Telehealth Intervention for Youth With T1DM
| Status: | Completed |
|---|---|
| Conditions: | Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 13 - 17 |
| Updated: | 4/2/2016 |
| Start Date: | May 2013 |
| End Date: | December 2014 |
| Contact: | Erinn T Rhodes, MD, MPH |
| Email: | erinn.rhodes@childrens.harvard.edu |
| Phone: | 617-355-3209 |
Telehealth Intervention for Youth With Type 1 Diabetes
Hospitalization of youth with established diabetes is both costly and frequently
preventable. Poor glycemic control is a risk factor for hospitalization and is also
associated with adolescent age and lower socioeconomic status. This is a randomized,
controlled trial for high-risk adolescent youth with T1DM and suboptimal glycemic control
with an intervention arm and usual care control arm matched for frequency of contacts. There
will be 110 subjects with T1DM and HbA1c>8%, aged 13 to 17 years, recruited from the
Diabetes Program at Boston Children's Hospital and followed for 6 months. The intervention
will be implemented by a diabetes nurse educator and social worker, who will each have
monthly contact with the adolescent and a parent/guardian through a telehealth
(videoconference) visit. Care will be guided by a diabetes action plan. Telehealth
interventions have been utilized successfully in both adults and youth with diabetes. They
facilitate frequent contact with the care team allowing barriers to adherence to be
addressed, education to be reinforced, care plans to be updated, and diabetes-specific
family support to be provided.
preventable. Poor glycemic control is a risk factor for hospitalization and is also
associated with adolescent age and lower socioeconomic status. This is a randomized,
controlled trial for high-risk adolescent youth with T1DM and suboptimal glycemic control
with an intervention arm and usual care control arm matched for frequency of contacts. There
will be 110 subjects with T1DM and HbA1c>8%, aged 13 to 17 years, recruited from the
Diabetes Program at Boston Children's Hospital and followed for 6 months. The intervention
will be implemented by a diabetes nurse educator and social worker, who will each have
monthly contact with the adolescent and a parent/guardian through a telehealth
(videoconference) visit. Care will be guided by a diabetes action plan. Telehealth
interventions have been utilized successfully in both adults and youth with diabetes. They
facilitate frequent contact with the care team allowing barriers to adherence to be
addressed, education to be reinforced, care plans to be updated, and diabetes-specific
family support to be provided.
Inclusion Criteria:
- Age 13 to 17 years
- Type 1 diabetes for ≥1 year
- HbA1c>8%
- Able to speak and read English (Child)
- Able to speak and read English (Parent)
- Parent agrees to participate
- Parent and child each have email addresses
Exclusion Criteria:
- Plan to transition diabetes care to a center other than Boston Children's Hospital
- No visit to Boston Children's Hospital Diabetes Program in year prior to recruitment
- Current participation in another diabetes-related study with an intervention
- Living with or related to another study participant
- Significant psychopathology or medical illness that would limit the subject's ability
to provide assent and/or participate in the study procedures as determined by the PI.
- No internet access
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