AI Article Synopsis

  • Type one diabetes management is particularly tough for adolescents and young adults due to their developmental changes, leading to higher diabetes distress and poorer health outcomes.
  • A study tested the CoYoT1 Care model, which involves person-centered care and virtual peer groups, finding that participants who attended more telehealth appointments engaged better in their care.
  • Results showed that those using telehealth had higher clinic attendance and lower physician-related distress, suggesting this care model is effective for supporting AYAs with type one diabetes.

Article Abstract

Background: Type one diabetes (T1D) management is challenging for adolescents and young adults (AYAs) due to physiological changes, psychosocial challenges, and increasing independence, resulting in increased diabetes distress and hemoglobin A1c (HbA1c). Alternative care models that engage AYAs and improve diabetes-related health outcomes are needed.

Methods: A 15-month study evaluated an adaptation of the Colorado Young Adults with T1D (CoYoT1) Care model. CoYoT1 Care includes person-centered care, virtual peer groups, and physician training delivered via telehealth. AYAs (aged 16-25 years) were partially randomized to CoYoT1 or standard care, delivered via telehealth or in-person. As the study was ending, the COVID-19 pandemic forced all AYAs to transition to primarily telehealth appointments. This secondary analysis compares changes in clinic attendance, T1D-related distress, HbA1c, and device use between those who attended more than 50% of diabetes clinic visits via telehealth and those who attended more sessions in-person throughout the course of the study.

Results: Out of 68 AYA participants, individuals (n = 39, 57%) who attended most (>50%) study visits by telehealth completed more diabetes care visits (3.3 visits) than those (n = 29, 43%) who primarily attended visits in-person (2.5 visits; = .007). AYAs who primarily attended visits via telehealth maintained stable physician-related distress, while those who attended more in-person visits reported increases in physician-related distress ( = .03).

Conclusions: Greater usage of telehealth improved AYA engagement with their care, resulting in increased clinic attendance and reduced physician-related diabetes distress. A person-centered care model delivered via telehealth effectively meets the needs of AYAs with T1D.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10347987PMC
http://dx.doi.org/10.1177/19322968221146806DOI Listing

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