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

摘要/项目摘要：对于某些疾病状态，如糖尿病，高风险用药是必不可少的 对于那些新接触糖尿病药物的人来说，护理过渡可能是一个特别危险的时期。 需要新的提供方法，特别是远程保健，以适应冠状病毒感染前后时代的需要。病情最严重的人 住院的糖尿病患者，往往需要深入的知识和教育 转移，因为他们从住院过渡到门诊设置，但目前正在亲自和/或 远程医疗培训。该研究项目的目标是改编一种糖尿病出院工具包[集成 软件(网站/应用程序/打印)和硬件(3-D打印套件)系统]用于远程保健环境，利用 新颖的学习科学方法。然后，我们建议集成并实施一项新的干预测试 为那些需要新的和/或额外的糖尿病药物的人调整了TeleHealth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，网址为 出院，然后评估干预血糖控制和治疗的试点临床试验的可行性 血糖短途旅行以及其他自我护理和心理社会措施。

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.