Diabetes Management Support in Preschool and Primary School: A Qualitative Ideation Study presenting Recommendations for Improved Communicative Practice
Author(s): Dan Grabowski
Thursday 15 | 9:20-9:40
Room: TP41
Session: The sociology of chronic illness
Childhood diabetes care in institutional settings is a significant challenge that affects the whole family as well as care workers and teachers. The present study is the ideation part of a rigorous development process in the KIds with Diabetes in School (KIDS) project. We have previously conducted a thorough three-part needs assessment in which we explored the problem area from the viewpoints of (1) municipal administrative staff, (2) preschool and school staff and (3) families.
Based on the identified needs and to a great extent on the contents and shortcomings of existing guidelines, the objective of the present study is to explore and develop possible solutions and recommendations for addressing the challenges and problems. To meet this objective, we held comprehensive multistakeholder participatory workshops in each of the five Danish regions.
The data were analyzed using a set of four complexity-oriented research principles based on Niklas Luhmann’s systems theory: (1) direct transfer of knowledge and competencies is impossible; (2) all individuals and social entities are fundamentally different from each other; (3) the individual’s sense of meaning determines what is deemed relevant; and (4) it is essential for communication to meet expectations if it is to be observed.
Five main themes with multiple subthemes were identified as areas to be addressed: (1) training and knowledge, (2) communication and collaboration, (3) the designated contact/support person, (4) national guidelines, and (5) the Diabetes Coordinator.
Our findings demonstrate that communicative structures and dynamics are at the very heart of the identified problems and challenges and that the possible solutions should revolve around improving existing structures and highlighting the importance of constantly working on understanding and developing communication strategies. We propose a set of recommendations for practice based on these communicative needs.