CoYoT1 to California
| Status: | Recruiting |
|---|---|
| Conditions: | Diabetes, Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 18 - 25 |
| Updated: | 3/13/2019 |
| Start Date: | January 20, 2019 |
| End Date: | December 2020 |
| Contact: | Jaquelin J Flores Garcia, BS |
| Email: | jfloresgarcia@chla.usc.edu |
| Phone: | 323-361-4842 |
CoYoT1 to California - Telemedicine to Engage Young Adults With Diabetes
CoYoT1 to California (CTC) was initiated to develop a patient-centered, home telehealth care
model for young adults (YA) ages 18-25 with T1D. It is a 2x2 factorial design, 15-month
intervention. Eighty participants will be randomized to Standard Care or CoYoT1 Care, which
is delivered by telehealth or in-person. CoYoT1 Care is a patient-centered care model that
consists of three major components: shared decision making (patient and provider agree upon
priorities for the medical visit), autonomy and supportive care (provider training in
communication strategies such as motivational interviewing), and goal setting and action
planning (provider training to coach YA in setting SMART goals, developing action plans, and
designing follow up plans). Additionally, didactic expert-led sessions (Standard Care) or
peer-led, YA-driven group sessions (CoYoT1 Care) are included. At the end of the study, a
focus group will be completed to assist in determining which features YA felt were critical
to their success from the telehealth intervention, group components, and provider behaviors.
model for young adults (YA) ages 18-25 with T1D. It is a 2x2 factorial design, 15-month
intervention. Eighty participants will be randomized to Standard Care or CoYoT1 Care, which
is delivered by telehealth or in-person. CoYoT1 Care is a patient-centered care model that
consists of three major components: shared decision making (patient and provider agree upon
priorities for the medical visit), autonomy and supportive care (provider training in
communication strategies such as motivational interviewing), and goal setting and action
planning (provider training to coach YA in setting SMART goals, developing action plans, and
designing follow up plans). Additionally, didactic expert-led sessions (Standard Care) or
peer-led, YA-driven group sessions (CoYoT1 Care) are included. At the end of the study, a
focus group will be completed to assist in determining which features YA felt were critical
to their success from the telehealth intervention, group components, and provider behaviors.
1. Standard Care - Standard (in -person) appointments
- Usual medical appointments.
- Opportunity to participate in available community and CHLA based educational and
support events.
- Complete online assessments/questionnaires.
- Invitation to a 2 hour audio-recorded discussion at the end of the study
2. Standard Care - Telehealth appointments
- Telehealth - with provider and/or team. Online video appointments every 3 months,
upload diabetes data to Tidepool, and do routine blood work at a facility near you
- Opportunity to participate in available community and CHLA based educational and
support events
- Complete online assessments/questionnaires
- Invitation to a 2 hour audio-recorded discussion at the end of the study
3. CoYoT1 Care - Standard Appointment
- In-person - medical appointments with provider and/or team
- Opportunity to participate in 30-60 minute online peer-led diabetes group
discussions
- Complete online assessments/questionnaires
- Invitation to a 2 hour audio-recorded discussion at the end of the study
4. CoYoT1 Care - Telehealth appointments
- Telehealth - with provider and/or team. Online video appointment every 3 months,
upload your diabetes data to Tidepool, and do routine blood work at a facility near
you
- Opportunity to participate in 30-60 minute online peer-led diabetes group
discussions
- Complete online assessments/questionnaires
- Invitation to a 2 hour audio-recorded discussion at the end of the study
- Usual medical appointments.
- Opportunity to participate in available community and CHLA based educational and
support events.
- Complete online assessments/questionnaires.
- Invitation to a 2 hour audio-recorded discussion at the end of the study
2. Standard Care - Telehealth appointments
- Telehealth - with provider and/or team. Online video appointments every 3 months,
upload diabetes data to Tidepool, and do routine blood work at a facility near you
- Opportunity to participate in available community and CHLA based educational and
support events
- Complete online assessments/questionnaires
- Invitation to a 2 hour audio-recorded discussion at the end of the study
3. CoYoT1 Care - Standard Appointment
- In-person - medical appointments with provider and/or team
- Opportunity to participate in 30-60 minute online peer-led diabetes group
discussions
- Complete online assessments/questionnaires
- Invitation to a 2 hour audio-recorded discussion at the end of the study
4. CoYoT1 Care - Telehealth appointments
- Telehealth - with provider and/or team. Online video appointment every 3 months,
upload your diabetes data to Tidepool, and do routine blood work at a facility near
you
- Opportunity to participate in 30-60 minute online peer-led diabetes group
discussions
- Complete online assessments/questionnaires
- Invitation to a 2 hour audio-recorded discussion at the end of the study
Inclusion Criteria:
- Any patient aged 18-25 years of age on their date of recruitment who has had T1D for
at least 6 months
- Currently receiving care at CHLA
- Has California Children's Services (CCS)
- Does not plan to transfer out of CHLA within the next year.
Exclusion Criteria:
- Any patient with severe behavioral or developmental disabilities
- Severe psychological diagnoses that would make group participation difficult
- Pregnancy
- Non-English speaking patients and families
- Has insurance other than CCS
- Literacy or cognitive issues that preclude the use of the Internet
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