title: Identifying the contents of a type 1 diabetes outpatient care program based on the self-adjustment of insulin using the Delphi method.
abstract: OBJECTIVE
  The objective of this study is to identify the items necessary for an outpatient care program based on the self-adjustment of insulin for type 1 diabetes patients.
  
  
  METHODS
  Two surveys based on the Delphi method were conducted. The survey participants were 41 certified diabetes nurses in Japan. An outpatient care program based on the self-adjustment of insulin was developed based on pertinent published work and expert opinions.
  
  
  RESULTS
  There were a total of 87 survey items in the questionnaire, which was developed based on the care program mentioned earlier, covering matters such as the establishment of prerequisites and a cooperative relationship, the basics of blood glucose pattern management, learning and practice sessions for the self-adjustment of insulin, the implementation of the self-adjustment of insulin, and feedback. The participants' approval on items in the questionnaires was defined at 70%. Participants agreed on all of the items in the first survey. Four new parameters were added to make a total of 91 items for the second survey and participants agreed on the inclusion of 84 of them.
  
  
  CONCLUSIONS
  Items necessary for a type 1 diabetes outpatient care program based on self-adjustment of insulin were subsequently selected. It is believed that this care program received a fairly strong approval from certified diabetes nurses; however, it will be necessary to have the program further evaluated in conjunction with intervention studies in the future.
authors.affiliation: Hokkaido Nursing College, Sapporo, Japan.
authors.forename: Mutsuko
authors.initials: M
authors.lastname: Kubota
authors.forename: Yukari
authors.initials: Y
authors.lastname: Shindo
authors.forename: Mariko
authors.initials: M
authors.lastname: Kawaharada
mesh_terms: D000553:Ambulatory Care; D003697:Delphi Technique; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D007328:Insulin / Q000008:administration & dosage* / Q000627:therapeutic use
chemical_list: D007328:Insulin
keywords: Delphi method; outpatient care program; self-adjustment of insulin; type 1 diabetes patients