Goal Setting Using Telemedicine in Rural Underserved Older Adults with Diabetes: Experiences from the Informatics for Diabetes Education and Telemedicine Project

West, Susan; Lagua, Carina T.; Trief, Paula M.; Izquierdo, Roberto; Weinstock, Ruth S.

doi:10.1089/tmj.2009.0136

Cited by 64 publications

(87 citation statements)

References 19 publications

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“…ICTs are currently being used in developed [3] and developing countries [4][5][6] and have been used to improve access to sources of knowledge for both patients and health care providers. However, the undersized health and ICT sector in a country such as Afghanistan limits its potential and wider benefits [7].…”

Section: Introductionmentioning

confidence: 99%

Health needs and eHealth readiness assessment of health care organizations in Kabul and Bamyan, Afghanistan

Durrani

Khoja²,

Naseem³

et al. 2012

East Mediterr Health J

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This study assessed the need and readiness of health care institutions in Kabul and Bamyan, Afghanistan for successful implementation of information and communication technology in health care (eHealth). A mixed methods design was adopted at 2 institutions in the Aga Khan Development Network in Afghanistan: the French Medical Institute for Children in Kabul and Bamyan Provincial Hospital, Bamyan. Information for the needs assessment was obtained from interviews and focus groups and eHealth readiness was assessed using a validated survey tool. The needs of institutions in the Aga Khan Development Network in Afghanistan were categorized as follows: provision of care needs; learning needs; and information management needs. eHealth readiness on average was lower in Bamyan compared with Kabul in all areas of the readiness assessment. Other institutions in Afghanistan may benefit from adopting the model of needs and readiness assessment used for Aga Khan Development Network institutions.

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Section: Introductionmentioning

confidence: 99%

Health needs and eHealth readiness assessment of health care organizations in Kabul and Bamyan, Afghanistan

Durrani

Khoja²,

Naseem³

et al. 2012

East Mediterr Health J

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“…5 Several studies using telehealth in rural areas have reported improved knowledge of diabetes, self-efficacy, dietary adherence, glucose monitoring, and glycemic control. [18][19][20][21] A large body of evidence supports a short-term effect of diabetes self-management education. [22][23][24][25] In a systematic review of randomized controlled trials, Norris et al 26 reported that, in general, the effectiveness of diabetes interventions was short-lived; improvements in glycemic control, knowledge of diabetes, and diet were observed in the short term, with no significant differences observed between the intervention versus control group long term ( >6 months postintervention).…”

mentioning

confidence: 99%

Sustained Effects of a Nurse Coaching Intervention via Telehealth to Improve Health Behavior Change in Diabetes

Young

Miyamoto

Ward

et al. 2014

Telemedicine and e-Health

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Background: Diabetes educators and self-management programs are scarce in rural communities, where diabetes is the third highestranking health concern. The goal of this study was to evaluate the benefits of nurse telehealth coaching for persons with diabetes living in rural communities through a person-centered approach using motivational interviewing (MI) techniques. Materials and Methods: A randomized experimental study design was used to assign participants to receive either nurse telehealth coaching for five sessions (intervention group) or usual care (control group). Outcomes were measured in both groups using the Diabetes Empowerment Scale (DES), SF-12, and satisfaction surveys. Mean scores for each outcome were compared at baseline and at the 9-month follow-up for both groups using a Student's t test. We also evaluated the change from baseline by estimating the difference in differences (pre-and postintervention) using regression methods. Results: Among the 101 participants included in the analysis, 51 received nurse telehealth coaching, and 50 received usual care. We found significantly higher self-efficacy scores in the intervention group compared with the control group based on the DES at 9 months (4.03 versus 3.64, respectively; p < 0.05) and the difference in difference estimation (0.42; p < 0.05). Conclusions: The nurse MI/telehealth coaching model used in this study shows promise as an effective intervention for diabetes self-management in rural communities. The sustained effect on outcomes observed in the intervention group suggests that this model could be a feasible intervention for long-term behavioral change among persons living with chronic disease in rural communities.

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“…Otera-Sabogal et al (2010) demonstrate that a proactive, educational approach statistically improved blood glucose levels, LDL cholesterol, and increased self-care management of type II diabetes. West et al (2010) findings suggest that 68% of behavioural goals were met or improved in patients with diabetes. A systematic review, which included 21 studies (after eliminating 6,325 studies based on quality measures) suggested that patients receiving remote monitoring experienced significantly lower hospital readmission, mortality rates, and emergency department visits (Polisena et al, 2010).…”

Section: Quality and Millmentioning

confidence: 87%

An ethical analysis of telemedicine: implications for future research

White-Williams

Oetjen

2015

IJTMCP

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Abstract:The challenges in healthcare have led to a system wide exploration of the potential benefits of remote monitoring. To comprehensively evaluate its utility, researchers, decision makers, and healthcare practitioners should assess remote monitoring in light of its ethical ramifications. This manuscript will consider two philosophical perspectives, teleology and deontology. Teleology, as supported by John Stuart Mill's utilitarian position, holds that the morality of a decision is based upon its consequences. In response, philosopher John Rawls offers a deontological framework, which supports remote monitoring if it benefits the most disadvantaged in society. It is through these philosophical frameworks that remote monitoring will be analysed in relation to its ability to affect change in access, quality, and cost of healthcare. Implications for future public health research will also be discussed.

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Goal Setting Using Telemedicine in Rural Underserved Older Adults with Diabetes: Experiences from the Informatics for Diabetes Education and Telemedicine Project

Abstract: Televisits can be successfully used to collaboratively establish behavior change goals to help improve diabetes self-management in underserved elderly rural adults.

Cited by 64 publications

References 19 publications

Health needs and eHealth readiness assessment of health care organizations in Kabul and Bamyan, Afghanistan

Health needs and eHealth readiness assessment of health care organizations in Kabul and Bamyan, Afghanistan

Sustained Effects of a Nurse Coaching Intervention via Telehealth to Improve Health Behavior Change in Diabetes

An ethical analysis of telemedicine: implications for future research

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