, emergency management of hypoglycemia, and supervision of insulin administration. Knowledge was assessed using a structured questionnaire pre- and post-intervention. Paired responses were compared using McNemar’s test.
Results
At baseline, misconceptions were most frequent regarding sugar intake (44.6% vs 1.9% correct post-intervention) and hypoglycemia management (33.3% vs 4.7%) (p<0.001). Mood changes were the least recognized symptom of glycemic decompensation (28.2% vs 2.8%, p<0.001). Key concerns were food intake and insulin administration at school. Notably, 98% of participants had no prior diabetes training. Overall correct responses increased significantly across 15 of 17questions (p<0.001).
Conclusions
Educational interventions significantly improve school staff preparedness to support students with T1D. Strengthening collaboration between trained staff and families is essential.