دورية أكاديمية

Virtual clinic for young people with type 1 diabetes : a randomised wait-list controlled study

التفاصيل البيبلوغرافية
العنوان: Virtual clinic for young people with type 1 diabetes : a randomised wait-list controlled study
المؤلفون: Leksell, Janeth, Toft, Eva, Rosman, Jessica, Eriksson, Jan W, Fischier, Johan, Lindholm-Olinder, Anna, Rosenblad, Andreas, Nerpin, Elisabet
بيانات النشر: Högskolan Dalarna, Medicinsk vetenskap
Uppsala University, Akademiska sjukhuset, Uppsala
Karolinska Institutet, Huddinge, Stockholm; Diabetes Unit, Ersta Hospital, Stockholm
Karolinska University hospital, Stockholm
Uppsala University, Akademiska sjukhuset, Uppsala; Karolinska Institutet, Södersjukhuset, Stockholm
Uppsala University, Akademiska sjukhuset, Uppsala; Karolinska Institutet, Stockholm; Uppsala University, Uppsala
Uppsala University, Uppsala
سنة النشر: 2023
المجموعة: Dalarna University: Publikationer
مصطلحات موضوعية: Glycaemic control, Quality of life, Treatment satisfaction, Type 1 Diabetes, Virtual Diabetes clinic, Young adults, Nursing, Omvårdnad, Endocrinology and Diabetes, Endokrinologi och diabetes
الوصف: BACKGROUND: The transition from paediatric to adult care for young adults with type 1 diabetes poses unique challenges. Virtual diabetes clinics using smartphone applications offer a promising approach to support self-management and enhance communication with healthcare providers. The primary objective of this study was to evaluate the effects of a virtual diabetes clinic on glycaemic control, treatment satisfaction, and quality of life among young adults diagnosed with type 1. METHODS: 79 participants with type 1 diabetes aged 18-25 years were included in a prospective, single-centre, randomised, wait-list controlled trial. Participants were randomly assigned to either the intervention group or the wait-list control group. The intervention group received instant access to a virtual care platform called Vista Dialog, which facilitated real-time communication between patients and healthcare providers. Glycosylated haemoglobin (HbA1c) levels, time in range (TIR), time below range (TBR), diabetes treatment satisfaction, and quality of life were assessed at baseline and after 6 months. RESULTS: Baseline characteristics were similar between the intervention and control groups, except for education level, where there was a skewed distribution between the groups (the intervention group had a lower education level). At the 6-month follow-up, there were no significant differences in HbA1c levels, TIR, TBR, or diabetes treatment satisfaction between the two groups. However, the intervention group demonstrated a significant decrease in the burden on physical health compared with the control group, indicating an improved quality of life. CONCLUSIONS: The implementation of a virtual diabetes clinic using the Vista Dialog platform did not result in significant improvements in glycaemic control or treatment satisfaction compared with usual care. However, it did show potential benefits in terms of reducing the burden on physical health and improving quality of life in young adults with type 1 diabetes. Further research is ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
العلاقة: BMC Endocrine Disorders, 2023, 23:1; orcid:0000-0003-3880-2132; http://urn.kb.se/resolve?urn=urn:nbn:se:du-47322Test; PMID 37990315; ISI:001105746000001; Scopus 2-s2.0-85177546212
DOI: 10.1186/s12902-023-01516-x
الإتاحة: https://doi.org/10.1186/s12902-023-01516-xTest
http://urn.kb.se/resolve?urn=urn:nbn:se:du-47322Test
حقوق: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.7F2A60CF
قاعدة البيانات: BASE