1. Team clinic: Expansion of a multidisciplinary care model for adolescents with type 1 diabetes.
- Author
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Salvy SJ, Ruelas V, Majidi S, Thomas A, Ashwal G, Reid M, Fox DS, McClain S, and Raymond JK
- Subjects
- Adolescent, Ambulatory Care Facilities, Child, Humans, Patient Compliance, Young Adult, Diabetes Mellitus, Type 1 therapy, Shared Medical Appointments
- Abstract
Background: Adolescent and young adults (AYA) with Type 1 Diabetes (T1D) experience more difficulty with glycemic control than patients in all other age groups. The shared medical appointment (SMA) model has been effective in multiple healthcare populations, but the feasibility and effectiveness of SMA in AYA patients with T1D is unclear., Methods: This research leverages the team's multidisciplinary expertise to develop an engaging intervention toolkit and test the implementation of the Team Clinic care model for the treatment of T1D among middle school adolescents in a large urban children's hospital serving an economically, racially and ethnically diverse population. In Phase 1, the team will manualize the Team Clinic care model into an engaging, age-appropriate educational and intervention toolkit. In Phase 2, the team will conduct a randomized clinical trial to test the feasibility and usability of the toolkit from the provider perspective (team member satisfaction; clinical efficiency; compliance with American Diabetes Association, American Association of Diabetes Educators, and California Children's Services standards; and payor-level cost data) and the preliminary efficacy of the intervention toolkit on patient- and family-level outcomes (attendance, acceptability/satisfaction with care, patient-level cost data, diabetes outcomes, diabetes family conflict, diabetes distress, and depression)., Discussion: AYA patients with T1D often receive care in clinics and institutions with limited resources and time. This research tests the feasibility and efficacy of an innovative and potentially cost-effective SMA model to address the unique needs of underserved populations, while meeting national and state clinical standards. Trial registration The study is registered with ClinicalTrials.gov (Protocol Record: NCT04190368)., Competing Interests: Declaration of Competing Interest The authors declare that they have no conflict of interest or competing interests pertinent to this study. The authors have no financial relationships relevant to this article to disclose., (Copyright © 2020 Elsevier Inc. All rights reserved.)
- Published
- 2020
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