200 Participants Needed

Telehealth Follow-Up for Diabetes

DC
Overseen ByDavid C. Lee
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: NYU Langone Health
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to understand why some individuals with a new diabetes diagnosis from the emergency room do not follow up with a regular doctor. It will test whether telehealth visits (online doctor appointments) can better connect these patients to ongoing medical care. Participants will either have telehealth visits (Telehealth Bridge Visits) or receive standard care. Individuals recently diagnosed with diabetes in an emergency room, residing in New York City or Long Island, and speaking English or Spanish might be suitable candidates. As an unphased trial, this study offers a unique opportunity to enhance understanding and improve diabetes care for newly diagnosed patients.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your doctor.

What prior data suggests that telehealth bridge visits are safe for diabetes follow-up?

Research has shown that telehealth visits are generally safe and effective for diabetes care. A review of several studies found that online consultations manage diabetes, including blood sugar control, as effectively as in-person visits. Another study found that telehealth services improved overall health for people with diabetes.

In a survey, 62% of participants reported that telehealth was more effective than in-person doctor visits, and 82% preferred using telehealth for their diabetes care. These findings suggest telehealth is a safe and effective choice for people with diabetes.12345

Why are researchers excited about this trial?

Researchers are excited about telehealth bridge visits for diabetes management because they offer a unique way to connect patients with newly diagnosed diabetes to primary care right after an emergency department visit. Unlike traditional diabetes care, which typically involves in-person follow-up appointments and can sometimes lead to delays in care, this approach uses virtual visits to ensure timely and convenient access to healthcare professionals. This can potentially improve patient outcomes by facilitating faster intervention and personalized care plans, ultimately aiming to seamlessly transition patients from emergency care to ongoing diabetes management.

What evidence suggests that telehealth bridge visits are effective for improving follow-up care in newly diagnosed diabetes patients?

This trial will compare Telehealth Bridge Visits with Standard of Care for patients with newly diagnosed diabetes. Research has shown that telehealth bridge visits effectively connect patients to follow-up care after they leave the emergency room. Studies have found that telemedicine, which provides healthcare services remotely through technology, can replace regular in-person visits and is particularly helpful for managing diabetes. This method has delivered necessary care to patients in remote or underserved areas. Feedback from patients and healthcare providers suggests that telehealth improves access to care and helps manage diabetes effectively. Overall, telehealth bridge visits offer a promising way to ensure patients receive the follow-up care they need.678910

Who Is on the Research Team?

DC

David C. Lee

Principal Investigator

NYU Langone Health

Are You a Good Fit for This Trial?

This trial is for emergency department patients in New York City or Long Island who speak English or Spanish, can consent to participate, and have an initial HbA1c test result of ≥ 6.5%, indicating new diabetes. It's not for those with a history of diabetes or conditions affecting the HbA1c test.

Inclusion Criteria

Able to provide informed consent
Residential address in New York City or Long Island
Primary language is English or Spanish
See 1 more

Exclusion Criteria

I have never been diagnosed with diabetes.
You do not have any medical condition that could affect the accuracy of the HbA1c test, like sickle cell disease or recent significant blood loss.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Retrospective Chart Review

Retrospective chart review of emergency department patients screened for diabetes

Not specified

Qualitative Interviews

Prospective qualitative interviews among ED patients with newly diagnosed diabetes who fail to follow-up for outpatient care

Not specified

Randomized Controlled Trial

Testing the efficacy of telehealth bridge visits to connect ED patients with newly diagnosed diabetes to outpatient primary care

Up to 6 months

Follow-up

Participants are monitored for completion of at least one in-person follow-up outpatient visit

Up to 6 months post-diagnosis

What Are the Treatments Tested in This Trial?

Interventions

  • Standard of Care
  • Telehealth Bridge Visits
Trial Overview The study tests if telehealth bridge visits are effective in connecting patients newly diagnosed with diabetes in the ED to follow-up outpatient care, compared to standard practices. It includes chart reviews, interviews, and a randomized controlled trial component.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Telehealth Bridge VisitsExperimental Treatment1 Intervention
Group II: ControlActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

NYU Langone Health

Lead Sponsor

Trials
1,431
Recruited
838,000+

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Trials
2,513
Recruited
4,366,000+

Published Research Related to This Trial

Project ECHO is a telementoring program that enhances the management of complex diseases like diabetes in underserved areas by allowing multiple patients to benefit from shared expertise, rather than just one-on-one specialist consultations.
The Endo ECHO program, specifically designed for patients with complex diabetes in rural New Mexico, is undergoing a 4-year evaluation to assess its impact on health outcomes, healthcare utilization, and cost-effectiveness, potentially serving as a model for similar initiatives globally.
Taking Telemedicine to the Next Level in Diabetes Population Management: a Review of the Endo ECHO Model.Bouchonville, MF., Paul, MM., Billings, J., et al.[2018]
A randomized controlled trial involving 1,665 Medicare recipients with diabetes demonstrated that telemedicine case management significantly improved key health metrics, including hemoglobin A1c, LDL cholesterol, and blood pressure over a 5-year period.
Despite the improvements in health outcomes, the study found no significant difference in mortality rates between the telemedicine and usual care groups, suggesting that while telemedicine is effective for managing diabetes, it does not impact overall survival rates.
A randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically underserved patients with diabetes mellitus: 5 year results of the IDEATel study.Shea, S., Weinstock, RS., Teresi, JA., et al.[2022]

Citations

Telehealth Technologies in Diabetes Self-management ...This review focuses on self-educational telehealth tools available for diabetes self-management, their advantages and disadvantages, and factors that need to ...
Telehealth Follow-Up for DiabetesTrial Overview The study tests if telehealth bridge visits are effective in connecting patients newly diagnosed with diabetes in the ED to follow-up outpatient ...
Patient and Clinician Perspectives on the Effectiveness of ...This study aims to assess clinician and patient perspectives on specific benefits and limitations of current telemedicine care delivery for type 2 diabetes.
Diabetes Clinic at a Distance: Telemedicine Bridges the GapIn Brief. Clinic-to-clinic telemedicine has been shown to be an efficient and effective means of providing diabetes care to remote, ...
Evaluating the Impact of Telemedicine on Diabetes ...This review highlights telemedicine's potential to replace routine in-person visits for diabetes management in rural areas, demonstrating ...
The Impact of Virtual Consultations on Quality of Care for ...The meta-analysis showed that VCs are just as effective as face-to-face consultations in controlling HbA1c levels. Several studies highlighted ...
Telehealth use and its impact on clinical outcomes in patients ...Our findings suggest that telehealth services contributed to better glycaemic control and management of other clinical outcomes in patients with ...
Telehealth for Diabetes in Older AdultsIn a national survey, 62% of respondents found telehealth to be more effective than in-person care, and 82% of respondents preferred using it ...
Effectiveness of telehealth on the glycemic control ...This study aimed to examine the impact of telehealth on the glycemic control of individuals with type 2 diabetes mellitus during the pandemic.
10.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40138360/
Telemedicine Visit Use and Glycemic Control in Patients with ...Higher rates of phone but not video visits were associated with worse glycemic control in patients with higher baseline HbA1c.
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