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：
10345854
负责人：
Amisha Wallia
金额：
$ 33.17万
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/10345854
关键词：
2019-nCoV 3D Print Accident and Emergency department Adoption Ambulatory Care Facilities Award COVID-19 COVID-19 morbidity COVID-19 pandemic Caregivers Caring Clinical Trials Computer software Data Devices Diabetes Mellitus Disease Distress Dose Education Emergency department visit Engineering Enrollment Failure Feedback Future Glare 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 Patients Persons Pharmaceutical Preparations Process Process Measure Randomized Randomized Controlled Trials Reporting Research Research Project Grants Safety Science Self Care Self Management Self-Direction Severities Skin Standardization System Telemedicine Telephone Testing Time Training Training and Education Work base blood glucose regulation cost design diabetes education diabetes mellitus therapy diabetes self-management ethnic diversity ethnographic method experience follow-up glucose monitor glycemic control high risk 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 and ethnic 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：高风险药物使用对于某些疾病状态，例如糖尿病至关重要对于那些新的糖尿病药物的人来说，梅利氏菌和护理过渡可能是一个特别危险的时期。在周期和杂化时代，需要新颖的分娩方法，尤其是对于远程医疗。最恶心的患者的人口，医院患有糖尿病的患者，通常需要深入知识和教育转移，因为它们从住院过渡到门诊环境，但目前正在亲自和/或远程医疗培训。该研究项目的目的是调整糖尿病排放工具包[集成软件（网站/应用程序/打印）和硬件（3-D打印套件）系统用于远程医疗设置新颖的学习科学方法。然后，我们建议整合并实施新的干预测试适用于需要新的和/或其他DM药物的人的远程医疗糖尿病释放工具包，以及出院时的其他糖尿病教育。目标是评估DM工具包的实现放电，然后评估对血糖控制干预措施的试验临床试验的可行性血糖游览以及其他自我保健和社会心理措施。