Chronic-Care-Management Programs for Multimorbid Patients with Diabetes in Europe: A Scoping Review with the Aim to Identify the Best Practice

Brettel, Julia Heike; Manuwald, Ulf; Hornstein, Henriette; Kügler, Joachim; Rothe, Ulrike

doi:10.1155/2021/6657718

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…Therefore, proper management of T2DM is challenging and deserves constant attention and comprehensive patient-centered clinical assistance. Consequently, it is necessary to transform health care systems to provide integrated and patient-centered chronic care models [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of a Digital Patient Empowerment and Communication Tool on Metabolic Control in People With Type 2 Diabetes: The DeMpower Multicenter Ambispective Study

Orozco‐Beltrán¹,

Morales²,

Artola-Menéndez³

et al. 2022

JMIR Diabetes

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Background Diabetes is a major health care problem, reaching epidemic numbers worldwide. Reducing hemoglobin A1c (HbA1c) levels to recommended targets is associated with a marked decrease in the risk of type 2 diabetes mellitus (T2DM)–related complications. The implementation of new technologies, particularly telemedicine, may be helpful to facilitate self-care and empower people with T2DM, leading to improved metabolic control of the disease. Objective This study aimed to analyze the effect of a home digital patient empowerment and communication tool (DeMpower App) on metabolic control in people with inadequately controlled T2DM. Methods The DeMpower study was multicenter with a retrospective (observational: 52 weeks of follow-up) and prospective (interventional: 52 weeks of follow-up) design that included people with T2DM, aged ≥18 and ≤80 years, with HbA1c levels ≥7.5% to ≤9.5%, receiving treatment with noninsulin antihyperglycemic agents, and able to use a smartphone app. Individuals were randomly assigned (2:1) to the DeMpower app–empowered group or control group. We describe the effect of empowerment on the proportion of patients achieving the study glycemic target, defined as HbA1c≤7.5% with a ≥0.5% reduction in HbA1c at week 24. Results Due to the COVID-19 pandemic, the study was stopped prematurely, and 50 patients (33 in the DeMpower app–empowered group and 17 in the control group) were analyzed. There was a trend toward a higher proportion of patients achieving the study glycemic target (46% vs 18%; P=.07) in the DeMpower app group that was statistically significant when the target was HbA1c≤7.5% (64% vs 24%; P=.02) or HbA1c≤8% (85% vs 53%; P=.02). The mean HbA1c was significantly reduced at week 24 (−0.81, SD 0.89 vs −0.15, SD 1.03; P=.03); trends for improvement in other cardiovascular risk factors, medication adherence, and satisfaction were observed. Conclusions The results suggest that patient empowerment through home digital tools has a potential effect on metabolic control, which might be even more relevant during the COVID-19 pandemic and in a digital health scenario.

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Section: Introductionmentioning

confidence: 99%

Effects of a Digital Patient Empowerment and Communication Tool on Metabolic Control in People With Type 2 Diabetes: The DeMpower Multicenter Ambispective Study

Orozco‐Beltrán¹,

Morales²,

Artola-Menéndez³

et al. 2022

JMIR Diabetes

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Models of work with patients older than working age suffering from chronic non-infectious diseases: overview of foreign and Russian practices

Kamynina,

Timofeeva

2024

National Health Care (Russia)

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The analysis of Russian and foreign practices on the application of models for the management of patients suffering from chronic non-communicable diseases (CNID) had been carried out. Examines the features of different models of management of patients older than working age with CNID and reflects the results of their use in primary health care. The models of treatment of chronic diseases and their adaptation were considered from the point of view of examples of proactive approaches to treatment. The features of the developed models of management of patients older than working age with CNID living in rural areas of foreign countries were presented. The features of dynamic follow-up of patients with CNID in medical organizations were considered. The experience of countries in the application of management of patients suffering from CNID at the primary level in low- and middle-income countries were analyzed. The integral role of an integrated patient-oriented approach in providing medical care to patients with established CNID had been demonstrated. The prospects for the development of models for the management of patients with CNID had been determined

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Chronic-Care-Management Programs for Multimorbid Patients with Diabetes in Europe: A Scoping Review with the Aim to Identify the Best Practice

Cited by 2 publications

References 34 publications

Effects of a Digital Patient Empowerment and Communication Tool on Metabolic Control in People With Type 2 Diabetes: The DeMpower Multicenter Ambispective Study

Effects of a Digital Patient Empowerment and Communication Tool on Metabolic Control in People With Type 2 Diabetes: The DeMpower Multicenter Ambispective Study

Models of work with patients older than working age suffering from chronic non-infectious diseases: overview of foreign and Russian practices

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