Home Telemedicine (CoYoT1 Clinic): A Novel Approach to Improve Psychosocial Outcomes in Young Adults With Diabetes.

Source: Bakhach, M., et al. 2019 - Pubmed ID: 31244396

Setting: USA, Diabetes Clinic

Study design:

CT–pro

 

Follow up: 1 year

Patient group:

Sample size:

Total: 81(59)

IG: 42(31)

CG: 39(28)

 

Inclusion criteria:

  • Diabetes (type 1)
  • Age 18-25 years
Type of technology:

Video consultation

  • Electronic device with internet connection, camera and speakers

Home monitoring

  • Diabetes management devices.
Intervention:

Intervention: Complete 3 telemedicine appointments (with care provider only or a group session) and 1 in person visit.

 

Duration: 12 months

Add on: NA

 

Control group: Usual care

Clinical effect/ Patient safety:

Clinical effect:

  • Diabetes distress scale(DDS)  ↓
  • Self efficacy ↑
  • Self management – diabetes communication ↑
  • Depressive symptoms →

Patient safety: NA

Patient experiences/ Staff experiences:

Patient experiences: NA 

 

Staff experiences: NA

Costs and organization:

Investment:

Equipment

  • Videoconsultation equipment in clinic

Staff resources

  • Technical training

Running:

Staff resources

  • videoconsultation 

Organization: NA

 

Health care utilization: NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)