title: Establishing the feasibility of a community and primary health care intervention to raise awareness of symptoms of Type 1 Diabetes-The Early Detection of Type 1 Diabetes in Youth (EDDY) study.
abstract: OBJECTIVE
  To design, develop, and evaluate the feasibility of delivering a multi-component community based intervention to parents and primary health care professionals to raise awareness of the symptoms of Type 1 diabetes (T1D) in childhood in 3 adjoining borough counties of South Wales.
  
  
  METHODS
  Parent and primary health care advisory groups were established to design the intervention. Qualitative interviews with stakeholders and parents assessed the acceptability, feasibility and any potential impact of the intervention.
  
  
  RESULTS
  The parent component of the intervention developed was a re-useable shopping bag with the 4 main symptoms of T1D illustrated on the side, based on the road traffic system of red warning triangles and an octagon "stop" sign stating "Seek Medical Help". Accompanying the bag was an A5 leaflet giving further information. Both were overwrapped with clear plastic and delivered to 98% (323/329) schools, equating to 101 371 children. The primary health care professional component was a dual glucose/ketone meter, single use lancets, stickers, the A5 parent leaflet displayed as a poster and an educational visit from a Community Diabetes Liaison Nurse. 87% (73/84) of GP practices received the intervention, 100% received the materials. The intervention was delivered within Cardiff, the Vale of Glamorgan and Bridgend. Qualitative analyses suggest that the intervention raised awareness and had some impact.
  
  
  CONCLUSIONS
  This study showed that it is feasible and acceptable to design, develop and deliver a community based intervention to raise awareness of T1D. There is some suggestion of impact but a definitive evaluation of effectiveness is still required.
authors.affiliation: Centre for Trial Research (CTR), Cardiff University, Cardiff, UK.
authors.forename: J
authors.identifier: http://orcid.org/0000-0001-8679-3619
authors.initials: J
authors.lastname: Townson
authors.affiliation: Division of Population Medicine, Cardiff University, Cardiff, UK.
authors.forename: J W
authors.initials: JW
authors.lastname: Gregory
authors.affiliation: Division of Population Medicine, Cardiff University, Cardiff, UK.
authors.forename: L
authors.initials: L
authors.lastname: Cowley
authors.affiliation: Centre for Trial Research (CTR), Cardiff University, Cardiff, UK.
authors.forename: D
authors.initials: D
authors.lastname: Gallagher
authors.affiliation: Centre for Trial Research (CTR), Cardiff University, Cardiff, UK.
authors.forename: S
authors.initials: S
authors.lastname: Channon
authors.affiliation: Centre for Trial Research (CTR), Cardiff University, Cardiff, UK.
authors.forename: M
authors.initials: M
authors.lastname: Robling
authors.affiliation: Diabetes UK Cymru, Cardiff, UK.
authors.forename: D
authors.initials: D
authors.lastname: Williams
authors.affiliation: Patient representative, Cardiff, UK.
authors.forename: C
authors.initials: C
authors.lastname: Hughes
authors.affiliation: DECIPHer, School of Social Sciences, Cardiff University, Cardiff, UK.
authors.forename: S
authors.initials: S
authors.lastname: Murphy
authors.affiliation: School of Healthcare Sciences, Cardiff University, Cardiff, UK.
authors.forename: L
authors.initials: L
authors.lastname: Lowes
mesh_terms: D003922:Diabetes Mellitus, Type 1; D042241:Early Diagnosis; D005240:Feasibility Studies; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010290:Parents; D011320:Primary Health Care
keywords: Parents; awareness; child; diabetes mellitus; primary health care; schools; type 1