Welldoc’s talented team of clinical diabetes and digital health experts shared their research findings and expertise broadly at the American Association of Diabetes Educators (AADE) 2018 Annual Conference held in Welldoc’s hometown of Baltimore in mid-August. Welldoc has consistently offered their expertise in digital health and digital therapeutics to AADE and has collaborated with the association since 2015 as AADE has been carving out their footprint in this space and creating new niches for diabetes educators to utilize digital tools to improve the delivery and care of diabetes.
Welldoc’s involvement at the AADE18 conference included the presentation of numerous posters briefly described below with links to the complete posters on Welldoc’s outcomes section of the website.
Description: This poster details the development of the Diabetes Digital Health Learning Network (DDHLN) using the principles of learning networks to rapidly develop best practices for the integration of evidence-based digital tools into a variety of health care settings and models by diabetes educators from various disciplines. Collectively these educators activated 144 patients with type 2 diabetes on BlueStar and observed an average A1c drop of 1.11%.
- The virtual learning network methodology applied in this work was described by 83% of participants as a very helpful method by which to introduce them and their patients to this novel technology. Using this methodology helped the DDHLN coordinators determine the type and amount of support diabetes educators and their patients across diverse practice setting and geography need.
- The RE-AIM Framework, developed to evaluate behavioral interventions, was applied to an evaluation of the DDHLN after six months. Learnings from this evaluation are being used to develop and iterate best practices for implementing digital therapeutics into an array of health care settings and care models.
Poster 2: Expanding Reach: AADE7® Moves into the Digital Space
Authors: C. Brown, C. Swift, and M. Peeples
Description: This poster describes the process by which a multidisciplinary team adapted the AADE7 Self-Care Behaviors™ curriculum, used to deliver in-person Diabetes Self-Management Education and Support (DSMES) (licensed by Welldoc from AADE), to a digitized format in BlueStar named BlueStarU. The poster details the thought process and principles used to integrate this curriculum into this digital therapeutic. It suggest that the availability of the digitized format of DSMES could scale delivery, engage learners and improve diabetes care in the digital age.
- Digitizing the DSMES curriculum, that is now also available in Spanish, required a thoughtful process and team of experts with varied expertise to design BlueStarU. Content was broken into topics, courses, and contextual lessons which were then logically sequenced for optimal skill and knowledge development. Current guidance on the use of plain language and a nonjudgmental wording and encouraging tone was applied.
- The ability to offer adults with diabetes the opportunity to learn about managing diabetes based on their individual needs and desires from a mobile technology may have attributes such as scalability, increased patient engagement, and improved problem-solving skills for daily self-management. This digital model of delivery has the potential to supplement traditional DSMES.
Poster 3: Integrating the 2017 National Standards for DSMES in Technology-Enabled Population Health Diabetes Care & Education Framework
Authors: J. MacLeod and D. Greenwood
Description: This poster describes the recent evolution to research and conceptualize the framework for and integration of technology-enabled population health diabetes care and education. The poster offers details of a critical systematic review of reviews, the technology-enabled self-management (TES) feedback loop model, and how these research findings have been integrated into national standards and standard of diabetes care. New roles for the diabetes educator as a digital champion and population management leader are identified.
- The most effective technology-enabled self-management (TES) interventions include a feedback loop that consists of four components: 1) connects people with diabetes and their health care team using 2- way communication, 2) analyzes patient-generated health data (PGHD) , and provides 3) tailored education, and 4) individualized feedback.
- For various reasons including the chronicity of diabetes, the need for frequent contact with health care providers, movement to population management and increased availability of diabetes digital therapeutics, it is now an optimal time for diabetes educators to lead health care teams to provide technology-enabled population-health DSMES.
Poster 4: Patient-Generated Health Data Enhances Clinical Care for People with T2D Using a Digital Health Tool
Authors: M. Peeples, J. MacLeod, and M. Shomali
Description: This poster reviews four SMART VisitTM Reports (SVR) reports from people with type 2 diabetes who use using Welldoc’s BlueStar® during live or remote encounters with their health care provider. The SVR contains medication information, standard of care measures, blood glucose data summarized graphically by time and modal day, as well as a projected A1C. Reproductions of the SVR from patients with four common diabetes challenges illustrate how viewing the patient generated health data enhances the clinician’s ability to assess and modify the treatment plan rapidly either in-person or remotely.
- The availability of patient-generated health data, including glucose self-monitoring, medication doses, food choices, and exercise; in the BlueStar SVR, is useful for trouble-shooting self-management problems by examining cause and effect relationships.
- A detailed log book view, when completed and made available by the patient, can enable healthcare providers to more efficiently optimize of users’ treatment plans.