Adapting home telehealth group appointment model (CoYoT1 clinic) for a low SES, publicly insured, minority young adult population with type 1 diabetes

Virtual Group Appointments Reduce Distress and Improve Care Management in Young Adults with Type 1 Diabetes

“…Racial, ethnic, and socioeconomically diverse adolescents and YA have shown equal interest and ability to participate in VGA. 37 An adapted CoYoT1 Clinic model 38 focused on racial, ethnic, and socioeconomically diverse adolescents and YA is currently being evaluated. The benefits of TH alone are also being examined.…”

Telehealth for Young Adults With Diabetes: Addressing Social Determinants of Health

“…It consisted of three home telehealth visits and one in-person visit on a quarterly basis (49). The telehealth visits included a SMA and an individual visit with a diabetes provider (nurse practitioner or pediatric endocrinologist) who used patient-centered care, a collaborative model of health care provision (2,3,49). This pilot study improved YA adherence to ADA standards (e.g., attending quarterly clinic visits, seeing all members of the diabetes team, and receiving transition preparation), diabetes technology uptake, psychosocial outcomes, and retention compared with control subjects who did not receive the intervention (2,15).…”

“…In the next phase of their project, the researchers successfully adapted the CoYoT1 Clinic model for racially and ethnically diverse, urban, low-SES YAs with type 1 diabetes (2,3). The adaptation process was informed by input from a patient advisory board, stakeholder focus groups, and data from a survey conducted in the target population (3). These data led to modifications to the model to best serve the needs of the more diverse population.…”

“…The adapted model, CoYoT1 to California (CTC), similarly included three telehealth visits and one in-person visit over the study year. However, major changes to the original intervention included having formal patient-centered care trainings (including shared decision-making tools) for HCPs, providing after-visit video summaries for YAs, having family involvement at patients' discretion, uncoupling group and individual appointments, and providing formalized peer-led SMAs based on YAs' availability (3). CTC is currently being tested in an urban hospital setting, and preliminary feedback from YAs suggests it may be positively affecting their psychosocial well-being and diabetes care.…”

Paediatric diabetes care during the COVID‐19 pandemic: Lessons learned in scaling up telemedicine services

“…Many facilities, including our own, rapidly expanded telemedicine services to facilitate patient care. 1 Though telemedicine has been utilized for both paediatric and adult diabetes care before, [2][3][4][5][6][7][8][9][10][11] current endeavours by many institutions are now on an unprecedented scale. In some cases, health systems may have limited existing infrastructure due to previous state law limiting telemedicine services, such as in Pennsylvania.…”