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

Garcia, Jaquelin Flores; Fogel, Jennifer L.; Reid, Mark W.; Bisno, Daniel I.; Raymond, Jennifer

doi:10.2337/dsi21-0011

Cited by 11 publications

(6 citation statements)

References 35 publications

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“…Telehealth and other virtual environments can also be used to offer diabetes self-management education and clinical support and remove geographic and transportation barriers for patients living in underresourced areas or with disabilities (50). Telehealth resources can also have a role in addressing the social determinants of health in young adults with diabetes (51). However, limited data are available on the effectiveness across different populations (52).…”

Section: Telehealthmentioning

confidence: 99%

1. Improving Care and Promoting Health in Populations: Standards of Care in Diabetes—2023

ElSayed¹,

Aroda²,

Bannuru³

et al. 2022

Diabetes Care

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The American Diabetes Association (ADA) “Standards of Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations and a full list of Professional Practice Committee members, please refer to Introduction and Methodology. Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.

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Section: Telehealthmentioning

confidence: 99%

1. Improving Care and Promoting Health in Populations: Standards of Care in Diabetes—2023

ElSayed¹,

Aroda²,

Bannuru³

et al. 2022

Diabetes Care

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“…The rise and advancements in digital health technology have led to a multitude of modalities to engage and educate patients via telephone/smartphone, video/audio, web, text message, and mobile apps, as well as a combination of any of the above methods. In this narrative review, these various options for utilizing technology to provide diabetes patient education are described and discussed, with specific attention to the benefits as well as the drawbacks 8 of each modality (see Table 1).…”

Section: Introductionmentioning

confidence: 99%

Telehealth Technologies in Diabetes Self-management and Education

Sharma

Feldman²,

Sharma

2022

J Diabetes Sci Technol

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Background: The coronavirus pandemic of 2019 (COVID-19) forced worldwide recognition and implementation of telehealth as a means of providing continuity of care by varied health care institutions. Diabetes is a global health threat with rates that continue to accelerate, thereby causing an increased need for clinicians to provide diabetes care and education to keep up with demand. Utilizing technology to provide education via phone/smartphone, video/audio, web, text message, mobile apps, or a combination of these methods can help improve patient access and clinical outcomes, cut costs, and close gaps in care. Methods: While numerous publications have summarized the various tools and technologies available for capturing remote clinical data and their relevance to diabetes care and self-management, this review focuses on self-educational telehealth tools available for diabetes self-management, their advantages and disadvantages, and factors that need to be considered prior to implementation. Recent relevant studies indexed by PubMed were included. Results: The widespread use and popularity of phones/smartphones, tablets, computers, and the Internet by patients of all age groups, cultures, socioeconomic and geographic areas allow for increased outreach, flexibility, and engagement with diabetes education, either in combination or as an adjunct to traditional in-person visits. Demonstrated benefits of using health technologies for diabetes self-management education include improved lifestyle habits, reduced hemoglobin A1C levels, decreased health care costs, and better medication adherence. Potential drawbacks include lack of regulation, need for staff training on methodologies used, the requirement for patients to be tech savvy, privacy concerns, lag time with technology updates/glitches, and the need for more long-term research data on efficacy. Conclusions: Telehealth technologies for diabetes self-education improve overall clinical outcomes and have come a long way. With increasing numbers of patients with diabetes, it is expected that more optimal and user-friendly methodologies will be developed to fully engage and help patients communicate with their physicians.

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“…This captures a more longitudinal perspective that may be less impacted by the immediate context of the pandemic. While common barriers to telehealth, including a lack of reliable internet access and privacy concerns, have been identified in other literature (Garcia et al, 2021), participants did not note these concerns when provided the opportunity to identify personal challenges with telehealth.…”

Section: Satisfactionmentioning

confidence: 96%

Telehealth Lifestyle Redesign Occupational Therapy for Diabetes: Preliminary Effectiveness, Satisfaction, and Engagement

Mitchell

Sideris

Blanchard

et al. 2023

OTJR: Occupational Therapy Journal of Research

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Telehealth delivery of Lifestyle Redesign®, an occupational therapy intervention framework addressing health and quality of life among people with chronic conditions, is understudied. The objective of this study was to evaluate the effectiveness, satisfaction, and engagement of telehealth Lifestyle Redesign for young adults with diabetes. Using process data from two randomized controlled trials, we compared in-person and telehealth intervention effects. Among telehealth clients, effectiveness was assessed using pre-post changes in occupational performance, occupational satisfaction, and health management; a survey captured telehealth satisfaction. Attendance and engagement in in-person versus telehealth therapy were compared. Preliminary results indicate telehealth clients had significant increases in occupational performance, occupational satisfaction, and health management (all p < .02), and high levels of telehealth satisfaction. Intervention engagement ( p = .59) and attendance ( p = .42) were similar across treatment modalities. Telehealth delivery of Lifestyle Redesign occupational therapy is feasible and potentially efficacious, and continued advocacy is needed to ensure access to occupational therapy through telehealth.

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

Cited by 11 publications

References 35 publications

1. Improving Care and Promoting Health in Populations: Standards of Care in Diabetes—2023

1. Improving Care and Promoting Health in Populations: Standards of Care in Diabetes—2023

Telehealth Technologies in Diabetes Self-management and Education

Telehealth Lifestyle Redesign Occupational Therapy for Diabetes: Preliminary Effectiveness, Satisfaction, and Engagement

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