Type 1 Diabetes
Conditions
Brief summary
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.
Detailed 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.
Interventions
OTHERtelemedicine
School telemedicine intervention involving school personnel, the child with type 1 diabetes and at least 1 parent
Sponsors
Department of Health and Human Services
New York State Department of Health
Children's Miracle Network
State University of New York - Upstate Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 14 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| hemoglobin A1c | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| glucose levels, hypoglycemia, quality of life, satisfaction | 1 year |
Countries
United States
Outcome results
None listed