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Med Princ Pract. 2019 Sep 4. doi: 10.1159/000503084. [Epub ahead of print]

Piloting a Culturally Adapted Arabic Structured Small-group Education Program for Adolescents with Type 1 Diabetes.



Kuwait has a high prevalence and incidence of type 1 diabetes (T1D). At present there is a need for structured educational programs (SEP) specifically tailored for Arabian youth with T1D. This SEP was locally and culturally adapted from the "Kids In Control of Food" (KICk-OFF) course delivered at Dasman Diabetes Institute (DDI), Kuwait.


To explore the psychological and social impact of a pilot SEP for Arabian youth with T1D and their mothers through exploring their respective perspectives.


All twenty participants were interviewed using semi-structured interviews (SSIs) individually, with a duration of approximately thirty to forty-five minutes. Interviews were recorded and then transcribed verbatim. Data was analysed using an inductive thematic approach.


The adolescents gained more self-confidence in managing their diabetes and their mothers were more confident to allow their children take the lead in their diabetes self-management. Participants were empowered with adequate knowledge about the underlying pathophysiology of glucose metabolism, the nutritional and pharmacological management which made them feel in control and helped them to better cope with diabetes. It reduced diabetes-related family stress and gave them more social freedom, supporting behavioral change for a better lifestyle.


Attending the adapted SEP had a positive impact on adolescents with T1D and their mothers through enhancing their knowledge and confidence, thus, giving them a sense of disease control. This pilot study has proven effective in terms of enhancing confidence in diabetes management and psychosocial factors. Therefore, there is a need for wider implementation. <br> <br>.

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