Assessing the benefits and challenges of video consultations for the treatment of children with type 1 diabetes - A qualitative study among diabetes professionals.


Journal

Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
ISSN: 1439-3646
Titre abrégé: Exp Clin Endocrinol Diabetes
Pays: Germany
ID NLM: 9505926

Informations de publication

Date de publication:
Nov 2021
Historique:
pubmed: 8 5 2020
medline: 9 2 2022
entrez: 8 5 2020
Statut: ppublish

Résumé

Video consultations are promoted as a tool to effectively supplement paediatric diabetes outpatient care. However, knowledge about attitudes of diabetes professionals towards this new technology is lagging behind. Diabetologists and diabetes nurses participating in a controlled study (the VIDIKI study) with monthly video consultations for children with type 1 diabetes were interviewed about their experience with this type of communication. Guideline-based qualitative interviews with 9 telemedicine experts (7 paediatric diabetologists and 2 diabetes nurses) and 7 paediatric diabetologists who agreed to the telemedical co-treatment of their patients were analysed using qualitative content analysis, in particular inductive category formation. Diabetes experts reported generally positive attitudes towards video consultations. They identified a number of unique benefits of telemedical interventions, including higher frequency of contacts, greater sense of patient´s safety, ability to interact with patients in their own homes, more timely and accurate medical monitoring, and improved data management. Additionally, it was important to the experts to maintain regular face-to-face consultations and to ensure close communication between telemedicine and outpatient clinical experts. Prerequisites for successful video consultations include a comprehensive initial technical training and an agreement on treatment responsibilities of all health care professionals involved in the patient's care. Under these conditions, the experts reported significant advantages of video consultation in the treatment of children with type 1 diabetes.

Sections du résumé

BACKGROUND BACKGROUND
Video consultations are promoted as a tool to effectively supplement paediatric diabetes outpatient care. However, knowledge about attitudes of diabetes professionals towards this new technology is lagging behind. Diabetologists and diabetes nurses participating in a controlled study (the VIDIKI study) with monthly video consultations for children with type 1 diabetes were interviewed about their experience with this type of communication.
RESEARCH DESIGN AND METHODS METHODS
Guideline-based qualitative interviews with 9 telemedicine experts (7 paediatric diabetologists and 2 diabetes nurses) and 7 paediatric diabetologists who agreed to the telemedical co-treatment of their patients were analysed using qualitative content analysis, in particular inductive category formation.
RESULTS RESULTS
Diabetes experts reported generally positive attitudes towards video consultations. They identified a number of unique benefits of telemedical interventions, including higher frequency of contacts, greater sense of patient´s safety, ability to interact with patients in their own homes, more timely and accurate medical monitoring, and improved data management. Additionally, it was important to the experts to maintain regular face-to-face consultations and to ensure close communication between telemedicine and outpatient clinical experts.
CONCLUSIONS CONCLUSIONS
Prerequisites for successful video consultations include a comprehensive initial technical training and an agreement on treatment responsibilities of all health care professionals involved in the patient's care. Under these conditions, the experts reported significant advantages of video consultation in the treatment of children with type 1 diabetes.

Identifiants

pubmed: 32380561
doi: 10.1055/a-1149-8814
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

831-836

Subventions

Organisme : FP-04008-2018
ID : German Diabetes Foundation (DDS)
Organisme : 01NVF16023
ID : German Federal Joint Committee

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

SVS reports being a consultant for Abbott, Dexcom, Lilly, NovoNordisk and Medtronic and having received lecture fees from Abbott, Berlin-Chemie, Lilly, NovoNordisk, Merck, Medtronic and Sanofi, with no potential conflicts of interest relevant to this article. All other authors declare no potential conflicts of interest relevant to this manuscript.

Auteurs

Fabian-Simon Frielitz (FS)

Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.

Jana Dördelmann (J)

Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.

Stella Lemke (S)

Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.

Karin Lange (K)

Medical Psychology, Hannover Medical School, Hannover, Germany.

Olaf Hiort (O)

Division of Paediatric Endocrinology and Diabetology, University Medical Center Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.

Alexander Katalinic (A)

Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.

Simone von Sengbusch (S)

Division of Paediatric Endocrinology and Diabetology, University Medical Center Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.

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Classifications MeSH