AGDT-AGPD Spectrum Group - Spectrum - Part 1 - Curriculum

One central goal of SPECTRUM is to convey the skills which help reduce the occurrence of hypoglycemias and hyperglycemias. After starting CGM in Module 2, glucose trends are then analyzed using a structured approach. Each module maintains the focus on the goals of identifying the causes of repeated hypoglycemias and hyperglycemias and developing strategies to prevent such acute complications.

Keeping in mind that the occurrence of hypoglycemias is one of the most severe psychosocial burdens on people with diabetes, SPECTRUM aims to help patients feel able to control their diabetes and thereby reduce the worry associated with complications and situations. The skills learned as part of SPECTRUM thus help improve the well-being and quality of life of people with diabetes.

The complexity of the topics brings with it a certain danger that patients might feel overwhelmed and insecure by the content of SPECTRUM. For this reason, the developers of SPECTRUM have made it possible for the trainers to adjust the didactic and methodical procedures according to the level of the participants. This should enable participants to successfully use CGM in daily life.

During the development of SPECTRUM, the developers ensured that suitable illustrations were included to all the topics and content. A word of caution: Especially when using digital presentations, it is easy to end up in „slide overload“. It is important to avoid a flat out transmission of information. Participants should be allowed to work on, develop and exchange experience and ideas as much as possible. Their learning success should be created from their own experience, the joint analysis and the interpretation of their personal CGM trend curves and trying out new therapy strategies.

When designing the individual modules, it was important that the participants not only gain new insights with each module, but to also brush up on and delve into existing knowledge. For this reason, the core content is often repeated across the different modules. Many practical exercises and sample case studies in the modules also provide additional support. The time participants take to exchanging experiences is very important.

SPECTRUM participants should intensively take part in discussions amongst themselves, in particular about how they experience CGM in their daily lives. Participants must also be given the possibility to articulate their worries and barriers to CGM and critically question their previous mindset towards CGM and/or blood glucose self-monitoring.

Theory is always second-best to practice as diabetes comes to life in daily routines. For this reason SPECTRUM has the aim to depict the lifes of people with diabetes. The practical exercises and case studies often address situations from daily life: incidents at work, situations in relationships – what happens everywhere from family and sports to parties and celebrations.

One basic feature of the SPECTRUM program is its strict product neutrality. All the information and illustrations have been prepared in such a way that users of different CGM systems can gain the skills they need to properly use their system. The characteristics and features of the individual systems or system components are presented neutrally.

During development, the training material was carefully monitored to keep complicated facts as simple and clear as possible. Images, metaphors and common descriptions in everyday speech make it easy for participants to understand, solidify and remember this content. The displays, trend curves and statistics were simplified for the participants in order to facilitate learning and develop solutions to problems.

When preparing a training course, the curriculum should be worked through using the sets of slides module by module.

Each module in the curriculum begins with a tabular overview of the topics. Information on the time required for the individual topics is also given so that you can estimate in advance the total amount of time you will need.

Every topic in the curriculum is set up as follows. First, the aims of each thematic unit are explained. The procedure is outlined and supplemented with suitable materials. Special notes help make it easier to successfully deal with challenging module situations.

The number is located on the right-hand of each slide. The consistent numeration of the slides makes it easier to follow. The numeration is set up as follows: 2.17 means Module 2, slide 17.

The slides and worksheets are listed with their respective numeration in the curriculum. Scaled-down figures on the right-hand of the page make it easier to find the slides in the respective module file or to find the corresponding text passages in the curriculum.

In the face of a growing demand for training and consultation, in 2012, the Arbeitsgemeinschaft Diabetes und Technologie of the German Diabetes Association (AGDT) (Diabetes Technology Working Group) decided to develop a manufacturer-independent and neutral training and treatment program for patients and put together a suitable working group. Later, the Arbeitsgemeinschaft Pädiatrische Diabetologie (AGPD) (Pediatric Diabetology Working Group) joined the group as it had also been planning a CGM training course.

Under the leadership of Bernhard Gehr (Bad Heilbrunn Clinic), a working group was created comprising 26 diabetes advisors, diabetologists and psychologists with experience in CGM from outpatient and inpatient diabetes institutes Germany-wide.

The slides for the individual modules for SPECTRUM for adults were created under the leadership of Bernd Kulzer (Module 0), Bernhard Gehr, (Module 1), Ulrike Thurm (Module 2), Thorsten Siegmund (Module 3), Claudia Sahm (Modules 4, 5 and 6) and additional support by Eberhard Biermann, Sabine Carstensen (until Feb/2014), Guido Freckmann, Lutz Heinemann, Elke Kerth, Ralf Kolassa, Andreas Liebl, Rosalie Lohr, Berthold Maier, Kerstin Remus, Sandra Schlüter, Marcella Schulz-Braun and Marita Wernsing. Berthold Maier was responsible for harmonizing the slide drafts of the individual module working groups. The curriculum of the adult version was also refined to its final version by Berthold Maier.

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