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

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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.