title: PETS-D (parents education through simulation-diabetes): Parents' qualitative results.
abstract: Parents who have a child newly diagnosed with type 1 diabetes (T1D) must quickly learn daily diabetes self-management. An RCT was conducted using human patient simulation (HPS) to enhance parents learning diabetes self-management with children with new-onset T1D. The purpose of this study was to describe parents' perspectives of using HPS to augment diabetes education.
  
  
  
  A qualitative descriptive design was used with open-ended in-depth interviews of parents (n=49) post-intervention. Qualitative directed content analysis was used.
  
  
  
  The majority of parents were positive about learning with HPS. Although a few parents said the HPS was "hokey" or "creepy," most reported the visual and hands-on learning was realistic and very beneficial. Seeing a seizure increased their fear although they would have panicked if they had not had that learning experience, and it helped build their diabetes self-management confidence. Recommendations included teaching others with the HPS (grandparents, siblings, babysitters, and school nurses).
  
  
  
  HPS-enhanced education is an acceptable and viable option that was generally well-received by parents of children with new-onset T1D.
  
  
  
  The technique should be studied with parents of children with other chronic illnesses to see if the benefits found in this study are applicable to other settings.
authors.affiliation: New York University College of Nursing, NY, NY, USA.
authors.forename: Neesha
authors.initials: N
authors.lastname: Ramchandani
authors.affiliation: University of Massachusetts Worcester, Worcester, MA, USA.
authors.forename: Laura L
authors.initials: LL
authors.lastname: Maguire
authors.affiliation: New York University College of Nursing, NY, NY, USA.
authors.forename: Kailyn
authors.initials: K
authors.lastname: Stern
authors.affiliation: Rhode Island Hospital, Providence, RI, USA.
authors.forename: Jose B
authors.initials: JB
authors.lastname: Quintos
authors.affiliation: University of Massachusetts Worcester, Worcester, MA, USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Lee
authors.affiliation: New York University College of Nursing, NY, NY, USA. Electronic address: ssb7@nyu.edu.
authors.forename: Susan
authors.initials: S
authors.lastname: Sullivan-Bolyai
mesh_terms: D000328:Adult; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000193:education* / Q000523:psychology; D010353:Patient Education as Topic / Q000379:methods*; D063868:Patient Outcome Assessment; D036301:Qualitative Research; D012648:Self Care / Q000379:methods* / Q000523:psychology; D020377:Self Efficacy; D000066908:Simulation Training / Q000379:methods*
keywords: HPS; Parent education; Simulation; Type 1 diabetes; Vignette