Endocrine Abstracts (2018) 58 OC7.1 | DOI: 10.1530/endoabs.58.OC7.1

DeAPP (Diabetes Education APP): using flipped learning to deliver structured education in newly diagnosed type 1 diabetes patients

James Greening1, Sarah Lickwood Lee1, Marie Atkins2 & David Terris3


1Univerisity Hospitals of Leicester NHS Trust, Leicester, UK; 2CYP Paediatric Diabetes Network, Birimingham, UK; 3Demontfort Design Unit, Demontfort University, Leicester, UK.


Background: At diagnosis of diabetes is a critical time in the life course of diabetes. This a critical time for patient take on knowledge and using it (ref). Utilisation of this information is suboptimal due to logistical factors such as ward environment, time constraints of staff, psychological impact of the diagnosis. Current models of education are mainly didactic with limited impact in some patients.

Aims: In collaboration with demontfort design unit, we aimed to develop a structured education program combining APP technology and kinaesthetic learning resources to deliver flipped learning. Patients learn 1st the theoretical knowledge before healthcare professionals evaluate and re-enforce patients learning for more effective management of their diabetes.

Methods: East Midland CYP education subgroup (CYPES) held focus groups with healthcare professionals,parents, patients to formulate a curriculum and lesson plans. CYPES presented to Demontfort Design Unit who synthesised these according to age, numeracy, literacy and language. Developing video storyboards with scripted animation, alongside kinaesthetic learning resources. From which they developed a mobile optimised APP to host vimeo animated videos and other educational content. Patients sequentially view videos covering the curriculum with email confirmation to the team on finishing each lesson. The team then completes a process of flipped learning testing knowledge & utilisation using the learning resources that are then signed off as record of competency. DeAPP is free to download in i-OS and android devices.

Results: Five pilot East Midlands paediatric diabetes units trialled the structured education program with the following outcomes. 350 registrations (102 from pilot centres). Of those registered, 56 have completed all 12 sessions. Patients rated aspects of the app on a scale of 0–5, with consistent high ratings for usefulness, ease and quality/content. Stating they were likely to use the App once discharged home. Pilot data n=11: quantitative outcome measures (Table 1), This APP based education platform can deliver structured education using flipped learning. Allowing patients to self-learn core theoretical knowledge prior to health professional testing utilisation. Outcomes are at least comparable to existing structured education at diagnosis.

Table 1
MeasureAverageRange
Kaufmann competency4.12–6
Paid score10.25–14
Hypo scores<40–3

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