Abstracts / Can J Diabetes 36 (2012) S24eS76 S27

Purpose: To develop patient information sheets for diabetesmedications that would be useful to patients, especially when firstprescribed a medication.Methods: Following a review of the literature, a prototype wasdeveloped by a pharmacist and artist. The prototype used theanalogy of hockey to describe how the medications worked with anaccompanying hockey card for each medication. Feedback was ob-tained through focus groups of patients with Type 2 diabetes. Keyfindings were then used to redesign the prototype to better meetpatients’needs. Thenewprototypewasusability testedwithpatientsand feedback from design and usability experts was obtained.Results: Key findings from the focus groups were that patientsliked the content but not the design. Patients thought the infor-mation appeared credible and found the sub-categories to beuseful. Patients did not like the hockey card concept as they found itlooked “too promotional” and “juvenile”. Key findings from testingthe new prototype were that patients and experts liked both thecontent and the design.Conclusions: A new design for patient drug information sheetsthat has been tested with patients and experts has been developed.This design could be used for other therapeutic areas to betterenhance patient understanding of medications.

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Treatment Compliance to Diabetes Care: A Cross-sectionalStudyMOHBAT A. KHOWAJA*

Karachi, Pakistan

Introduction: Diabetes is a chronic disease and has beenincreasing worldwide. Appropriate self-care practices are critical tosatisfactory control and manage diabetes and to prevent from co-morbidities. The objective of this study was to assess currenttreatment patterns, treatment compliance and reasons fornoncompliance for patients with type II diabetes in Pakistan.Methodology: A cross-sectional study was conducted to collectdata through structured interviews based on pre-tested question-naire. Total 211 patients including 46% males and 54% females fromthe ages 25 and over were randomly selected for the study froma population of patients attending primary care diabetes centersthroughout Karachi. Information was collected on socio-demo-graphic characteristics, diabetes duration, compliance to phys-ician's advices and reasons for non-compliance.Results: Median age for male subjects was 53 years, significantlyolder (p¼0.008) than females. The mean duration of diabetes was9.2�3.8 years. Only 27% reported full compliance as per physician'sadvice for timely medication, routine exercise, timely lab investiga-tion and follow-up for next visit. About 45% of the subjects weretakingmedication fordiabetes related complications. Lackoffinancialresources, knowledgeandsupportive services and fearofneedleweremain reasons for noncompliance.We also found that peoplewith lowliteracy levels were less likely to manage their condition effectivelycompared to people with higher educational level (p<0.001).Conclusion: Based on the findings, a public health interventionand information campaign is needed to change behaviours of dia-betics. Further, physicians can also educate patients by identifyingpotential risks of non-compliance and educate them accordingly.

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Paediatric Diabetes Education Center (PDEC) - "Girl's Group"ANGELA BISHOP*, WHITNEY GOWANLOCK, KIM BABCOCK,W. GARY SMITHOrillia, ON

Objective: To improve diabetes care through social networkingamongst teenaged girls with Type 1 Diabetes

Methods: The girl's group takes place once a month in a variety ofsettings depending on the activity and includes an activity, aneducational piece around the activity and/or diabetes management,and a meal. Female patients with type 1 diabetes between the agesof 10-18 were recruited from within the Paediatric DiabetesEducation Center.

Peds QL were completed every 3 months with both parents andyouth.Goal: To provide a supportive venue where teenaged girls withtype 1 diabetes can meet other girls like themselves and build theirconfidence and self esteem through social networking.Results/Outcome: The group has had aminimumof 10 participantseachmonth.Most girlswhohave attendedone sessionhave returnedto subsequent sessions and every girl who has attended hasexpressedpositive feedback in regards to the impact ithashadonher.

The group's success based on our objectives is evaluated throughchanges in clinical outcomes (HBA1C, number of BG tests per day,increase in positive habits in regards to BG control) as well asquality of life changes as reported by the child and family usingdiabetes-specific quality of life assessment tools.

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Evaluating the Basics: Determining the Effectiveness of the Justthe Basics, Latin American ResourceSHARON ZEILER*, MELODY MENDONCA,LADAN SHAHVARANI RENOUF, SHABNAM JABRANIToronto, ON; Vancouver, BC; Etobicoke, ON

Introduction: The CDA resource “Just the Basics” (JTB) was initiallydeveloped to encourage lifestyle habits that support healthy livingand optimal self-management of diabetes. In 2011, CDA adapted JTBspecifically for the Latin American population, with a focus onculturally appropriate foods and activities. It is available in Spanish,Portuguese, English and French. This resource has been distributedand used in a variety of healthcare and community settings.

As per CDA publication protocols, an evaluation was conductedsix months after the tool was launched in order to determine itseffectiveness and acceptance by the target population.Methods: An evaluation survey was initially developed by CDAstaff and further refined by an evaluation consultant to help ensurethat accurate and useful informationwas obtained. In May 2012 thesurvey was disseminated to healthcare professionals, diabeteseducators and clients via email using Survey Monkey via culturalmedia and CDA channels.

The consultant provided recommendations on methods of dataanalysis, which was completed by practicum students during thesummer of 2012 and then compiled into an evaluation report.Results: The results of the survey in the following areas are shown:new information presented in the tool, degree of reflection ofcultural attributes and the degree to which the tool aided clients inthe self-management of diabetes.Conclusion: Diabetes educators found the Latin American versionof the Just the Basics nutrition resource to be a culturally appro-priate and useful tool in assisting Latin American clients in the self-management of diabetes.

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Effect of an Intensive, Interdisciplinary Program forAdolescents with Type I Diabetes to Improve their MetabolicControlSUSAN M. KETTLE, MARLENE V. GRASS, SANDY M. HUBBARD,JEFF B. PACKER, LORI S. SHORT-ZAMUDIO, KARYN THOMPSONWhitby, ON

Adolescence is associated with many changes due to puberty.These changes can lead to psychosocial challenges, lifestyle andpeer group pressures, increased tensions between teens and