GP136 Psychosocial risk assessment in children with type 1 diabetes in ireland

Objectives To evaluate and compare the risk for poor glycaemic control at two time points in an Irish cohort of children with T1D. Methods The Risk Index for Poor Glycaemic Control (RI-PCG) is the screening tool to assess psychosocial risk where each score increases the risk of poor control and DKA on 10% (low risk score 0–1, moderate =2, high risk ≥3). The baseline data was collected for 2 years while follow up data collection (T1) began at least 6 months after the start of the study and continued for 2 years. No intervention was involved. Results As a part of 2-year longitudinal study 245 children with T1D (129 males) aged 3–18 years (mean 11.7±3.5) were analysed at baseline. Total of 90 patients out of 245 were assessed for psychosocial risk at baseline and at T1 (Table 1). At baseline: 31.3% of patients had a moderate score and high scores on RIPGC. At T1: 26.2% of patients had a moderate score and high psychosocial risk scores. Paired analysis showed that the difference in RIPGC score between baseline and T1 was not significant (p>0.05). Three patients (3.3%) increased the risk from low to moderate, another 3 patients (3.3%) from low to high risk and 2 patients (2.2%) from moderate to high risk. However, 12 patients (13.3%) reduced the risk with a time: 7 patients (7.7%) moved from category of moderate risk to low risk, 3 (3.3%) – from high to low and 2 (2.2%) - from high to moderate risk category. The distribution of low, moderate and high risk patients did not differ significantly in baseline group and T1 (p>0.05) Conclusions Almost one third of children with T1D in Irish population are at moderate and high psychosocial risk. The routine care provided by health professionals doesn’t reduce this risk significantly with time. Our data indicates the need of intervention by trained clinical psychologist for children with T1D and psychosocial risk.