Agents of Change: Systems and Strategies to Address Family, Social, and Developmental Needs in the Type 1 Pediatric Population

Program Description:

The well-documented increase in the incidence of type 1 diabetes in children and adolescents is a significant concern from a healthcare delivery perspective. More and more of these young people are being cared for by pediatricians, and diabetes educators are increasingly being called upon to provide educational support specifically tailored to this population despite having little training in pediatric care, particularly in the areas of growth and development and issues such as family dynamics, and how these intersect and affect diabetes-related issues. Diabetes education that addresses family and developmental issues is at least as important—sometimes even more important—than the basics of diabetes care, such as insulin adjustments and plans.

The goal of this activity is to improve both systems of care and clinical skills in caring for pediatric diabetes patients. To that end, it will cover not only the medical care, growth, and developmental needs of this challenging population, but also the diabetes educator’s role as an agent of change in developing office systems and educational strategies for optimizing the care of children and adolescents with type 1 diabetes.

INTENDED AUDIENCE:

Target audience include primary care physicians, physician assistants, nurses, nurse practitioners, diabetes nurse educators, dieticians, pharmacists, and other allied healthcare professionals treating young patients with type 1 diabetes.

MEDIUM:

Activity Objectives:

Upon completion of this activity, participants should be able to:

• Describe the differences in educational and psychological support typically needed by a child with diabetes compared to an adult with diabetes


• Assess ones own practice for its ability to provide the state-of-the-art care and support needed by young people with type 1 diabetes, and how well that care and support extends to local providers caring for these people as well


• Apply strategies to more effectively insure that children and adolescents with type 1 diabetes are offered needed support for concurrent growth and development issues in the context of their own practices


• Describe the potential role of a diabetes educator as an agent of change in the provision of diabetes care for young people with type 1 diabetes in this era of evolving health systems



Credits	Type	Accreditation Statement	Designation Statement
1.50	AMA PRA Category 1 Credit(s)TM	The Joslin Diabetes Center, Boston, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.	Joslin Diabetes Center designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Faculty:

Korey Hood, PhD
Associate Professor of Pediatrics
Staff Psychologist
Cincinnati Children's Hospital
Cincinnati, OH

Lori Laffel, MD, MPH
Associate Professor of Pediatrics
Harvard Medical School
Chief, Pediatric, Adolescent and Young Adult Section
Investigator, Genetics and Epidemiology Section
Joslin Diabetes Center
Boston, MA

Jean Betschart Roemer, MN, MSN, CRNP, CPNP, CDE
Pediatric Nurse Practitioner
Department of Endocrinology Diabetes and Metabolism
Children’s Hospital of Pittsburgh – UPMC
Pittsburgh, PA

Disclosures:

Faculty
Korey Hood, PhD, is on the speakers bureau for Animas Corporation.

Lori Laffel, MD, MPH, is on the speakers bureau for Johnson & Johnson; is a consultant for AstraZeneca Pharmaceuticals LP, Bristol-Myers Squibb Company, Eli Lilly and Company, and Novo Nordisk Inc.; receives grant/research support from Bayer; and is a consultant and on the speakers bureau for Menarini Group and sanofi-aventis U.S. Inc.

Jean Betschart Roemer MSN, MN, CPNP, CDE, is a consultant for Medtronic MiniMed and receives grant/research support from Novo Nordisk Inc.

Unapproved Product Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Joslin Diabetes Center do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Joslin Diabetes Center. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer
The information presented in this activity is not intended to replace sound medical judgment or clinical decision-making, and the recommendations provided should be adapted to particular patient care situations, where more or less stringent interventions are necessary.

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Accredited Provider:

Sponsored by the Joslin Diabetes Center



Commercial Supporter:

This activity is supported by an educational grant from Lilly USA, LLC.

Instructions:

1. Read the learning objectives, accreditation information and faculty disclosures at the beginning of the activity.
2. Read the text and view the slides.
3. Complete the posttest and evaluation.
4. Physicians who receive a grade of 70% or better on the posttest and who complete the evaluation will receive immediate CME credit.
5. All other participants who receive a grade of 70% or better on the posttest and who complete the evaluation will receive a certificate of participation.

If you have any questions relating to the accreditation for this activity, please contact cme@joslin.harvard.edu.

If you have any questions relating to your certificate or other issues with this activity, please contact myCME.Support@haymarketmedical.com.

SYSTEM REQUIREMENTS:

WINDOWS PC SYSTEM REQUIREMENTS:
266-MHz Pentium II; Windows 98 or higher; 64 MB RAM; 800 x 600 screen resolution set for “High Color (16-Bit)”; Macromedia Flash Player 6 or higher.

MACINTOSH^® SYSTEM REQUIREMENTS:
Power Mac g3 at 300 MHz; System 8.5 or higher (excluding Mac OSX); 96 MB RAM; 20 MB minimum hard disk space available; 800 x 600 screen resolution set to “Thousands of Colors”; Macromedia Flash Player 6 or higher.