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Vojtila L, Sherifali D, Dragonetti R, Ashfaq I, Veldhuizen S, Naeem F, Agarwal SM, Melamed OC, Crawford A, Gerretsen P, Hahn M, Hill S, Kidd S, Mulsant B, Serhal E, Tackaberry-Giddens L, Whitmore C, Marttila J, Tang F, Ramdass S, Lourido G, Sockalingam S, Selby P
Technology-Enabled Collaborative Care for Concurrent Diabetes and Distress Management During the COVID-19 Pandemic: Protocol for a Mixed Methods Feasibility Study
Technology-enabled Collaborative Care for Concurrent Diabetes and Distress Management during COVID-19: A protocol for a mixed methods feasibility study
Lenka Vojtila;
Diana Sherifali;
Rosa Dragonetti;
Iqra Ashfaq;
Scott Veldhuizen;
Farooq Naeem;
Sri Mahavir Agarwal;
Osnat C. Melamed;
Allison Crawford;
Philip Gerretsen;
Margaret Hahn;
Sean Hill;
Sean Kidd;
Benoit Mulsant;
Eva Serhal;
Leah Tackaberry-Giddens;
Carly Whitmore;
Jennifer Marttila;
Frank Tang;
Seeta Ramdass;
Gloria Lourido;
Sanjeev Sockalingam;
Peter Selby
ABSTRACT
Background:
The COVID-19 pandemic disrupted the delivery of diabetes care and also worsened mental health among many patients with Type 2 diabetes (T2D). This disruption puts patients with T2D at risk for poor diabetes outcomes, especially those who experience social disadvantage due to socioeconomic class, rurality or ethnicity. The appropriate use of communication technology could reduce these gaps in diabetes care created by the pandemic and also provide support for psychological distress.
Objective:
This study tests the feasibility of a Technology-Enabled Collaborative Care (TECC) for diabetes management and mental health support among adults with T2D.
Methods:
We will recruit 30 adults with T2D residing in Ontario, Canada to participate in our sequential explanatory mixed methods study. They will participate in 8 weekly, virtual health coaching sessions with a Nurse, Certified Diabetes Educator (CDE) who is supported by a virtual care team. Assessments will be completed at baseline, 4 weeks, and 8 weeks, with a 12-week follow-up. Our primary outcome is the feasibility and acceptability of the intervention as evident by participant recruitment and retention rates. Key secondary outcomes include assessment completion and delivery of the intervention. Exploratory outcomes consist of changes in mental health, substance use, and physical health behaviours. Stakeholder experience and satisfaction will be explored through a qualitative descriptive study.
Results:
This paper describes the protocol of the study. Recruitment commenced in June 2021. This study was registered on October 29, 2020 on clinicaltrials.gov (Registry ID: NCT04607915).
Conclusions:
This TECC program will determine the feasibility of TECC in patients with T2D and mental health issues.
Citation
Please cite as:
Vojtila L, Sherifali D, Dragonetti R, Ashfaq I, Veldhuizen S, Naeem F, Agarwal SM, Melamed OC, Crawford A, Gerretsen P, Hahn M, Hill S, Kidd S, Mulsant B, Serhal E, Tackaberry-Giddens L, Whitmore C, Marttila J, Tang F, Ramdass S, Lourido G, Sockalingam S, Selby P
Technology-Enabled Collaborative Care for Concurrent Diabetes and Distress Management During the COVID-19 Pandemic: Protocol for a Mixed Methods Feasibility Study