Evidence map›Paper›PMID 36546602›Full record

Trial reportJournal of diabetes science and technology2023

Greater Telehealth Use Results in Increased Visit Frequency and Lower Physician Related-Distress in Adolescents and Young Adults With Type 1 Diabetes.

Jaquelin Flores Garcia, Ethan Faye, Mark W Reid, Elizabeth A Pyatak, D Steven Fox, Daniel I Bisno, Elizabeth Salcedo-Rodriguez, Alejandra Torres Sanchez, Sarah Hiyari, Jennifer L Fogel and 1 more

Erratum issuedOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of diabetes science and technology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Trial
  5. Article
  6. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Jaquelin Flores GarciaChildren's Hospital Los Angeles, Los Angeles, CA, USA.ORCID 0000-0002-3241-5601
Ethan FayeUniversity of Southern California, Los Angeles, CA, USA.ORCID 0000-0001-9376-6096
Mark W ReidChildren's Hospital Los Angeles, Los Angeles, CA, USA.ORCID 0000-0002-1942-225X
Elizabeth A PyatakUniversity of Southern California, Los Angeles, CA, USA.
D Steven FoxUniversity of Southern California, Los Angeles, CA, USA.
Daniel I BisnoRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.ORCID 0000-0003-4440-7366
Elizabeth Salcedo-RodriguezChildren's Hospital Los Angeles, Los Angeles, CA, USA.
Alejandra Torres SanchezChildren's Hospital Los Angeles, Los Angeles, CA, USA.ORCID 0000-0002-6099-0945
Sarah HiyariChildren's Hospital Los Angeles, Los Angeles, CA, USA.ORCID 0000-0002-3313-9418
Jennifer L FogelChildren's Hospital Los Angeles, Los Angeles, CA, USA.
Jennifer K RaymondChildren's Hospital Los Angeles, Los Angeles, CA, USA.ORCID 0000-0003-1866-4932
Children's Hospital of Los Angeles · USUniversity of Southern California · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 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.

methodsA 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.

resultsOut 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;

conclusionsGreater 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.

Indexed as

COVID-19Diabetes Mellitus, Type 1PhysiciansTelemedicineAdolescentGlycated HemoglobinHumansPandemicsYoung AdultGlycated Hemoglobinadolescentsdiabetes distresstelehealthtype one diabetesyoung adults

Identifiers

PMID36546602
PMCPMC10347987
OpenAlexW4312094787

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.