Implementation Toolkits for Diabetes
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine whether special toolkits can help medical and psychology providers at Nemours Children's Hospital Delaware offer better support to families managing type 1 diabetes. The toolkits, which include the Base Implementation Toolkit (BIT), BIT-Enhanced, and BIT-Sustainment, provide strategies such as staff education and clear referral plans. The trial will assess the successful implementation of these toolkits in the hospital and evaluate their usefulness to the staff. Participants include professionals involved in the care or scheduling for adolescents with type 1 diabetes at the hospital. As an unphased trial, this study presents a unique opportunity to contribute to innovative strategies that could enhance patient care.
What prior data suggests that these implementation toolkits are safe for use by healthcare professionals?
Studies have shown that the Base Implementation Toolkit (BIT) used in diabetes care helps healthcare teams plan and maintain treatment changes. Reports of safety issues or side effects are absent, suggesting it is likely safe to use. Additionally, digital tools linked to these toolkits can improve health outcomes, such as better blood sugar control.
The BIT-Enhanced component also aims to improve diabetes care with supportive tools. While specific safety data isn't detailed, research indicates that digital tools can moderately improve diabetes management without major safety concerns.
For the BIT-Sustainment part, research highlights the benefits of ongoing support in managing diabetes, helping to maintain improvements over time. Again, no specific safety issues are reported, implying it is well-tolerated.
Overall, these toolkits focus on enhancing care and support for diabetes management. Current data does not indicate any safety concerns, suggesting a positive safety profile for these interventions.12345Why are researchers excited about this trial?
Researchers are excited about the Implementation Toolkits for Diabetes because they offer a comprehensive approach to managing diabetes care. Unlike traditional treatments that focus primarily on medication and lifestyle changes, these toolkits provide a structured method to improve how diabetes care is delivered. The Base Implementation Toolkit (BIT) serves as the foundation, while BIT-Enhanced offers additional support if needed, and BIT-Sustainment ensures long-term success. This approach aims to streamline and enhance diabetes management, potentially leading to more consistent and effective outcomes for patients.
What evidence suggests that these implementation toolkits are effective for type 1 diabetes care?
Research has shown that the Base Implementation Toolkit (BIT), provided to participants in this trial, can help healthcare professionals deliver better care for people with diabetes. Studies have found that these toolkits improve diabetes outcomes by reducing stress and boosting resilience. The BIT-Enhanced approach, which includes digital tools and may be used if indicated in this trial, has helped manage blood sugar levels and improve communication between patients and healthcare providers. This results in better diabetes control, with small but positive effects on blood sugar levels, as evidenced by a reduction in HbA1c (a measure of blood sugar control) by 0.23 to 0.60 percentage points. Overall, these toolkits offer structured support that enhances diabetes care and management.678910
Are You a Good Fit for This Trial?
This trial is for healthcare professionals at Nemours Children's Hospital Delaware who work with children with type 1 diabetes, such as doctors, nurse practitioners, psychologists, and staff involved in scheduling or billing.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Preparation
Participants attend educational and planning meetings, receive email updates, and complete surveys and interviews
Active Implementation
Implementation of the Base Implementation Toolkit (BIT) and BIT-Enhanced strategies, including feedback loops and consultation support
Sustainment
Training of Champions and independent leadership of meetings to ensure sustainability of Diabetes Coaching
Follow-up
Participants are monitored for the sustainability of adoption, reach, and fidelity of Diabetes Coaching
What Are the Treatments Tested in This Trial?
Interventions
- Base Implementation Toolkit (BIT)
- BIT-Enhanced
- BIT-Sustainment
Trial Overview
The study is testing different toolkits designed to help medical teams deliver a diabetes coaching program. These toolkits include resources like training sessions and referral guides. The goal is to see if these tools are practical and helpful for providers.
How Is the Trial Designed?
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Treatment groups
Experimental Treatment
In this arm, all participants will receive BIT. If indicated, BIT-Enhanced will be deployed. All participants will receive BIT-Sustainment.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Nemours Children's Clinic
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator
Citations
Effectiveness of Digital Diabetes Management Technology on ...
This technology simplifies blood glucose monitoring and boosts patient-provider communication [16]. Research indicates that it allows HCPs to assess data in ...
Health and Economic Benefits of Diabetes Interventions
Effective blood sugar management can reduce the risk of eye disease, kidney disease, and nerve disease by 40%. · Blood pressure management can ...
New Report Finds That Digital Diabetes Management ...
The studies show that these digital tools deliver small reductions in HbA1c of 0.23 to 0.60 percentage points compared to usual care.
Preliminary effectiveness and feasibility of ASHA-led ...
This study demonstrates that task-shifting and digital health tools can improve diabetes outcomes in low-resource settings.
A randomized controlled trial to test the effectiveness of two ...
In closing, our findings show that a technology-enhanced diabetes prevention program was effective in reducing BMI at 6 months and maintaining these results at ...
Improving Health Outcomes of People with Diabetes Mellitus
Diabetes prevention and control: combined diet and physical activity promotion programs to prevent type 2 diabetes among people at increased risk (abbreviated).
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diabetesjournals.org
diabetesjournals.org/care/article/43/1/250/35864/Diabetes-Digital-App-Technology-BenefitsDiabetes Digital App Technology: Benefits, Challenges, and ...
They found only 14 apps with clinical outcomes data published. Medical devices are prone to security-breaching attacks; for example, incidents have been ...
8.
hssib.org.uk
hssib.org.uk/patient-safety-investigations/insulin-supporting-safe-administration-in-inpatient-settings/investigation-report/Insulin: supporting safe administration in inpatient settings
This report considers the safe administration of insulin for people with known diabetes mellitus, who may be at risk of harm during ...
Overview of Data Outcomes in Diabetes Study
Focusing first on the 90-days data, we can see that mean glucose decreases in both people with type 1 diabetes and people with type 2 diabetes ...
10.
facebook.com
facebook.com/uvahealth/posts/a-new-algorithm-developed-by-the-uva-center-for-diabetes-technology-when-paired-/1453975840101379/UVA Health
In a 16-week clinical trial, participants who used the algorithm saw their average time in a safe blood-sugar range jump from 54.1 to 75.3 ...
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