Home Telemedicine (CoYoT1 Clinic): A Novel Approach to Improve Psychosocial Outcomes in Young Adults With Diabetes
| Autor: | Jennifer K. Raymond, Cari Berget, Georgeanna J. Klingensmith, Cindy L. Cain, John F. Thomas, Mark W. Reid, Elizabeth A. Pyatak, Marwan Bakhach |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Telemedicine medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism Pilot Projects 030209 endocrinology & metabolism Health Professions (miscellaneous) Young Adult 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine Humans Prospective Studies 030212 general & internal medicine Young adult Prospective cohort study Self-efficacy Type 1 diabetes Depression business.industry Self-Management medicine.disease Self Efficacy Clinical trial Diabetes Mellitus Type 1 Treatment Outcome Family medicine Female business Psychosocial Stress Psychological |
| Zdroj: | The Diabetes Educator. 45:420-430 |
| ISSN: | 1554-6063 0145-7217 |
| Popis: | Purpose To assess the impact of a home telemedicine clinic model (CoYoT1 Clinic) on psychosocial and behavioral outcomes designed for young adults (YAs) with type 1 diabetes (T1D). Methods YAs self-selected to participate in the CoYoT1 Clinic or serve as a usual care control. CoYoT1 Clinic visits consisted of an individual appointment with a provider and a group appointment with other YAs with T1D using home telemedicine. Psychosocial and behavioral functioning was assessed by 4 measures: Diabetes Distress Scale, Self-Efficacy for Diabetes Scale, Self-Management of Type 1 Diabetes in Adolescence Scale, and Center for Epidemiologic Studies Depression Scale. Results Forty-two patients participated in the CoYoT1 Clinic and 39 patients served as controls. CoYoT1 participants reported lower levels of distress ( P = .03), increased diabetes self-efficacy ( P = .01), and improved ability to communicate with others about diabetes ( P = .04) over the study period compared to controls. YA males in the control group reported increases in depressive symptoms ( P = .03) during the study period, but CoYoT1 participants showed no changes. Conclusion Group home telemedicine for YAs with T1D positively affects diabetes distress, self-efficacy, and diabetes-specific communication. These positive findings have the potential to also affect the YAs’ long-term diabetes outcomes. Further investigation of the model is needed. |
| Databáze: | OpenAIRE |
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