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

IF 3.9 Q1 Health Professions Diabetes Educator Pub Date : 2019-08-01 Epub Date: 2019-06-27 DOI:10.1177/0145721719858080

Marwan Bakhach, Mark W Reid, Elizabeth A Pyatak, Cari Berget, Cindy Cain, John Fred Thomas, Georgeanna J Klingensmith, Jennifer K Raymond

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引用次数: 40

Abstract

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.

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家庭远程医疗(CoYoT1诊所):改善年轻糖尿病患者心理社会结局的新方法。

目的:评估家庭远程医疗诊所模式(CoYoT1诊所)对1型糖尿病(T1D)青年(YAs)心理社会和行为结局的影响。方法:a自行选择参加CoYoT1诊所或作为常规护理对照。CoYoT1诊所就诊包括与提供者的个人预约和与其他使用家庭远程医疗的T1D患者的团体预约。社会心理和行为功能通过4项指标进行评估:糖尿病困扰量表、糖尿病自我效能量表、青少年1型糖尿病自我管理量表和流行病学研究中心抑郁量表。结果:42例患者参加CoYoT1诊所，39例患者作为对照组。在研究期间，与对照组相比，CoYoT1参与者报告的痛苦程度较低(P = 0.03)，糖尿病自我效能(P = 0.01)提高，与他人沟通糖尿病的能力(P = 0.04)有所提高。在研究期间，对照组的YA男性报告抑郁症状增加(P = .03)，但CoYoT1参与者没有表现出变化。结论:集体家庭远程医疗对青少年T1D患者糖尿病困扰、自我效能感和糖尿病特异性沟通有积极影响。这些积极的发现也有可能影响YAs的长期糖尿病预后。该模型需要进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Educator 医学-内分泌学与代谢

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Diabetes Educator (TDE) is the official journal of the American Association of Diabetes Educators (AADE). It is a peer-reviewed journal intended to serve as a reference source for the science and art of diabetes management. TDE publishes original articles that relate to aspects of patient care and education, clinical practice and/or research, and the multidisciplinary profession of diabetes education as represented by nurses, dietitians, physicians, pharmacists, mental health professionals, podiatrists, and exercise physiologists.