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

Study design:

CT-pro

Follow up: 12 months

Patient group:

Sample size:

Total: 81 (70)

IG: 42 (42)

CG: 39 (28)

Inclusion criteria:

Diabetes type 1

Age 18-25 years

Type of technology:

Video consulta-tion
(Web conferenc-ing software)

Home monitoring equipment
– Insulin pump
– Blood glucose monitor
– Continuous glucose monitor

Intervention:

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/ Patient safety:

Clinical effect:

– Clinical visits ↑ (improved)

– HbA1c goal of measures over year ↑

– HbA1c →

 

Patient safety: 

Patient experiences/ Staff experiences:

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

Costs and organization:

Investment:

Home monitoring equipment

– Blood glucose monitor

– Continuous glucose monitor

– Web conferencing software

Running:

Staff resources

– Online individual and group sessions

Organization:

NA

Health care utilization:

NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)