Clinical Edge

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Using Skype to Improve Glycemic Control

Video intervention versus face-to-face visits

Improved adherence and glycemic control in type 1 diabetes patients can be achieved via videoconferencing just as well as it can in person, according to a randomized study of adolescents with the disorder.

Subjects between the ages of 12 and 18 received the Behavioral Family Systems Therapy for Diabetes (BFST-D) intervention. They were randomized to go through the program either face-to-face or via Skype videoconferencing.

The youths completed as many as 10 sessions over a 12-week period. Changes in adherence and glycemic control, as reported by parents and patients, were compared pre- and post-intervention, as well as during a subsequent 3 month follow-up.

Investigators found no differences between the two groups during any of the assessments. Both experienced statistically significant improvements in both adherence and glycemic control. Further, these improvements continued at the follow-up assessment.

Researchers noted that their findings can reduce barriers to care for patients and families who might find it challenging to take the BFST-D program face-to-face.

Citation: Harris MA, Freeman KA, Duke DC. Seeing is believing: Using Skype to improve diabetes outcomes in youth. Diabetes Care. 2015;38(8):1427-1434.