Diabetes Connected Health: A Pilot Study of a Patient- and Provider-Shared Glucose Monitoring Web Application

Watson, Alice J.; Kvedar, Joseph C.; Rahman, Basmah; Pelletier, Alexandra; Salber, Gregory; Grant, Richard W.

doi:10.1177/193229680900300216

Cited by 50 publications

(43 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this article, we follow up on our earlier publications to present data about factors that affect patient engagement and how such programs can be evaluated to predict clinical success. 6,7 Diabetes Connect has been implemented for over 3 years, and this article describes how patient engagement and adoption can be meaningfully analyzed and correlated with clinical outcomes, and how self-management programs for patients with diabetes can be made successful. …”

Section: Introductionmentioning

confidence: 99%

Diabetes Connect: An Evaluation of Patient Adoption and Engagement in a Web-Based Remote Glucose Monitoring Program

Jethwani

Ling

Mohammed³

et al. 2012

J Diabetes Sci Technol

Self Cite

View full text Add to dashboard Cite

Background: We determine whether Diabetes Connect (DC), a Web-based diabetes self-management program, can help patients effectively manage their diabetes and improve clinical outcomes. Methods: Diabetes Connect is a 12-month program that allows patients with type 2 diabetes mellitus to upload their blood glucose readings to a database, monitor trends, and share their data with their providers. To examine the impact of the program, we analyzed patient utilization and engagement data, clinical outcomes, as well as qualitative feedback from current and potential users through focus groups. Results: We analyzed 75 out of 166 patients. Mean age was 61 years (range 27-87). Patients engaged in DC had an average hemoglobin A1c (HbA1c) change of 1.5%, while nonengaged patients had a HbA1c change of 0.4% (p = .05). Patients with the best outcomes (HbAlc decline of at least 0.8%) typically took less than 10 days to upload, while patients with the worst outcomes (a rise in HbAlc) took an average of 65 days to upload. Patients with more engaged providers had a better HbA1c change (1.39% versus 0.87%) for practices with an average of 74 versus 30 logins/providers. Conclusions: Patient engagement in the program has a positive impact on the outcomes of this collaborative Web-based diabetes self-management tool. Patients who engage early and remain active have better clinical outcomes than unengaged patients. Provider engagement, too, was found critical in engaging patients in DC.

show abstract

Section: Introductionmentioning

confidence: 99%

Diabetes Connect: An Evaluation of Patient Adoption and Engagement in a Web-Based Remote Glucose Monitoring Program

Jethwani

Ling

Mohammed³

et al. 2012

J Diabetes Sci Technol

Self Cite

View full text Add to dashboard Cite

show abstract

“…Several other studies have also demonstrated high acceptance rates and satisfaction by patients using telehealth programs. 10,14,15 Utilization and adherence rates were higher than anticipated during the study period. Even participants who encountered technical problems said that the device was beneficial in keeping them accountable.…”

mentioning

confidence: 66%

Integrating Telehealth Technology into a Clinical Pharmacy Telephonic Diabetes Management Program

Klug

Bonin

Bultemeier

et al. 2011

J Diabetes Sci Technol

View full text Add to dashboard Cite

Background: Use of home monitoring technologies can enhance care coordination and improve clinical outcomes in patients with diabetes and other chronic diseases. This study was designed to explore the feasibility of incorporating a telehealth system into an existing telephonic diabetes management program utilizing clinical pharmacists. Methods: This observational study was conducted at three Providence Medical Group primary care clinics. Adults with a diagnosis of diabetes and a recent hemoglobin A1c (HbA1c) >8% were referred by their primary care provider to participate in the study. Participants utilized the telehealth system developed by Intel Corporation and were followed by clinical pharmacists who provide telephonic diabetes management. The primary clinical outcome measure was change in mean HbA1c. Secondary outcomes included blood glucose levels, participant self-management knowledge, and the degree of participant engagement. Results: Mean HbA1c level decreased by 1.3% at the study end ( p = .001). Based on participant satisfaction surveys and qualitative responses, participants were satisfied with the telehealth system. Mean blood glucose values decreased significantly over the 16-week study period from 178 mg/dl [standard deviation (SD) 67] at week 1 to 163 mg/dl (SD 64) at week 16 ( p = .0002). Participants entered the study with moderate to good knowledge about managing their diabetes based on three questions, and no statistically significant improvement in knowledge was found post-study. Conclusion: Telehealth technology can be a positive adjunct to the primary care team in managing diabetes or other chronic conditions to improve clinical outcomes.

show abstract

“…Many SMBG meters have the capability of transmitting data and the impact on health continues to expand to address potential communication barriers between patients and clinicians [6,9,10]. The information from this pilot study adds to the body of literature to support the use of real-time SMBG data in a primary care setting to improve clinical outcomes [11][12][13]. We utilized a meter that can transmit wireless glucose measurements to a protected web site only accessible by user name and password.…”

Section: Discussionmentioning

confidence: 99%

Technology Driven Diabetes Management: Application of Cellular Transmission of Glucose Data

P¹,

Manali²,

Holly³

et al. 2017

Int J Diabetes Clin Res

View full text Add to dashboard Cite

show abstract

Diabetes Connected Health: A Pilot Study of a Patient- and Provider-Shared Glucose Monitoring Web Application

Abstract: This pilot study of a shared glucose monitoring Web application was well received by patients. Programs like this may lead to improvements in the quality of clinical care delivered to people with type 2 diabetes.

Cited by 50 publications

References 14 publications

Diabetes Connect: An Evaluation of Patient Adoption and Engagement in a Web-Based Remote Glucose Monitoring Program

Diabetes Connect: An Evaluation of Patient Adoption and Engagement in a Web-Based Remote Glucose Monitoring Program

Integrating Telehealth Technology into a Clinical Pharmacy Telephonic Diabetes Management Program

Technology Driven Diabetes Management: Application of Cellular Transmission of Glucose Data

Contact Info

Product

Resources

About