Technology-Enabled Collaborative Care for Type-2 Diabetes and Mental Health (TECC-D): Findings From a Mixed Methods Feasibility Trial of a Responsive Co-Designed Virtual Health Coaching Intervention
Introduction: Type-2 diabetes (T2D) is a complex chronic condition associated with a lower quality of life due to disease specific distress. While there is growing support for personalized diabetes programs, care for mental health challenges is often fragmented and limited by access to psychiatry, a...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2024-02-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://account.ijic.org/index.php/up-j-ijic/article/view/7608 |
| _version_ | 1797261658433781760 |
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| author | Diana Sherifali Carly Whitmore Farooq Naeem Osnat C. Melamed Rosa Dragonetti Erika Kouzoukas Jennifer Marttila Frank Tang Elise Tanzini Seeta Ramdass Peter Selby |
| author_facet | Diana Sherifali Carly Whitmore Farooq Naeem Osnat C. Melamed Rosa Dragonetti Erika Kouzoukas Jennifer Marttila Frank Tang Elise Tanzini Seeta Ramdass Peter Selby |
| author_sort | Diana Sherifali |
| collection | DOAJ |
| description | Introduction: Type-2 diabetes (T2D) is a complex chronic condition associated with a lower quality of life due to disease specific distress. While there is growing support for personalized diabetes programs, care for mental health challenges is often fragmented and limited by access to psychiatry, and integration of care. The use of communication technology to improve team based collaborative care to bridge these gaps is promising but untested. Methods: We conducted an explanatory sequential mixed methods study to assess the feasibility and acceptability of the co-designed Technology-Enabled Collaborative Care for Diabetes and Mental Health (TECC-D) program. Participants included adults aged ≥18 years who had a clinical diagnosis of T2D, and self-reported mental health concerns. Results: 31 participants completed the 8-week virtual TECC-D program. Findings indicate that the program is feasible and acceptable and indicate that there is a role for virtual diabetes and mental health care. Discussion: The TECC-D program, designed through an iterative co-design process and supported by innovative, responsive adaptations led to good uptake and satisfaction. Conclusion: The TECC-D model is a feasible and scalable care solution that empowers individuals living with T2D and mental health concerns to take an active role in their care. |
| first_indexed | 2024-04-24T23:44:43Z |
| format | Article |
| id | doaj.art-9f616e692ee449089716b33959d31b9b |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-24T23:44:43Z |
| publishDate | 2024-02-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-9f616e692ee449089716b33959d31b9b2024-03-15T08:09:48ZengUbiquity PressInternational Journal of Integrated Care1568-41562024-02-0124121210.5334/ijic.76087504Technology-Enabled Collaborative Care for Type-2 Diabetes and Mental Health (TECC-D): Findings From a Mixed Methods Feasibility Trial of a Responsive Co-Designed Virtual Health Coaching InterventionDiana Sherifali0https://orcid.org/0000-0002-4423-3848Carly Whitmore1https://orcid.org/0000-0002-3974-4854Farooq Naeem2https://orcid.org/0000-0003-4760-4840Osnat C. Melamed3https://orcid.org/0000-0002-9663-2226Rosa Dragonetti4https://orcid.org/0000-0002-8539-1762Erika Kouzoukas5https://orcid.org/0000-0002-7817-4620Jennifer Marttila6https://orcid.org/0000-0001-5200-3076Frank Tang7https://orcid.org/0000-0003-3150-4108Elise Tanzini8https://orcid.org/0000-0003-3743-987XSeeta Ramdass9https://orcid.org/0000-0002-7139-5519Peter Selby10https://orcid.org/0000-0001-5401-2996School of Nursing, McMaster University, Hamilton ON; Population Health Research Institute, Hamilton ON; Nicotine Dependence Service, Centre for Addiction and Mental Health, Toronto ONSchool of Nursing, McMaster University, Hamilton ON; Nicotine Dependence Service, Centre for Addiction and Mental Health, Toronto ONCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto ONNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto ON; Department of Family and Community Medicine, University of Toronto, Toronto ONNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto ON; Department of Family and Community Medicine, University of Toronto, Toronto ONNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto ONSchool of Nursing, McMaster University, Hamilton ONDiabetes Action Canada, Toronto ONNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto ONDiabetes Action Canada, Toronto ON; Office of Social Accountability and Community Engagement, McGill University, Montreal QCNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto ON; Department of Family and Community Medicine, University of Toronto, Toronto ON; Department of Psychiatry, University of Toronto, Toronto ON; Dalla Lana School of Public Health, University of Toronto, Toronto ONIntroduction: Type-2 diabetes (T2D) is a complex chronic condition associated with a lower quality of life due to disease specific distress. While there is growing support for personalized diabetes programs, care for mental health challenges is often fragmented and limited by access to psychiatry, and integration of care. The use of communication technology to improve team based collaborative care to bridge these gaps is promising but untested. Methods: We conducted an explanatory sequential mixed methods study to assess the feasibility and acceptability of the co-designed Technology-Enabled Collaborative Care for Diabetes and Mental Health (TECC-D) program. Participants included adults aged ≥18 years who had a clinical diagnosis of T2D, and self-reported mental health concerns. Results: 31 participants completed the 8-week virtual TECC-D program. Findings indicate that the program is feasible and acceptable and indicate that there is a role for virtual diabetes and mental health care. Discussion: The TECC-D program, designed through an iterative co-design process and supported by innovative, responsive adaptations led to good uptake and satisfaction. Conclusion: The TECC-D model is a feasible and scalable care solution that empowers individuals living with T2D and mental health concerns to take an active role in their care.https://account.ijic.org/index.php/up-j-ijic/article/view/7608type 2 diabetesmental healthintegrated carevirtual carehealth coaching |
| spellingShingle | Diana Sherifali Carly Whitmore Farooq Naeem Osnat C. Melamed Rosa Dragonetti Erika Kouzoukas Jennifer Marttila Frank Tang Elise Tanzini Seeta Ramdass Peter Selby Technology-Enabled Collaborative Care for Type-2 Diabetes and Mental Health (TECC-D): Findings From a Mixed Methods Feasibility Trial of a Responsive Co-Designed Virtual Health Coaching Intervention International Journal of Integrated Care type 2 diabetes mental health integrated care virtual care health coaching |
| title | Technology-Enabled Collaborative Care for Type-2 Diabetes and Mental Health (TECC-D): Findings From a Mixed Methods Feasibility Trial of a Responsive Co-Designed Virtual Health Coaching Intervention |
| title_full | Technology-Enabled Collaborative Care for Type-2 Diabetes and Mental Health (TECC-D): Findings From a Mixed Methods Feasibility Trial of a Responsive Co-Designed Virtual Health Coaching Intervention |
| title_fullStr | Technology-Enabled Collaborative Care for Type-2 Diabetes and Mental Health (TECC-D): Findings From a Mixed Methods Feasibility Trial of a Responsive Co-Designed Virtual Health Coaching Intervention |
| title_full_unstemmed | Technology-Enabled Collaborative Care for Type-2 Diabetes and Mental Health (TECC-D): Findings From a Mixed Methods Feasibility Trial of a Responsive Co-Designed Virtual Health Coaching Intervention |
| title_short | Technology-Enabled Collaborative Care for Type-2 Diabetes and Mental Health (TECC-D): Findings From a Mixed Methods Feasibility Trial of a Responsive Co-Designed Virtual Health Coaching Intervention |
| title_sort | technology enabled collaborative care for type 2 diabetes and mental health tecc d findings from a mixed methods feasibility trial of a responsive co designed virtual health coaching intervention |
| topic | type 2 diabetes mental health integrated care virtual care health coaching |
| url | https://account.ijic.org/index.php/up-j-ijic/article/view/7608 |
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