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39 results on '"Schlüter, Sandra"'

27. Evaluation of the SPECTRUM training programme for real‐time continuous glucose monitoring: A real‐world multicentre prospective study in 120 adults with type 1 diabetes.

Author

Schlüter, Sandra, Freckmann, Guido, Heinemann, Lutz, Wintergerst, Peter, and Lange, Karin

Subjects
*BLOOD sugar monitoring, *CLINICAL trials, *DIABETES, *GLYCOSYLATED hemoglobin, *INSULIN, *TYPE 1 diabetes, *LONGITUDINAL method, *MEDICAL cooperation, *PATIENT education, *PATIENT satisfaction, *RESEARCH, *PRE-tests & post-tests, *EDUCATIONAL outcomes, *HEALTH literacy, *EVALUATION of human services programs, *GLYCEMIC control, *ADULTS
Abstract

Aims: Comprehensive knowledge, specific skills and data‐analysis competences are prerequisites for the successful use of continuous glucose monitoring (CGM) systems. SPECTRUM is a structured training programme for real‐time CGM (rtCGM) consisting of a web‐based introduction and six group sessions of 90 min each. The 'CGM‐TRAIN study' evaluated the efficacy and acceptance of SPECTRUM and rtCGM systems among adults with insulin therapy. Methods: Participants (n = 120) were recruited from 10 German diabetes centres in which they were treated under usual care conditions. Outcome measures were rtCGM knowledge, practical skills, satisfaction with the training programme, satisfaction and acceptance of rtCGM system and glycaemic control. Data were collected at study entry, after training completion and at 6‐month follow‐up. Results: All participants were diagnosed with type 1 diabetes (56% women, mean age 42.4 ± 13.4 years, diabetes duration 21.6 ± 11.6 years), 110 participants completed the course. After training completion, rtCGM‐specific knowledge had improved by 43% (scale: 0–40 points) from 21.2 ± 7.6 to 30.4 ± 4.5 points; p < 0.001. The knowledge‐level persisted until follow‐up (29.4 ± 4.5). Participants were able to master nearly all the practical requirements of the technology. In addition, rtCGM was highly accepted, and participants were motivated to use their systems continuously. HbA1c improved slightly from 61 ± 14 mmol/mol (7.7 ± 1.3%) before training to 60 ± 14 mmol/mol (7.6 ± 1.3%) at follow‐up (p = 0.04). The training programme itself was favourably rated by participants. Conclusions: Under usual out‐patient daily care conditions, the training programme SPECTRUM improved knowledge and skills about rtCGM in adults with type 1 diabetes. This was associated with a reduced HbA1c, high satisfaction and acceptance of rtCGM (Clinical Trials Registry no.: DRKS00014380). [ABSTRACT FROM AUTHOR]

Published
2021
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38. Continuous glucose monitoring: A training programme for all age groups

Author

Thurm, Ulrike, Gehr, Bernhard, Holder, Martin, Kulzer, Bernd, Lange, Karin, Liebl, Andreas, Sahm, Claudia, von Sengbusch, Simone, Schlüter, Sandra, Siegmund, Thorsten, Ziegler, Ralph, Freckmann, Guido, and Heinemann, Lutz

Abstract

Optimal usage of continuous glucose monitoring (CGM) requires adequate preparation and training. Patients using a CGM system without special training often do not achieve their intended improvement of metabolic control. Some stop using the system due to disappointing results. For this reason a structured training programme called ‘SPECTRUM’ was developed in Germany to ensure a high-quality standard for the initiation of CGM systems. This programme is suitable for patients of all age groups and is applicable to all CGM systems and all forms of insulin therapy. Structured curricula (adults, parents of young children, adolescents) were developed enabling diabetes centres with less experience to offer comprehensive CGM training. Key requirements of SPECTRUM were (1) independent from manufactures and (2) product-neutrality enabling certification for reimbursement after formal evaluation within the framework of a large clinical trial. SPECTRUM was published in January 2016 in German and translations into other languages are planned.

Published
2017
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39. SPECTRUM.

Author

Gehr B, Holder M, Kulzer B, Lange K, Liebl A, Sahm C, von Sengbusch S, Schlüter S, Siegmund T, Thurm U, Ziegler R, Freckmann G, and Heinemann L

Subjects
Adolescent, Adult, Child, Curriculum, Female, Germany, Humans, Male, Young Adult, Blood Glucose Self-Monitoring, Diabetes Mellitus blood, Patient Education as Topic methods
Abstract

Background: Optimal usage of continuous glucose monitoring (CGM) requires adequate training of the users. Providing patients with a CGM system without such a training usually doesn't lead to the intended improvement in metabolic control., Methods: In Germany we developed a structured training program ("SPECTRUM") to ensure a high quality standard for the use of CGM systems., Results: This program is suitably for patients of all age groups and is applicable to all CGM systems and all forms of insulin therapy. A curriculum was also developed so that training centers with less experience with CGM could become capable of offering comprehensive CGM training., Conclusions: We believe that usage of such a program can be an important step forward in achieving more widespread acceptance and use of CGM systems. Translations in other languages and evaluation with a controlled clinical trial are planned.

Published
2017
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