Diabetes Management in Danish Primary School: A Survey of Experiences of Parents of Children with Type 1 Diabetes
, Nuri C. Mateu 1, Lise B. Johansen 2, Kasper A. Pilgaard 2, Annette K. Mouritsen 3,4, Anders J. Schou 5,6, Line S. Høst 5, Anne Ø. Nannsen 7, Kurt Kristensen 7, Stine Hangaard 8,9, Mette Madsen 8,10 and Dan Grabowski 2
Round 1
Reviewer 1 Report
Small but interesting analysis. Study design limits generalisability but this is mentioned as a limitation. It may be worth elaborating/commenting on the possible impact of Covid lockdowns. The impact of diabetes technology use should have been included in the questionnaires, and this is a major limitation given the current use of CGM and pumps.
Author Response
Thank you very much for the comments and notes.
- The study was conducted after the first national lockdown in Denmark (has been clarified in the manuscript), so we believe the main limitation of this lockdown on the results is the recall bias. However, we do agree, that had there been more lockdowns at the time of the study, that might have had further affected the results.
- We completely agree that the use of diabetes technology should have been included in the questionnaire and this is now mentioned as a major limitation in the manuscript.
Reviewer 2 Report
This is a cross-sectional study with parents of schoolchildren with type 1 diabetes aged 6 to 16 years in Denmark. The aim of this study was to investigate parental experiences of diabetes management in Danish schools, with an emphasis on the importance of school staff support in self-care.
The study is well designed and despite the format of the presentation of the results not facilitating the visualization, the objective was achieved.
I suggest a few minor revisions:
Methods
Line 123 "significance level of 95%". I believe that there was a mistake between the level of significance and confidence. Based on the results presented, the significance level adopted was 0.05 (5%).
Results
The presentation format of tables 4, 5 and 6 does not help to visualize the results. I suggest, if possible, rethink them.
Other comments
Even if Danish legislation does not require it, I suggest that future studies be evaluated by an ethics committee before starting data collection.
Author Response
Thank you very much for the comments and notes.
- We agree upon the correction about the significance level. The mistake has been corrected in the manuscript.
- Tables 4, 5 and 6 has been changed to help better visualize the results.
- According to Danish legislation, it is only required that the ethic committee is notified if the survey research project includes human biological material.
