Visual Abstract
Background: Satisfaction with televisits across age groups has not been well studied.
Aim: To evaluate patient satisfaction with remote diabetes self-management education and support (DSMES) throughout adulthood.
Methods: Surveys were administered electronically to patients with type 1 (T1D) or type 2 diabetes who had completed at least one remote education visit. Televisits were conducted without charge by a CDCES who had no prior relationship with the patient. If there was no response to the emailed survey within one week or an email address was unavailable the survey was conducted by phone. Survey questions used a 5-point Likert scale (1-strongly disagree to 5-strongly agree). Data were analyzed using t-test to assess differences in means, and Pearson correlation coefficients to assess relationship between Likert scaled items and age. SPSS v. 27 was used.
Results: N=200 surveys were completed (45 by email, 155 by phone). Response rate was 37.9%. Mean age 52.5 years (range 21-82), 56% female, 78.5% T1D, 45.5% private insurance, 36% Medicare, 18% Medicaid, mean HbA1c 8.0% (SD 1.6). Correlation between mean score and age are shown in the table. Medicaid recipients were more likely to agree with “In the past, cost was a barrier to receiving diabetes education” compared to those with private insurance (p=0.005).
Conclusions: Satisfaction with remote DSMES was less in older adults. Studies of remote DSMES tailored to older adults are needed.
C. Feuerstein-simon: None. M. Greenfield: None. P. Saha: None. R. S. Weinstock: Research Support; Self; Boehringer Ingelheim International GmbH, Diasome Pharmaceuticals, Inc., Eli Lilly and Company, Insulet Corporation, Kowa Research Institute, Inc., Medtronic, Tolerion, Inc.
The Leona M. and Harry B. Helmsley Charitable Trust; T1D Exchange QI Learning Collaborative
