Effectiveness of a Nutrition Education Package on Glycaemic Control among Children with Type 1 Diabetes Mellitus Aged 3-14 Years in Uganda: Study Protocol for a Clusterrandomised Trial
Date
2020
Authors
Ndahura, Nicholas Bari
Munga, Judith
Kimiywe, Judith
Mupere, Ezekiel
Journal Title
Journal ISSN
Volume Title
Publisher
BMJ
Abstract
Introduction: Inadequate dietary management practices among children with type 1 diabetes
mellitus (T1DM) often result in preventable complications, disability, and premature deaths,
and yet strict glycaemic control can help reduce the long-term complications. Furthermore,
parental caregiving has also been shown to have an impact on glycaemic control and yet often
a gap exists between recommended care and provided care, resulting in failure of children with
T1DM meeting their treatment targets. In Uganda, no published study has been conducted to
find out if nutrition education has an effect on glycaemic control and caregivers’ level of
knowledge on general and diabetes-specific nutrition for children with T1DM.
Methods: The study will be a cluster randomised controlled trial with 10 health facilities
randomised to control or intervention at a ratio of 1:1. A total of 100 caregiver-child pairs will
be recruited. The participants in the control group will continue to receive routine medical care,
while those in the intervention group will receive routine medical care and a nutrition education
package. The primary outcome is glycated hemoglobin (HbA1c) values. Secondary outcomes
will be caregivers’ level of knowledge on general and diabetes-specific nutrition knowledge,
children’s dietary diversity score and children’s mean intake of energy, protein, and fat.
Discussion: The findings of this study will be used in improving nutrition education in T1DM
among children attending diabetes clinics in Uganda.
Trial registration number: The trial is registered with The Pan African Clinical Trials
Registry (PACTR201902548129842).
Description
Article
Keywords
Nutrition Education, Type 1 diabetes, Glycaemic control, Caregivers, Uganda
Citation
Ndahura, N. B., Munga, J., Kimiywe, J., & Mupere, E. (2020). Effectiveness of a nutrition education package on glycaemic control among children with type 1 diabetes mellitus aged 3-14 years in Uganda: study protocol for a cluster-randomised trial. medRxiv, 2020-04.