Using Telecommunication Technology to Manage Children with Diabetes: The Computer-Linked Outpatient Clinic (CLOC) Study

David G. Marrero, James C. Wright, Nancy B. Johnson, Julie L. Vandagriff, Kathy Kronz, Deborah Gray Msn, Naomi S. Fineberg, Michael P. Golden

Research output: Contribution to journalArticle

91 Scopus citations

Abstract

The purpose of this study was to evaluate the efficacy of using a telecommunication system to assist in the outpatient management of pediatric patients with insulin-dependent diabetes. Metabolic control, patients' psychosocial status, family functioning, perceived quality of life, patterns of parental/child responsibility for daily diabetes maintenance, and nursing time-on-task were evaluated. One hundred six pediatric patients (mean age = 13.3 years) were randomly assigned to an experimental or control outpatient clinic for 1 year. Experimental subjects transmitted self-monitoring blood glucose data by modem to the hospital every 2 weeks. Transmitted data were reviewed by nurse practitioners who telephoned subjects to discuss regimen adjustments. Control subjects received standard care with regimen adjustments made by physicians. There were no significant between-group differences for metabolic control, rates of hospitalization or emergency-room visits, psychological status, general family functioning, quality of life, or parent-child responsibility. A significant decrease was noted in nursing time-on-task for experimental subjects.

Original languageEnglish (US)
Pages (from-to)313-319
Number of pages7
JournalThe Diabetes Educator
Volume21
Issue number4
DOIs
StatePublished - Aug 1995

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ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Health Professions (miscellaneous)

Cite this

Marrero, D. G., Wright, J. C., Johnson, N. B., Vandagriff, J. L., Kronz, K., Msn, D. G., Fineberg, N. S., & Golden, M. P. (1995). Using Telecommunication Technology to Manage Children with Diabetes: The Computer-Linked Outpatient Clinic (CLOC) Study. The Diabetes Educator, 21(4), 313-319. https://doi.org/10.1177/014572179502100409