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Exp Clin Endocrinol Diabetes. 2021 Oct 20; doi: 10.1055/a-1655-5471. Epub 2021 Oct 20.

Video Consultation for Parents with a Child Newly Diagnosed with Type 1 Diabetes: A Qualitative Study.

Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association

Jana Doerdelmann, Fabian-Simon Frielitz, Karin Lange, Tanja Meinsen, Sandra Reimers, Tanja Ottersberg, Alexander Katalinic, Olaf Hiort, Simone von Sengbusch

Affiliations

  1. Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.
  2. Hannover Medical School, Medical Psychology, Hannover, Germany.
  3. Division of Pediatric Endocrinology and Diabetology, Campus Lübeck, University Medical Centre Schleswig-Holstein, Lübeck, Germany.
  4. General Hospital Itzehoe, Pediatric Department, Itzehoe, Germany.
  5. Division of Pediatric Endocrinology and Diabetology, Campus Kiel, University Medical Centre Schleswig-Holstein, Kiel, Germany.

PMID: 34670325 DOI: 10.1055/a-1655-5471

Abstract

AIMS: With the exception of the coronavirus pandemic, video consultations have not been a part of the standard care for children with diabetes in Germany. The "Virtual Diabetes Outpatient Clinic for Children and Adolescents 2.0" (VIDIKI 2.0) study investigated the effect of monthly and supplementary video consultations on standard care over one year. The qualitative substudy investigated the experiences of families with a child newly diagnosed with type 1 diabetes mellitus (T1DM) who received at least four weekly supplementary video consultations.

METHODS: Guideline-based qualitative interviews were conducted with seven families with children under the age of eight and T1DM onset shortly before study entry. The answers were analyzed using a qualitative content analysis approach, particularly inductive category formation.

RESULTS: Families of patients with T1DM onset have questions, almost daily, concerning various aspects of insulin therapy. The offer of high-frequency video consultations can reduce the number of trips to the diabetes team, facilitate the organization of daily life and increase the sense of security.

CONCLUSION: Video consultations as a supplementary offer of health care, especially after diabetes onset, were considered very helpful by the affected families. High-frequency video consultations may provide a tool to overcome existing deficiencies in specialized diabetes care.

Thieme. All rights reserved.

Conflict of interest statement

SVS reports being a consultant for Abbott, Dexcom, Lilly, NovoNordisk, and Medtronic and has received lecture fees from Abbott, Berlin-Chemie, Hexal, Infectopharm, Lilly, NovoNordisk, Merck, Medtronic

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