A virtual clinic for the management of diabetes-type 1: study protocol for a randomised wait-list controlled clinical tr
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STUDY PROTOCOL
Open Access
A virtual clinic for the management of diabetes-type 1: study protocol for a randomised wait-list controlled clinical trial Elisabet Nerpin1,2,3* , Eva Toft4,5, Johan Fischier5, Anna Lindholm-Olinder6,7 and Janeth Leksell3,6
Abstract Background: Diabetes is a serious chronic disease. Medical treatment and good psychosocial support are needed to cope with acute and long-term effects of diabetes. Self-management is a large part of diabetes management, with healthcare providers playing a supportive role. Young adults with type 1 diabetes are of special interest as they tend to have higher mean glycosylated haemoglobin values than other patients with type 1 diabetes, and they often miss visits in traditional diabetes care. A well-designed virtual solution may improve a range of measures (e.g. glycaemic control and perceived health) and reduce hospitalisations. Method: This randomised controlled trial with a control group using a wait list design will recruit 100 young adults from a hospital in Sweden. All participants will receive usual diabetes care besides the virtual clinic. The primary objective is to evaluate the effect of a virtual diabetes clinic on glycaemic control, treatment satisfaction and quality of life in young adults (aged 18–25 years) with type-1 diabetes. The secondary objective is to determine the effects of virtual care on the patient experience. Discussion: Virtual tools are becoming increasingly common in healthcare; however, it remains unclear if these tools improve diabetes self-management. The results of this study will build understanding of how healthcare providers can use a virtual clinic to improve diabetes self-management. Trial registration: Current controlled trials: ISRCTN, number: 73435627, registered 23 October 2019. https://doi.org/ 10.1186/ISRCTN73435627 Keywords: Type 1 diabetes, Young adult, Virtual clinic, E-health, Randomised controlled trial
Background Diabetes is a common and serious chronic disease that may have severe complications and is a cause of premature death [1, 2]. Diabetes is an ever-present condition characterised by a constant struggle and by feelings of constraint, of fear, shame and of being alone, but also by courage, by a sense of trusting * Correspondence: [email protected] 1 Department of Medical Sciences, Respiratory Medicine, Allergy and Sleep, Uppsala University, Uppsala, Sweden 2 Department of Medical Sciences: Clinical Physiology, Uppsala University, Uppsala, Sweden Full list of author information is available at the end of the article
one’s own abilities and by closeness with family, friends and others with diabetes [3, 4]. Self-management could be challenge and difficult to maintain for many diabetes patients. Patients describe their everyday life as a balancing act between high and low blood sugar concentrations, between diet and exercise and desire and demands [3, 4]. It is possible to live a good life with diabetes, but this is demanding. Selfmanagement is a crucial part of diabetes management, especially for those with insu
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