TY - JOUR
T1 - Using Telecommunication Technology to Manage Children with Diabetes
T2 - The Computer-Linked Outpatient Clinic (CLOC) Study
AU - Marrero, David G.
AU - Wright, James C.
AU - Johnson, Nancy B.
AU - Vandagriff, Julie L.
AU - Kronz, Kathy
AU - Msn, Deborah Gray
AU - Fineberg, Naomi S.
AU - Golden, Michael P.
PY - 1995/8
Y1 - 1995/8
N2 - The purpose of this study was to evaluate the effrcacy of using a telecommunication system to assist in the outpatient management of pediatric patients with insulin- dependent diabetes. Metabolic control, patients' psychosocial status, family functioning, perceived quality of life, patterns of parental/child responsibility for daily diabetes maintenance, and nursing time-on-task were evaluated. One hundred six pediatric patients (mean age= 13.3 years) were randomly assigned to an experimental or control outpatient clinic for 1 year. Experimental subjects transmitted self-monitoring blood glucose data by modem to the hospital every 2 weeks. Transmitted data were reviewed by nurse practitioners who telephoned subjects to discuss regimen adjustments. Control subjects received standard care with regimen adjustments made by physicians. There were no significant between-group differences for metabolic control, rates of hospitalization or emergency-room visits, psychological status, general family functioning, quality of life, or parent-child responsibility. A significant decrease was noted in nursing time-on-task for experimental subjects.
AB - The purpose of this study was to evaluate the effrcacy of using a telecommunication system to assist in the outpatient management of pediatric patients with insulin- dependent diabetes. Metabolic control, patients' psychosocial status, family functioning, perceived quality of life, patterns of parental/child responsibility for daily diabetes maintenance, and nursing time-on-task were evaluated. One hundred six pediatric patients (mean age= 13.3 years) were randomly assigned to an experimental or control outpatient clinic for 1 year. Experimental subjects transmitted self-monitoring blood glucose data by modem to the hospital every 2 weeks. Transmitted data were reviewed by nurse practitioners who telephoned subjects to discuss regimen adjustments. Control subjects received standard care with regimen adjustments made by physicians. There were no significant between-group differences for metabolic control, rates of hospitalization or emergency-room visits, psychological status, general family functioning, quality of life, or parent-child responsibility. A significant decrease was noted in nursing time-on-task for experimental subjects.
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U2 - 10.1177/014572179502100409
DO - 10.1177/014572179502100409
M3 - Article
C2 - 7621734
AN - SCOPUS:0029339685
SN - 0145-7217
VL - 21
SP - 313
EP - 319
JO - The Diabetes Educator
JF - The Diabetes Educator
IS - 4
ER -