Computerized Knowledge Management in Diabetes Care

Balas, E. Andrew; Krishna, Santosh; Kretschmer, Robert; Cheek, Thomas R.; Lobach, David F.; Boren, Suzanne Austin

doi:10.1097/01.mlr.0000128008.12117.f8

Cited by 125 publications

(107 citation statements)

References 50 publications

(60 reference statements)

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“…Son yıllarda yapılan çalışmalar internet, bilgisayar ortamı ve cep telefonu teknolojilerinin diyabet eğitim, bakım ve tedavisinde ümit verici olduğunu göstermektedir (18,19,20). Çeşitli deneysel çalış-malarda, kan glukoz kontrolünde kablosuz-sağlık uygulamaları yaklaşımlarının olumlu sonuçlar verdiği ve uzun süreli takiplerde diyabet komplikasyonlarını azalttığı bildirilmektedir (21,22,23).…”

unclassified

Follow-up of Patients with Type 2 Diabetes via Cell Phone: Randomized Controlled Trial

Sezgin¹,

Çınar²

2013

MUSBED

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Tip 2 diyabetli hastaların cep telefonu ile takibi: randomize kontrollü çalışma Amaç: Tip 2 diyabetli hastalarda diyabet eğitiminin ve telefonkısa mesaj (SMS) ile yapılan uyarı ve takibin bilişsel-sosyal faktörlere ve metabolik değişkenler üzerine etkisi olup olmadığını değerlendirmektir. Yöntem: 120 diyabetli birey randomize seçilerek 40'ar kişilik kontrol, eğitim ve telefonla takip-SMS grupları oluşturuldu. Eğitim sonrası telefon-SMS ile girişim grubunun kan glukoz konsantrasyonunu normale (HbA1c<%7) yaklaştırmak için sosyal ve bilişsel destek verilmesi 12 hafta süreli olarak planlandı. Bulgular: 12 hafta sonra HbA1c'de SMS (-%1.8), eğitim (-%0.58) ve kontrol (-%0.59) gruplarında düştü. Açlık kan şekeri SMS (-38mg/dl) ve kontrol (-36mg/dl), Tokluk kan şekeri sadece SMS (-52mg/dl), sistolik kan basıncı SMS ve eğitim gruplarında düştü. Üç grubun da ciddiyet ve özyeterlilik puanı artarken, destek puanı sadece kontrol grubunda, sonuç beklentisi puanı SMS ve eğitim gruplarında arttı. Yanlış yönlendirmeye dayalı destek ve engel puanları ise sadece SMS grubunda düştü. Grupların ciddiyet ve destek ile özyeterlilik ve sonuç beklentisi puanları arasında pozitif ilişki bulundu. Sonuç: Cep telefonu-SMS ile hemşire tarafından diyabetli bireylerin takibi ve yönetimi optimal glisemik kontrolü ve bilişsel-sosyal hasta uyumu sağlanmasında başarılı olmuştur. Anahtar sözcükler: cep telefonu, eğitim, glikolize hemoglobin, gelişmiş hemşirelik uygulamaları, hasta uyumu, hemşire takibi, kısa mesaj servisi, tip 2 diyabet ABS TRACTFollow-up of patients with type 2 diabetes via cell phone: randomized controlled trial Objective: To evaluate whether diabetes education and nurse follow up via phone call-SMS have an impact on metabolic parameter and social factors of type 2 diabetic patients. Method: 120 diabetic patients were randomly selected and formed control, education and short message service (SMS) follow up groups that each contains 40 patients. After giving education to phone call-SMS group, in an attempt to get HbA1c level closer to normal value (<%7), it was planned to give social and cognitive support for 12 weeks. Results: At the end of 12 weeks, glycosylated hemoglobin (HbA1c) dropped (1.8%) in intervention, (0.58%) education and (0.59%) in control group. Fasting blood glucose dropped 38 mg/ dl in the phone call-SMS group, 36mg/dl in the control group, post prandial glucose dropped in only phone call SMSgroup (52 mg/dl); sistolic pressure dropped both phone call-SMS and education groups. While scores of severity and self efficiency increased in every three groups, scores of support increased only in control group, outcome expectation scores increased both phone call-SMS and education groups.12 weeks. Scores of positive misguided reinforcing behavior dropped only in phone call-SMS group. A positive relationship was found between severity -support and self efficiacy-outcome expectation scores of the groups. Conclusion: Follow up and management of diabetic patients by nurse via SMS and mobile phone have given successful result on...

