{"title":"Development and Implementation of a Nationwide Structured Education Programme for Type 1 Diabetes in India: The T1DE Initiative.","authors":"Rajiv Singla, Deep Dutta, Vineet Surana, Geetu Gupta, Saptarshi Bhattacharya, Atul Dhingra, Sameer Agarwal, Sachin Chittawar, Deepak Khandelwal, Sanjay Kalra, Yashdeep Gupta, Nikhil Tandon","doi":"10.4103/ijem.ijem_192_25","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Structured education is an integral part of type 1 diabetes (T1D) care. In India, while several programmes exist for type 2 diabetes, structured educational initiatives for people with T1D (PwT1D) and key stakeholders are lacking. The type 1 diabetes education (T1DE) programme was developed to address this gap.</p><p><strong>Methods: </strong>T1DE is a structured ten-session online course delivered free of cost in regional languages, targeting PwT1D, caregivers, nutritionists, paramedical staff, and physicians. Developed using the analysis, design, development, implementation, and evaluation (ADDIE) instructional model, the programme was evaluated using a mixed-methods approach-tracking attendance, assessments, qualification rates, and participant feedback.</p><p><strong>Results: </strong>In the year 2023-2024, out of 1023 registrants, 81.2% (831) initiated the course. Among them, 50.5% (420) met the minimum attendance criteria, and 301 appeared for the final certification test. The pass rate was 89.4%, with a mean test score of 81 ± 15%. Final certification was awarded to 32.4% (269/831) of those initiating the course. Nutritionists constituted the largest group (23.2%) with the highest qualification and pass rates. Physicians showed similarly high levels of engagement and success. PwT1D accounted for only 16% of participants, and their qualification rates were the lowest. Both trainers and trainees rated the programme highly, emphasizing content relevance and quality. Attrition remained a challenge, consistent with global patterns in diabetes education.</p><p><strong>Conclusion: </strong>T1DE is India's largest structured T1D education initiative, offering evidence-based, inclusive training without financial burden. The programme has demonstrated high knowledge gains among those who completed it, though long-term outcome measures and sustained engagement remain areas for future work.</p>","PeriodicalId":13353,"journal":{"name":"Indian Journal of Endocrinology and Metabolism","volume":"29 5","pages":"548-554"},"PeriodicalIF":1.2000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12604842/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Endocrinology and Metabolism","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ijem.ijem_192_25","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/25 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Structured education is an integral part of type 1 diabetes (T1D) care. In India, while several programmes exist for type 2 diabetes, structured educational initiatives for people with T1D (PwT1D) and key stakeholders are lacking. The type 1 diabetes education (T1DE) programme was developed to address this gap.
Methods: T1DE is a structured ten-session online course delivered free of cost in regional languages, targeting PwT1D, caregivers, nutritionists, paramedical staff, and physicians. Developed using the analysis, design, development, implementation, and evaluation (ADDIE) instructional model, the programme was evaluated using a mixed-methods approach-tracking attendance, assessments, qualification rates, and participant feedback.
Results: In the year 2023-2024, out of 1023 registrants, 81.2% (831) initiated the course. Among them, 50.5% (420) met the minimum attendance criteria, and 301 appeared for the final certification test. The pass rate was 89.4%, with a mean test score of 81 ± 15%. Final certification was awarded to 32.4% (269/831) of those initiating the course. Nutritionists constituted the largest group (23.2%) with the highest qualification and pass rates. Physicians showed similarly high levels of engagement and success. PwT1D accounted for only 16% of participants, and their qualification rates were the lowest. Both trainers and trainees rated the programme highly, emphasizing content relevance and quality. Attrition remained a challenge, consistent with global patterns in diabetes education.
Conclusion: T1DE is India's largest structured T1D education initiative, offering evidence-based, inclusive training without financial burden. The programme has demonstrated high knowledge gains among those who completed it, though long-term outcome measures and sustained engagement remain areas for future work.
期刊介绍：
The Indian Journal of Endocrinology and Metabolism (IJEM) aims to function as the global face of Indian endocrinology research. It aims to act as a bridge between global and national advances in this field. The journal publishes thought-provoking editorials, comprehensive reviews, cutting-edge original research, focused brief communications and insightful letters to editor. The journal encourages authors to submit articles addressing aspects of science related to Endocrinology and Metabolism in particular Diabetology. Articles related to Clinical and Tropical endocrinology are especially encouraged. Sub-topic based Supplements are published regularly. This allows the journal to highlight issues relevant to Endocrine practitioners working in India as well as other countries. IJEM is free access in the true sense of the word, (it charges neither authors nor readers) and this enhances its global appeal.
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