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

摘要/项目摘要：高风险药物的使用对某些疾病状态至关重要，如糖尿病 对于那些新的糖尿病药物治疗的人来说，治疗的过渡可能是一个特别危险的时期。 新的交付方法，特别是远程医疗，需要在新冠肺炎和后时代。病情最严重的 患者人群，即住院的糖尿病患者，通常需要深入的知识和教育 转移，因为他们从住院过渡到门诊，但目前正在亲自和/或 远程医疗培训。本研究项目的目标是适应糖尿病出院工具包[集成 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， 新颖的学习科学方法。然后，我们建议整合和实施一项干预措施， 为那些需要新的和/或额外的糖尿病药物治疗的人改编的远程医疗糖尿病出院工具包，以及 出院时进行糖尿病教育。目标是在2010年评价管理问题工具包的执行情况， 出院，然后评估干预血糖控制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。

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.