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Follow-up of Patients with Type 2 Diabetes via Cell Phone: Randomized Controlled Trial

Sezgin¹,

Çınar²

2013

MUSBED

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“…However, there is a paucity of similar data in patients with type 2 diabetes. Previous systematic reviews of telecare intervention in type 2 diabetes have assessed the usage of web-based systems (5,6) or mobile phones (7,8) separately to monitor diabetes care. Some of the reviews have considered telecare intervention contents, technologies, and frequencies, but they did not consider adequately the usage of combination technologies in practice, the nature of feedback receipt in telecare, the ethnic differences, etc.…”

Section: Introductionmentioning

confidence: 99%

MANAGEMENT OF ENDOCRINE DISEASE: Effects of telecare intervention on glycemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials

Huang

Hong

Meng

et al. 2015

European Journal of Endocrinology

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Objective: To review the published literature on the effects of telecare intervention in patients with type 2 diabetes and inadequate glycemic control. Design and methods: A review of randomized controlled trials on telecare intervention in patients with type 2 diabetes, and a search of electronic databases such as The Cochrane Library, PubMed, EBSCO, CINAHL, Science Direct, Journal of Telemedicine and Telecare, and China National Knowledge Infrastructure (CNKI), were conducted from December 8 to 16, 2013. Two evaluators independently selected and reviewed the eligible studies. Changes in HbA1c, fasting plasma glucose (FPG), post-prandial plasma glucose (PPG), BMI, and body weight were analyzed. Results: An analysis of 18 studies with 3798 subjects revealed that telecare significantly improved the management of diabetes. Mean HbA1c values were reduced by K0.54 (95% CI, K0.75 to K0.34; P!0.05), mean FPG levels by K9.00 mg/dl (95% CI, K17.36 to K0.64; PZ0.03), and mean PPG levels reduced by K52.86 mg/dl (95% CI, K77.13 to K28.58; P!0.05) when compared with the group receiving standard care. Meta-regression and subgroup analyses indicated that study location, sample size, and treatment-monitoring techniques were the sources of heterogeneity. Conclusions: Patients monitored by telecare showed significant improvement in glycemic control in type 2 diabetes when compared with those monitored by routine follow-up. Significant reduction in HbA1c levels was associated with Asian populations, small sample size, and telecare, and with those patients with baseline HbA1c greater than 8.0%.

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“…Several reviews of IBCT applications to improve chronic illness care have been published, and these generally have been positive. One systematic review of randomized trials found that computerized educational programs improve diabetic patients' diet and metabolic indicators (23). Other reviews, including one by the Cochran Collaboration, have concluded that IBCTs can improve end-users' health-related knowledge, perceptions of social support, self-care behaviors, and clinical outcomes (24 -26).…”

mentioning

confidence: 99%

Interactive Behavior Change Technology to Support Diabetes Self-Management

Piette

2007

Diabetes Care

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Computerized Knowledge Management in Diabetes Care

Abstract: Computerized knowledge management is becoming a vital component of quality diabetes care. Prompting follow-up procedures, computerized insulin therapy adjustment using home glucose records, remote feedback, and counseling have documented benefits in improving diabetes-related outcomes.

Cited by 125 publications

References 50 publications

Follow-up of Patients with Type 2 Diabetes via Cell Phone: Randomized Controlled Trial

Follow-up of Patients with Type 2 Diabetes via Cell Phone: Randomized Controlled Trial

MANAGEMENT OF ENDOCRINE DISEASE: Effects of telecare intervention on glycemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials

Interactive Behavior Change Technology to Support Diabetes Self-Management

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