IDEATelInformatics for Diabetes Education and Telemedicine (Columbia University)
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[112] Participants in the intervention group received a home telemedicine unit (HTU) developed specifically for IDEATel (American Telecare, Inc., Eden Prairie, MN, USA).
The study we describe was an ancillary study to IDEATel, for which we recruited subjects (at time of IDEATel consent) to participate if they were married or partnered and cohabiting for more than 1 yr (six subjects were not legally married).
Although there are obvious limitations to use of a single-item measure of marital satisfaction, and of a single subscale of the DAS, we were limited to a reduced number of items because of concerns about participant burden (IDEATel participants completed extensive physical assessments and multiple questionnaires) and decided that, given prior research, marital cohesion was the domain of interest.
One subscale was used for the IDEATel assessment, a 10-item emotional burden subscale, used as a measure of diabetes-related distress, with higher scores connoting more diabetes-related distress.
Upstate IDEATel participants at contributing study sites (over approximately a 1-yr period) who indicated that they were married, or partnered and cohabiting for more than 1 yr, were approached to participate in this ancillary study at the time of IDEATel consent; this was a group of N = 337 individuals.
IDEATel baseline and outcome data were provided for all subjects enrolled in this ancillary study in the upstate region of the IDEATel study.
We performed a series of independent analyses to determine whether marital quality prospectively predicted medical and psychosocial IDEATel outcomes (see Table 3).
To begin to explore this area, one must understand the social context of the IDEATel intervention.
This ancillary study included only a small subset of the larger IDEATel group, and the study may not have been sufficiently powered to answer our questions reliably.