A Comparison of Diabetes Group Education as Administered Through Telemedicine Versus as Administered in Person

Study Overview
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Brief Summary
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This study compares group diabetes education in-person versus via telemedicine

Detailed Description
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Diabetes education is important in the treatment of the person with diabetes. A diabetes self-management education program not only educates the patient and his/her family to the basics of diabetes care but also integrates diabetes care into daily life while providing coping skills to adjust to this chronic illness. Unfortunately, comprehensive diabetes care is not available to all persons with diabetes. One obstacle to the provision of comprehensive diabetes care is the unavailability of a diabetes treatment center. many people with diabetes live too far or do not have the transportation to be able to attend education programs that met national standards. We have shown that telemedicine is an effective means to provide comprehensive 1:1 individualized diabetes education to persons with diabetes. We now propose to test the hypothesis that diabetes groups education classes can be provided effectively through telemedicine technology to individuals living in rural areas. Patients with diabetes will received diabetes education via teleconferencing from our Joslin Diabetes center. The participants will be assessed before and after diabetes education via telemedicine using measures of glycemia (A1c) and assessments of patient satisfaction, emotional well being, and behavioral change and compared to results from participants attending our diabetes education classes in-person.

Official Title
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A Comparison of Diabetes Group Education as Administered Through Telemedicine Versus as Administered in Person

Conditions
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Diabetes Mellitus

Intervention / Treatment
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* Other: diabetes education via telemedicine
* Other: diabetes education in-person


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Type 1 or type 2 diabetes mellitus age > 18 years Exclusion Criteria: Profound vision loss Severe hearing impairment

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>This arm will receive diabetes education via telemedicine | Other: diabetes education via telemedicine<br>* This arm will receive diabetes group education via telemedicine<br>|
| Active Comparator: 2<br>diabetes education in-person | Other: diabetes education in-person<br>* In this arm the group of patients with diabetes will receive diabetes education in-person<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| A1c |  | baseline, 3 mo post intervention, 6 mo post intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| PAID scale |  | baseline, 3 and 6 months post intervention | 
| Diabetes Treatment Satisfaction Questionnaire |  | Baseline, 3 and 6 months post intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Diabetes Education, Telemedicine