摘要
Type 1 diabetes is a chronic illness with a high burden of care.While effective interventions and recommendations for diabetes care exist,the intensive nature of diabetes management makes compliance difficult.This isespecially true in children and adolescents as they have unique psychosocial and diabetes needs.Despite the development of effective in-person interventions targeting improving self-management and ameliorating psychosocial difficulties there are still a number of barriers to implementing these interventions,namely time,cost,and access.Telehealth interventions allow for the dissemination of these interventions to a broader audience.Self-management and psychosocial telehealth interventions are reviewed with a special emphasis on mobile phone and internet based technology use.While efficacy has been demonstrated in a number of telehealth interventions with improved cost effectiveness over inperson interventions,many challenges remain including high participant attrition and difficulties with receiving reimbursement for services rendered.These and other challenges are discussed with recommendations for researchers and telehealth providers provided.
Type 1 diabetes is a chronic illness with a high burden ofcare. While effective interventions and recommendationsfor diabetes care exist, the intensive nature of diabetesmanagement makes compliance difficult. This isespecially true in children and adolescents as theyhave unique psychosocial and diabetes needs. Despitethe development of effective in-person interventionstargeting improving self-management and amelioratingpsychosocial difficulties there are still a number ofbarriers to implementing these interventions, namelytime, cost, and access. Telehealth interventions allowfor the dissemination of these interventions to a broaderaudience. Self-management and psychosocial telehealthinterventions are reviewed with a special emphasis onmobile phone and internet based technology use. Whileefficacy has been demonstrated in a number of telehealthinterventions with improved cost effectiveness over inpersoninterventions, many challenges remain includinghigh participant attrition and difficulties with receivingreimbursement for services rendered. These and otherchallenges are discussed with recommendations forresearchers and telehealth providers provided.
