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 equipment:

– 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

Organization

NA

Running:

Staff resources:

– videoconsultation 

Health care utilization:

NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)