Adaption, Implementation and Testing of a Telehealth Diabetes Discharge Intervention to Improve Transitions of Care

远程医疗糖尿病出院干预措施的调整、实施和测试以改善护理的过渡

基本信息

批准号：
10529340
负责人：
Amisha Wallia
金额：
$ 32.42万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-12-01 至 2024-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10529340
关键词：
2019-nCoV 3D Print Accident and Emergency department Admission activity Adoption Ambulatory Care Facilities Award COVID-19 COVID-19 morbidity Caregivers Caring Clinical Trials Computer software Continuous Glucose Monitor Data Devices Diabetes Mellitus Disease Distress Dose Education Eligibility Determination Emergency department visit Engineering Enrollment Failure Feedback Future Glucose Glycosylated hemoglobin A Goals Healthcare Home Hospitalization Hospitals Human Hyperglycemia Hypoglycemia Injections Inpatients Insulin Intervention Intervention Trial Knowledge Learning Link Measures Medical Care Costs Methods Modeling Outcome Outpatients Patient Discharge Patients Persons Pharmaceutical Preparations Printing Process Process Measure Randomized Randomized, Controlled Trials Reporting Research Research Project Grants Safety Science Self Care Self Direction Self Management Severities Skin Standardization System Telemedicine Telephone Testing Time Training Training and Education Work blood glucose regulation cost cost comparison design diabetes education diabetes mellitus therapy diabetes self-management ethnic diversity ethnographic method experience follow-up glucose monitor glycemic control high risk hospital care hospital readmission implementation evaluation implementation framework improved infection rate innovation mortality multi-component intervention novel pandemic disease patient population post-COVID-19 pragmatic trial programs psychosocial racial diversity self-directed learning simulation skills skills training socioeconomics telehealth tool usability user centered design web site

项目摘要

Abstract/Project Summary: High-risk medication use is essential for certain disease states, such as diabetes mellitus, and transitions of care can be an especially hazardous time for those new to diabetes medications. Novel delivery methods, especially for telehealth, are needed in for the peri- and post-COVID era. The sickest population of patients, those with diabetes in the hospital, often require in depth knowledge and education transfer, as they transition from the inpatient to outpatient setting, but currently are getting in person and/or telemedicine training. The goal of this research project is to adapt a diabetes discharge toolkit [integrated software (website/app/print) and hardware (3-D printed kit) system] for use in a telehealth setting, utilizing novel learning science methods. We then propose to integrate and implement an intervention testing the newly adapted Telehealth Diabetes Discharge Toolkit for those requiring new and/or additional DM medications, and additional diabetes education at discharge. The goal will be to evaluate the implementation of the DM Toolkit at discharge, and then assess the feasibility of a pilot clinical trial of the intervention on glycemic control and glycemic excursions as well as other self-care and psychosocial measures.

摘要/项目摘要：高风险药物的使用对于某些疾病状态至关重要，例如糖尿病对于那些刚接触糖尿病药物的人来说，糖尿病和护理的转变可能是一个特别危险的时期。新冠疫情期间和之后的时代需要新的交付方法，尤其是远程医疗。最病态的患者群体，即医院里的糖尿病患者，通常需要深入的知识和教育转移，因为他们从住院病人过渡到门诊病人，但目前正在亲自和/或远程医疗培训。该研究项目的目标是调整糖尿病出院工具包[综合软件（网站/应用程序/打印）和硬件（3D 打印套件）系统]用于远程医疗环境，利用新颖的学习科学方法。然后，我们建议整合并实施一项干预措施，测试新的为那些需要新的和/或额外的糖尿病药物的人改编的远程医疗糖尿病出院工具包，以及出院时进行额外的糖尿病教育。目标是评估 DM 工具包的实施情况出院，然后评估血糖控制干预措施的试点临床试验的可行性血糖波动以及其他自我护理和心理社会措施。