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Virtual clinic for young people with type 1 diabetes: a randomised wait-list controlled study
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 object...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664359/ https://www.ncbi.nlm.nih.gov/pubmed/37990315 http://dx.doi.org/10.1186/s12902-023-01516-x |
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author | Leksell, Janeth Toft, Eva Rosman, Jessica Eriksson, Jan W. Fischier, Johan Lindholm-Olinder, Anna Rosenblad, Andreas Nerpin, Elisabet |
author_facet | Leksell, Janeth Toft, Eva Rosman, Jessica Eriksson, Jan W. Fischier, Johan Lindholm-Olinder, Anna Rosenblad, Andreas Nerpin, Elisabet |
author_sort | Leksell, Janeth |
collection | PubMed |
description | 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 needed to explore the long-term effects and optimal use of virtual clinics in diabetes management. TRIAL REGISTRATION: ISRCTN number: 73,435,627 (registration date: 23/10/2019): 10.1186/ISRCTN73435627. The performance and results of this trial adhere to the guidelines outlined in the CONSORT 2010 (Consolidated Standards of Reporting Trials) recommendations. |
format | Online Article Text |
id | pubmed-10664359 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-106643592023-11-22 Virtual clinic for young people with type 1 diabetes: a randomised wait-list controlled study Leksell, Janeth Toft, Eva Rosman, Jessica Eriksson, Jan W. Fischier, Johan Lindholm-Olinder, Anna Rosenblad, Andreas Nerpin, Elisabet BMC Endocr Disord Research 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 needed to explore the long-term effects and optimal use of virtual clinics in diabetes management. TRIAL REGISTRATION: ISRCTN number: 73,435,627 (registration date: 23/10/2019): 10.1186/ISRCTN73435627. The performance and results of this trial adhere to the guidelines outlined in the CONSORT 2010 (Consolidated Standards of Reporting Trials) recommendations. BioMed Central 2023-11-22 /pmc/articles/PMC10664359/ /pubmed/37990315 http://dx.doi.org/10.1186/s12902-023-01516-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Leksell, Janeth Toft, Eva Rosman, Jessica Eriksson, Jan W. Fischier, Johan Lindholm-Olinder, Anna Rosenblad, Andreas Nerpin, Elisabet Virtual clinic for young people with type 1 diabetes: a randomised wait-list controlled study |
title | Virtual clinic for young people with type 1 diabetes: a randomised wait-list controlled study |
title_full | Virtual clinic for young people with type 1 diabetes: a randomised wait-list controlled study |
title_fullStr | Virtual clinic for young people with type 1 diabetes: a randomised wait-list controlled study |
title_full_unstemmed | Virtual clinic for young people with type 1 diabetes: a randomised wait-list controlled study |
title_short | Virtual clinic for young people with type 1 diabetes: a randomised wait-list controlled study |
title_sort | virtual clinic for young people with type 1 diabetes: a randomised wait-list controlled study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664359/ https://www.ncbi.nlm.nih.gov/pubmed/37990315 http://dx.doi.org/10.1186/s12902-023-01516-x |
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