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Controlled Clinical Trial
. 2019 Aug;42(8):1589-1592.
doi: 10.2337/dc19-0363. Epub 2019 Jun 12.

Cost-effectiveness of Shared Telemedicine Appointments in Young Adults With T1D: CoYoT1 Trial

Wen Wan  1 , Aviva G Nathan  2 , M Reza Skandari  2 , Parmida Zarei  2 , Mark W Reid  3 , Jennifer K Raymond  3 , Elbert S Huang  2
Affiliations
Controlled Clinical Trial

Cost-effectiveness of Shared Telemedicine Appointments in Young Adults With T1D: CoYoT1 Trial

Wen Wan et al. Diabetes Care. 2019 Aug.

Abstract

Objective: Young adults with type 1 diabetes (T1D) often struggle to achieve glycemic control and maintain routine clinic visits. We aimed to evaluate the societal cost-effectiveness of the Colorado young adults with T1D (CoYoT1) Clinic, an innovative care model of shared medical appointments through home telehealth.

Research design and methods: Patients self-selected into the CoYoT1 (N = 42) or usual care (N = 39) groups.

Results: Within the trial, we found no significant differences in 9-month quality-adjusted life; however, the control group had a larger decline from baseline in utility than the CoYoT1 group, indicating a quality of life (QoL) benefit of the intervention (difference in difference mean ± SD: 0.04 ± 0.09; P = 0.03). There was no significant difference in total costs. The CoYoT1 group had more study-related visits but fewer nonstudy office visits and hospitalizations. CONCLUSIONS: The CoYoT1 care model may help young adults with T1D maintain a higher QoL with no increase in costs.

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References

    1. Peters A, Laffel L; American Diabetes Association Transitions Working Group . Diabetes care for emerging adults: recommendations for transition from pediatric to adult diabetes care systems: a position statement of the American Diabetes Association, with representation by the American College of Osteopathic Family Physicians, the American Academy of Pediatrics, the American Association of Clinical Endocrinologists, the American Osteopathic Association, the Centers for Disease Control and Prevention, Children with Diabetes, The Endocrine Society, the International Society for Pediatric and Adolescent Diabetes, Juvenile Diabetes Research Foundation International, the National Diabetes Education Program, and the Pediatric Endocrine Society (formerly Lawson Wilkins Pediatric Endocrine Society). Diabetes Care 2011;34:2477–2485 - PMC - PubMed
    1. Weigensberg MJ, Vigen C, Sequeira P, et al. . Diabetes Empowerment Council: integrative pilot intervention for transitioning young adults with type 1 diabetes. Glob Adv Health Med 2018;7:2164956118761808 - PMC - PubMed
    1. Raymond JK, Berget CL, Driscoll KA, Ketchum K, Cain C, Fred Thomas JF. CoYoT1 clinic: innovative telemedicine care model for young adults with type 1 diabetes. Diabetes Technol Ther 2016;18:385–390 - PMC - PubMed
    1. Viiginia AL. The challenges of diabetes management for emerging young adults. Diabetes Spectr 2011;24:4–5
    1. Los E, Ulrich J, Guttmann-Bauman I. Technology use in transition-age patients with type 1 diabetes: reality and promises. J Diabetes Sci Technol 2016;10:662–668 - PMC - PubMed

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