Technology-Enabled Collaborative Care for Concurrent Diabetes and Distress Management During the COVID-19 Pandemic: Protocol for a Mixed Methods Feasibility Study
BackgroundThe COVID-19 pandemic disrupted the delivery of diabetes care and 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 du...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-01-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2023/1/e39724 |
| _version_ | 1797734513199022080 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Lenka Vojtila |
| collection | DOAJ |
| description |
BackgroundThe COVID-19 pandemic disrupted the delivery of diabetes care and 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.
ObjectiveThe purpose of this study is to test the feasibility of an innovative co-designed Technology-Enabled Collaborative Care (TECC) model for diabetes management and mental health support among adults with T2D.
MethodsWe 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 web-based health coaching sessions with a registered nurse, who is a certified diabetes educator, who will be supported by a digital care team (ie, a peer mentor, an addictions specialist, a dietitian, a psychiatrist, and a psychotherapist). 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 the 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 behaviors. Stakeholder experience and satisfaction will be explored through a qualitative descriptive study using one-on-one interviews.
ResultsThis paper describes the protocol of the study. The recruitment commenced in June 2021. This study was registered on October 29, 2020, on ClinicalTrials.gov (Registry ID: NCT04607915). As of June 2022, all participants have been recruited. It is anticipated that data analysis will be complete by the end of 2022, with study findings available by the end of 2023.
ConclusionsThe development of an innovative, technology-enabled model will provide necessary support for individuals living with T2D and mental health challenges. This TECC program will determine the feasibility of TECC for patients with T2D and mental health issues.
Trial RegistrationClinicalTrials.gov NCT04607915; https://clinicaltrials.gov/ct2/show/NCT04607915
International Registered Report Identifier (IRRID)DERR1-10.2196/39724 |
| first_indexed | 2024-03-12T12:45:25Z |
| format | Article |
| id | doaj.art-5c850fd7ceaa4309b08a2b0479d22fd8 |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-03-12T12:45:25Z |
| publishDate | 2023-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-5c850fd7ceaa4309b08a2b0479d22fd82023-08-28T23:26:52ZengJMIR PublicationsJMIR Research Protocols1929-07482023-01-0112e3972410.2196/39724Technology-Enabled Collaborative Care for Concurrent Diabetes and Distress Management During the COVID-19 Pandemic: Protocol for a Mixed Methods Feasibility StudyLenka Vojtilahttps://orcid.org/0000-0002-2424-0565Diana Sherifalihttps://orcid.org/0000-0002-4423-3848Rosa Dragonettihttps://orcid.org/0000-0002-8539-1762Iqra Ashfaqhttps://orcid.org/0000-0002-7545-2090Scott Veldhuizenhttps://orcid.org/0000-0003-3969-2756Farooq Naeemhttps://orcid.org/0000-0003-4760-4840Sri Mahavir Agarwalhttps://orcid.org/0000-0002-2705-5146Osnat C Melamedhttps://orcid.org/0000-0002-9663-2226Allison Crawfordhttps://orcid.org/0000-0002-1320-0664Philip Gerretsenhttps://orcid.org/0000-0003-4053-6814Margaret Hahnhttps://orcid.org/0000-0001-8884-9946Sean Hillhttps://orcid.org/0000-0001-8055-860XSean Kiddhttps://orcid.org/0000-0002-2435-786XBenoit Mulsanthttps://orcid.org/0000-0002-0303-6450Eva Serhalhttps://orcid.org/0000-0001-5467-923XLeah Tackaberry-Giddenshttps://orcid.org/0000-0001-5791-774XCarly Whitmorehttps://orcid.org/0000-0002-3974-4854Jennifer Marttilahttps://orcid.org/0000-0001-5200-3076Frank Tanghttps://orcid.org/0000-0003-3150-4108Seeta Ramdasshttps://orcid.org/0000-0002-7139-5519Gloria Louridohttps://orcid.org/0000-0003-1878-8257Sanjeev Sockalingamhttps://orcid.org/0000-0002-9626-1509Peter Selbyhttps://orcid.org/0000-0001-5401-2996 BackgroundThe COVID-19 pandemic disrupted the delivery of diabetes care and 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. ObjectiveThe purpose of this study is to test the feasibility of an innovative co-designed Technology-Enabled Collaborative Care (TECC) model for diabetes management and mental health support among adults with T2D. MethodsWe 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 web-based health coaching sessions with a registered nurse, who is a certified diabetes educator, who will be supported by a digital care team (ie, a peer mentor, an addictions specialist, a dietitian, a psychiatrist, and a psychotherapist). 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 the 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 behaviors. Stakeholder experience and satisfaction will be explored through a qualitative descriptive study using one-on-one interviews. ResultsThis paper describes the protocol of the study. The recruitment commenced in June 2021. This study was registered on October 29, 2020, on ClinicalTrials.gov (Registry ID: NCT04607915). As of June 2022, all participants have been recruited. It is anticipated that data analysis will be complete by the end of 2022, with study findings available by the end of 2023. ConclusionsThe development of an innovative, technology-enabled model will provide necessary support for individuals living with T2D and mental health challenges. This TECC program will determine the feasibility of TECC for patients with T2D and mental health issues. Trial RegistrationClinicalTrials.gov NCT04607915; https://clinicaltrials.gov/ct2/show/NCT04607915 International Registered Report Identifier (IRRID)DERR1-10.2196/39724https://www.researchprotocols.org/2023/1/e39724 |
| spellingShingle | 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 Technology-Enabled Collaborative Care for Concurrent Diabetes and Distress Management During the COVID-19 Pandemic: Protocol for a Mixed Methods Feasibility Study JMIR Research Protocols |
| title | Technology-Enabled Collaborative Care for Concurrent Diabetes and Distress Management During the COVID-19 Pandemic: Protocol for a Mixed Methods Feasibility Study |
| title_full | Technology-Enabled Collaborative Care for Concurrent Diabetes and Distress Management During the COVID-19 Pandemic: Protocol for a Mixed Methods Feasibility Study |
| title_fullStr | Technology-Enabled Collaborative Care for Concurrent Diabetes and Distress Management During the COVID-19 Pandemic: Protocol for a Mixed Methods Feasibility Study |
| title_full_unstemmed | Technology-Enabled Collaborative Care for Concurrent Diabetes and Distress Management During the COVID-19 Pandemic: Protocol for a Mixed Methods Feasibility Study |
| title_short | Technology-Enabled Collaborative Care for Concurrent Diabetes and Distress Management During the COVID-19 Pandemic: Protocol for a Mixed Methods Feasibility Study |
| title_sort | technology enabled collaborative care for concurrent diabetes and distress management during the covid 19 pandemic protocol for a mixed methods feasibility study |
| url | https://www.researchprotocols.org/2023/1/e39724 |
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