School Centered Telemedicine Program for Children With Type 1 Diabetes Mellitus

State University of New York - Upstate Medical University

Status: Completed

Conditions: Type 1 Diabetes

Treatments: Other: telemedicine

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT00566475

IRB#5302

Details and patient eligibility

About

The purpose of this study is to determine if using school-based telemedicine for diabetes support and education in students with type 1 diabetes in grades K-8 can lead to improvement in control of diabetes and improved satisfaction of all caregivers.

Full description

Subjects, ages 5 to 14 years (grades kindergarten through eighth) were randomized to usual care (18 students; 13 schools) or intervention (23 students; 12 schools). Usual care included medical visits every 3 months and communication between school nurse and diabetes team as needed by phone. The intervention group received usual care plus a telemedicine unit in the school nurse office to videoconference between the school nurse, child, and diabetes team every month. Hemoglobin A1c and pediatric quality of life were measured every 3 months for 1 year. Analyses used multilevel modeling.

Enrollment: 41 patients

Sex: All

Ages: 5 to 14 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Type 1 diabetes under care of Joslin Diabetes Center in Syracuse NY
• Grade K-8
• Age 5-14 at time of enrollment
• Consent of student, parent and school

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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41 participants in 2 patient groups

1

No Intervention group

Description:

Usual care of type 1 diabetes at the diabetes center

2

Experimental group

Description:

Usual care at the diabetes center supplemented by a telemedicine intervention in the school involving school personnel, the child with diabetes and at least 1 parent of the child. The diabetes center NP conducts videovisits with the school nurse, patient (child) +/- parent monthly.

Treatment:

Other: telemedicine