CoYoT1 Clinic: Home Telemedicine Increases Young Adult Engagement in Diabetes Care.
Source: Reid, M. W., et al. 2018 - Pubmed ID: 29672162
Setting: USA, Diabetes center
CT-pro
Follow up: 12 months
Sample size:
Total: 81 (70)
IG: 42 (42)
CG: 39 (28)
Inclusion criteria:
- Diabetes type 1
- Age 18-25 years
Video consultation (Web conferencing software)
Home monitoring
- Insulin pump
- Blood glucose monitor
- Continuous glucose monitor
Intervention: Patients completed 3 telemedicine visits and one in-person appointment with care provider. Before appointment pt. upload data from diabetes management devices. During telehealth visit care provider reviewed clinical data and discussed barriers to individual diabetes management. As a part of teleconsultations online group sessions were held consisting of four patients.
Duration: 12 months one appointment every 3 months.
Add on: –
Control group: Treatment as usual, in person individual appointment every 3months
Clinical effect:
- Clinical visits ↑ (improved)
- HbA1c goal of measures over year ↑
- HbA1c →
Patient safety: NA
Patient experiences:
- High appointment satisfaction.
- 74% of IG patients were seen four times over 12 months, (recommended), but no patients in the control group met the recommendation
Staff experiences: NA
Investment:
Equipment/Materials
- Blood glucose monitor
- Continuous glucose monitor
- Web conferencing software
Running:
Staff resources
- Online individual and group sessions
Organization: NA
Health care utilization: NA