Evidence mapPaperPMID 33423543Full record

SynthesisJournal of diabetes science and technology2022

Checklists for Assessing Skills of Children With Type 1 Diabetes on Insulin Injection Technique.

Rebecca Ortiz La Banca, Flávio Rebustini, Willyane A Alvarenga, Emilia C de Carvalho, Mayara Lopes, Kerry Milaszewski, Lucila C Nascimento

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of diabetes science and technology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Mobile Application for Tracking Children with Autistic Spectrum Disorder: Content Validation and Usability.International journal of environmental research and public health · 2024
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rebecca Ortiz La BancaSection on Clinical, Behavioral and Outcomes Research, Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-6084-3657
Flávio RebustiniDepartment of Gerontology, College of Arts, Science and Humanities, University of Sao Paulo, São Paulo, SP, Brazil.ORCID 0000-0002-3746-3266
Willyane A AlvarengaCentro Universitario Santo Agostinho, Teresina, PI, Brazil.
Emilia C de CarvalhoRibeirao Preto College of Nursing, University of Sao Paulo, Ribeirão Preto, SP, Brazil.
Mayara LopesPaulista School of Nursing, Federal University of Sao Paulo, São Paulo, SP, Brazil.
Kerry MilaszewskiSection on Clinical, Behavioral and Outcomes Research, Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA.
Lucila C NascimentoRibeirao Preto College of Nursing, University of Sao Paulo, Ribeirão Preto, SP, Brazil.ORCID 0000-0002-7900-7111

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSchool-aged children often participate in type 1 diabetes (T1D) self-care tasks. Despite widespread discussion about the importance of developing self-care skills in childhood, few explain how the health care team should assess the skills of children with T1D when performing insulin injections.

objectiveWe sought to assess content validity evidence in two checklists regarding injection technique performed by children.

methodsTwo checklists were designed based on a systematic review of the insulin injection technique. Experts in pediatric diabetes, health literacy, and diabetes education assessed the checklists regarding their clarity, objectivity, and relevance. Content validity was assessed using the content validity ratio (CVR).

resultsEleven providers (72% nurses or physicians, professional experience 19.4 ± 10.1 years, 45% of specialists in endocrinology, and 18% in pediatrics) participated in the assessment. Experts considered items containing the word homogeneity inappropriate. Items related to the needle insertion angle and the skin fold did not reach the CVR critical value. The final version of the checklist for syringe injection comprised 22 items with CVR = 0.91, and the checklist for pen injection comprised 18 items with CVR = 0.87.

conclusionsThe checklists presented clear, objective, and relevant content that assesses the skills of children with T1D for insulin injection. The checklists formally present the order of the technique and all the steps for insulin injection and allow a quantitative assessment of the operational skills of children. The developed instruments offer providers the possibility of continuous assessment of the progress of the pediatric clientele until they reach independence in diabetes self-care.

Indexed as

ChecklistDiabetes Mellitus, Type 1ChildHumansInsulinSelf CareInsulinchecklistschildreninsulin injectionstype 1 diabetesvalidation studies

Identifiers

PMID33423543
PMCPMC9294572

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.