Using telecommunication technology to manage children with diabetes

the Computer-Linked Outpatient Clinic (CLOC) Study.

David Marrero, J. L. Vandagriff, K. Kronz, N. S. Fineberg, M. P. Golden, D. Gray, D. P. Orr, J. C. Wright, N. B. Johnson

Research output: Contribution to journalArticle

91 Citations (Scopus)

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
Pages (from-to)313-319
Number of pages7
JournalDiabetes Educator
Volume21
Issue number4
StatePublished - Jul 1995

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Telecommunications
Ambulatory Care Facilities
Social Adjustment
Technology
Nursing
Quality of Life
Modems
Pediatrics
Blood Glucose Self-Monitoring
Nurse Practitioners
Hospital Emergency Service
Hospitalization
Outpatients
Maintenance
Insulin
Psychology
Physicians

ASJC Scopus subject areas

  • Internal Medicine
  • Public Health, Environmental and Occupational Health
  • Endocrinology, Diabetes and Metabolism

Cite this

Marrero, D., Vandagriff, J. L., Kronz, K., Fineberg, N. S., Golden, M. P., Gray, D., ... Johnson, N. B. (1995). Using telecommunication technology to manage children with diabetes: the Computer-Linked Outpatient Clinic (CLOC) Study. Diabetes Educator, 21(4), 313-319.

Using telecommunication technology to manage children with diabetes : the Computer-Linked Outpatient Clinic (CLOC) Study. / Marrero, David; Vandagriff, J. L.; Kronz, K.; Fineberg, N. S.; Golden, M. P.; Gray, D.; Orr, D. P.; Wright, J. C.; Johnson, N. B.

In: Diabetes Educator, Vol. 21, No. 4, 07.1995, p. 313-319.

Research output: Contribution to journalArticle

Marrero, D, Vandagriff, JL, Kronz, K, Fineberg, NS, Golden, MP, Gray, D, Orr, DP, Wright, JC & Johnson, NB 1995, 'Using telecommunication technology to manage children with diabetes: the Computer-Linked Outpatient Clinic (CLOC) Study.', Diabetes Educator, vol. 21, no. 4, pp. 313-319.
Marrero, David ; Vandagriff, J. L. ; Kronz, K. ; Fineberg, N. S. ; Golden, M. P. ; Gray, D. ; Orr, D. P. ; Wright, J. C. ; Johnson, N. B. / Using telecommunication technology to manage children with diabetes : the Computer-Linked Outpatient Clinic (CLOC) Study. In: Diabetes Educator. 1995 ; Vol. 21, No. 4. pp. 313-319.
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