Research Summary
Analyzed using Evidence Intelligence™

Educational Program May Improve Adherence in Type 1 Diabetes

Last updated July 18, 2026

Key finding

The IG showed a significant increase in adherence to the carbohydrate counting method (CHCM).

This study evaluated the impact of a multidisciplinary educational program on quality of life and glycemic control in children and adolescents with Type 1 Diabetes. The intervention improved adherence to carbohydrate counting but did not significantly affect quality of life or glycemic control.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the impact of a multidisciplinary educational program on quality of life and glycemic control in children and adolescents with Type 1 Diabetes. The intervention improved adherence to carbohydrate counting but did not significantly affect quality of life or glycemic control.

Clinical relevance

Understanding the effectiveness of educational interventions is crucial for managing Type 1 Diabetes in youth. While improving adherence to dietary management can be beneficial, the lack of impact on overall quality of life and glycemic control highlights the need for comprehensive approaches that address multiple aspects of diabetes management.

Keep in mind

The study did not demonstrate significant changes in quality of life or glycemic control. Effect sizes for many outcomes were unclear or not statistically significant. The sample size and population characteristics may limit generalizability.

Published in

Journal Reference

Publication details and source links for this paper.

Camilla KF, Andreia APDL, Fernanda VFS, et al. Quality of Life and Glycemic Control in Children and Adolescents with Type 1 Diabetes: A Multidisciplinary Educational Program. Jornal de Pediatria. 2026;102(3):101537. doi:10.1016/j.jped.2026.101537

Main Effects

The intervention group showed a significant increase in adherence to carbohydrate counting.

Quality of life levels in both the intervention and control groups showed no significant differences.

The intervention did not significantly affect glycemic control as measured by HbA1c.

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Remote multiprofessional educational program and Adherence to carbohydrate counting method (CHCM), Quality of life.

Primary intervention

Remote multiprofessional educational program

Primary outcomes

  • Adherence to carbohydrate counting method (CHCM)
  • Quality of life

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

2
Evidence pairs
2
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 55

1

Related topics

2

Evidence pairs

61

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 2 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and Quality of Life Outcomes

Related evidence

Evidence topic

Diabetes Self-Management Education and Support

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Intervention

Diabetes Self-Management Education and Support (DSMES) Programs

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Core evidence

Study findings

The primary outcomes reported in this study.

Adherence to carbohydrate counting method (CHCM)

Remote multiprofessional educational program → Adherence to carbohydrate counting method (CHCM)

Remote multiprofessional educational program → Adherence to carbohydrate counting method (CHCM)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Quality of life

Remote multiprofessional educational program → Quality of life

Remote multiprofessional educational program → Quality of life

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
67
Slightly Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Adherence to carbohydrate counting improved significantly in the intervention group.
  • Quality of life levels remained unchanged in both groups at the 180-day mark.
  • Glycemic control, as measured by HbA1c, did not show significant improvement.
who this applies

Who this applies to

  • Children and adolescents diagnosed with Type 1 Diabetes.
  • Participants undergoing diabetes management education.
keep in mind

Keep in Mind

  • The findings may not apply to all age groups or diabetes management strategies.
  • The lack of significant improvement in HbA1c suggests further research is needed.
  • The study's design may limit the applicability of results to broader populations.
between the lines

Between the Lines

  • The study did not demonstrate significant changes in quality of life or glycemic control.
  • Effect sizes for many outcomes were unclear or not statistically significant.
  • The sample size and population characteristics may limit generalizability.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c, Diabetes Self-Management Education and Support (DSMES) Programs and Quality of Life Outcomes.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Diabetes Self-Management Education and Support (DSMES) Programs improve quality of life outcomes?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Quality of Life Outcomes.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Quality of life

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on 10 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
10 supporting studiesUpdated: Jul 2026

Does Remote multiprofessional educational program improve adherence to carbohydrate counting method (chcm)?

Emerging Evidence

Remote multiprofessional educational program appears to improve Adherence to carbohydrate counting method (CHCM).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Adherence to carbohydrate counting method (CHCM)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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