Elżbieta Grzywacz, Bogusław Brzuchalski, Małgorzata Śmiarowska, Damian Malinowski, Anna Machoy-Mokrzyńska, Monika Anna Białecka
Significance of Selected Environmental and Biological Factors on the Risk of FASD in Women Who Drink Alcohol during Pregnancy
Journal of clinical medicine
living type 1 diabetes challenging support selfmanagement repeated consultations specialist outpatient care often required emergence new digital solutions revolutionized health care services patient centered providing unprecedented opportunities flexible highquality care however lack studies exploring use digital patientreported outcome measures proms flexible specialist care affects diabetes selfmanagement provide new knowledge relevance using proms standard care designed multimethod prospective study overall aim protocol describe prospective multimethod observational study designed investigate digital proms routine specialist outpatient setting flexible patientcentered diabetes care digidias protocol outlines design multimethod prospective observational cohort study includes data electronic health records selfreported questionnaires clinical consultation field observations individual indepth interviews patients diabetes health care personnel patients type 1 diabetes designated outpatient clinic invited participate use digital prom implemented clinical care users nonusers digital prom eligible prospective study allowing comparison two groups data collected baseline 12 months including selfmanagement primary outcome assessed using patient activation measure along secondary outcomes digital health literacy quality life health economy clinical variables glycated hemoglobin digital solution implemented routine clinical care department november 2021 data collection prospective study started october 2022 september 6 2023 846 186220 patients among digital prom 155 34220 patients among nonusers consented participate expect study enough participants autumn 2023 1 year followup results expected spring 2025 conclusion multimethod prospective observational cohort study offer valuable insights relevance effectiveness acceptability digital tools using proms diabetes specialist care knowledge crucial achieving broad successful implementation use tools large diabetes outpatient clinic derr110219652766