Type 1 Diabetes Telemedicine
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Diabetes, Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 1 - 17 |
| Updated: | 5/30/2018 |
| Start Date: | November 27, 2017 |
| End Date: | October 31, 2019 |
Use of Home-Based Telemedicine to Improve Healthcare Utilization and Outcomes in Pediatric Patients With Poorly Controlled Type 1 Diabetes
At the conclusion of this project, investigators will have assessed the effectiveness of
home-based telemedicine for improving multiple important clinical and patient-centered
outcomes in a high-risk pediatric cohort with T1D.
Aim 1. To test the hypothesis that home-based telemedicine is a feasible and acceptable
method of care delivery for patients with poorly controlled type 1 diabetes (T1D) currently
cared for at the University of California, Davis (UCD) Pediatric Endocrinology clinic.
Specifically:
A) Patients and families choose to participate in telemedicine visits as a supplement to
in-person care; B) Patients and families can utilize secure, internet-based platforms to
upload and share glucose meter data and to establish an audio-video connection with a
diabetes specialist in their home settings; C) Patients and families are satisfied with the
experience of home-based telemedicine and would choose to receive future diabetes care via
this modality.
Aim 2. To test the hypothesis that using home-based telemedicine, these patients can complete
more frequent visits with a diabetes specialist than they previously completed via office
visits alone.
Aim 3. To test the hypothesis that increased contact with a diabetes specialist via
home-based telemedicine will lead to significant improvement in glycemic control for these
patients.
Aim 4. To evaluate the effects of increased contact with a diabetes specialist via home-based
telemedicine on high-cost health care utilization - specifically emergency department (ED)
visits and diabetes-related hospitalizations.
home-based telemedicine for improving multiple important clinical and patient-centered
outcomes in a high-risk pediatric cohort with T1D.
Aim 1. To test the hypothesis that home-based telemedicine is a feasible and acceptable
method of care delivery for patients with poorly controlled type 1 diabetes (T1D) currently
cared for at the University of California, Davis (UCD) Pediatric Endocrinology clinic.
Specifically:
A) Patients and families choose to participate in telemedicine visits as a supplement to
in-person care; B) Patients and families can utilize secure, internet-based platforms to
upload and share glucose meter data and to establish an audio-video connection with a
diabetes specialist in their home settings; C) Patients and families are satisfied with the
experience of home-based telemedicine and would choose to receive future diabetes care via
this modality.
Aim 2. To test the hypothesis that using home-based telemedicine, these patients can complete
more frequent visits with a diabetes specialist than they previously completed via office
visits alone.
Aim 3. To test the hypothesis that increased contact with a diabetes specialist via
home-based telemedicine will lead to significant improvement in glycemic control for these
patients.
Aim 4. To evaluate the effects of increased contact with a diabetes specialist via home-based
telemedicine on high-cost health care utilization - specifically emergency department (ED)
visits and diabetes-related hospitalizations.
Inclusion Criteria:
- age 1-17 years
- known diagnosis of T1D
- >1 prior visit to the UC Davis Pediatric Endocrinology clinic (to avoid enrolling
newly diagnosed patients)
- suboptimal glycemic control, defined as most recent hemoglobin A1C level of >8%
- access to the internet via a device with video and audio capability (e.g. computer,
tablet, mobile phone)
- ability to connect their home glucose meter to an internet-capable device via
Bluetooth or physical cable for the purpose of data uploading.
Exclusion Criteria:
- Patients and parents whose primary language is not English
- Patients who have Western Health Advantage health insurance
We found this trial at
1
site
1 Shields Ave
Sacramento, California 95616
Sacramento, California 95616
(530) 752-1011
Phone: 916-734-4729
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