Adriana Servilha Gandolfo1, Débora Vasconcelos Bastos2, Bruna Abreu Jabur Makluf3, Lenycia de Cassya Lopes Neri4, Roberta Diaz Savoldelli5, Thais Della Manna6, Durval Damiani7, Alexandre Archanjo Ferraro8. 1. Nutritionist. Nutrition Department. Instituto da Criança/Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo-HCFMUSP. São Paulo/ SP Brazil.. adriana.gandolfo@hc.fm.usp.br. 2. Nutritionist. Federal University of Alfenas. Alfenas/ MG Brazil.. adriana.gandolfo@hc.fm.usp.br. 3. Nutritionist, Federal University of Alfenas. Alfenas/ MG Brazil.. adriana.gandolfo@hc.fm.usp.br. 4. Nutritionist,Nutrition Department. Instituto da Criança / Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo - HCFMUSP.. adriana.gandolfo@hc.fm.usp.br. 5. Pediatric Endocrinology Unit. Instituto da Criança / Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo - HCFMUSP). São Paulo/ SP Brazil.. adriana.gandolfo@hc.fm.usp.br. 6. Attending Physician. Coordinator of the Diabetes Unit. Instituto da Criança / Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo - HCFMUSP.. adriana.gandolfo@hc.fm.usp.br. 7. MD. PhD. Chair of the Pediatric Endocrinology and Diabetes Unit. Instituto da Criança / Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo - HCFMUSP.. adriana.gandolfo@hc.fm.usp.br. 8. MD. PhD. Professor of the Department of Pediatrics. Instituto da Criança / Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo - HCFMUSP. Brazil.. adriana.gandolfo@hc.fm.usp.br.
Abstract
BACKGROUND:Carbohydrate counting (CHC) is ack - nowledged by the American Diabetes Association (ADA) as an important tool. OBJECTIVE: To assess the efficacy of photographic educational materials to train adolescents with DM to perform CHC. SUBJECTS AND METHODS: 76 adolescents were randomly divided into two groups of CHC orientation: by means of photographic materials (Photo) or by a list of foods (List). One month afterwards, the participants were contacted via telephone to answer questions on CHC to reinforce the training (Quiz). Two days after taking the quiz, required the participants to visit an experimental kitchen to observe food portions in natura and to respond to a questionnaire on the weights in grams or carbohydrate equivalents of these portions. Statistical significance was established at p < 0.05. RESULTS:54 adolescents completed the study (79.7% female), with 51.8% allocated to the Photo group and 48.1% to the List group. The mean age was 13.8 ± 2.0 years old, and the mean body mass index (BMI) was 21.0 ± 3.2 kg/m2. The participants had average of 7.9 ± 1.5 years of schooling, while their parents had 8.0 ± 3.8 years. The knowledge of CHC was similar in both groups before the intervention. After the intervention, the Photo group achieved a significantly higher hit difference on the CHC assessment test than the List group (Photo: 2.5 vs List: 1.0; p = 0.03). CONCLUSIONS: The photographic educational material was more effective in helping adolescents with DM understand and learn to perform carbohydrate counting. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
RCT Entities:
BACKGROUND:Carbohydrate counting (CHC) is ack - nowledged by the American Diabetes Association (ADA) as an important tool. OBJECTIVE: To assess the efficacy of photographic educational materials to train adolescents with DM to perform CHC. SUBJECTS AND METHODS: 76 adolescents were randomly divided into two groups of CHC orientation: by means of photographic materials (Photo) or by a list of foods (List). One month afterwards, the participants were contacted via telephone to answer questions on CHC to reinforce the training (Quiz). Two days after taking the quiz, required the participants to visit an experimental kitchen to observe food portions in natura and to respond to a questionnaire on the weights in grams or carbohydrate equivalents of these portions. Statistical significance was established at p < 0.05. RESULTS: 54 adolescents completed the study (79.7% female), with 51.8% allocated to the Photo group and 48.1% to the List group. The mean age was 13.8 ± 2.0 years old, and the mean body mass index (BMI) was 21.0 ± 3.2 kg/m2. The participants had average of 7.9 ± 1.5 years of schooling, while their parents had 8.0 ± 3.8 years. The knowledge of CHC was similar in both groups before the intervention. After the intervention, the Photo group achieved a significantly higher hit difference on the CHC assessment test than the List group (Photo: 2.5 vs List: 1.0; p = 0.03). CONCLUSIONS: The photographic educational material was more effective in helping adolescents with DM understand and learn to perform carbohydrate counting. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.