One-Year Efficacy and Safety of the Telehealth System in Poorly Controlled Type 2 Diabetic Patients Receiving Insulin Therapy

Chen, Shi‐Yu; Chang, Yu‐Hung; Hsu, Hui‐Chun; Lee, Yau-Jiunn; Hung, Yi‐Jen; Hsieh, Chang-Hsun

doi:10.1089/tmj.2011.0020

Cited by 18 publications

(29 citation statements)

References 23 publications

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“…However there was overall reduction in HbA1c levels in the first six months after enrollment into the program and this reduction was sustained thereafter. This is similar to findings in other studies where intensive SMBG was associated with improvements in HbA1c [2,8]. The trend in mean HbA1c observed is suggesting a pattern where patients improve their glycemic control which is followed by a period of poor DM practices possibly influenced by the apparent improvement.…”

Section: Discussionsupporting

confidence: 89%

“…Though there was reduction in HbA1c levels from the baseline after enrollment, adherence to SMBG was not associated with glycemic control. Our study findings of poor adherence to SMBG confirm the results of previous studies on adherence from US, Europe and Asia [6,8]. A study done in Central Texas [4] using 80% cut off for defining adherence reported that only one third of DM patients were adherent to SMBG which was higher than the present study.…”

Section: Discussionsupporting

confidence: 85%

“…Adherence to SMBG therefore requires that patients test their blood sugar as advised by the healthcare provider, in terms of frequency and timing. The overall evidence about adherence to SMBG among DM patients is limited and most of the evidence comes from the United States of America, Europe or Asia [2,3,8,9]. We could not identify any published evidence on this issue from Africa.…”

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Do diabetes mellitus patients adhere to self-monitoring of blood glucose (SMBG) and is this associated with glycemic control? Experiences from a SMBG program in western Kenya

Charity

Kumar²,

Hinderaker

et al. 2016

Diabetes Research and Clinical Practice

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

Do diabetes mellitus patients adhere to self-monitoring of blood glucose (SMBG) and is this associated with glycemic control? Experiences from a SMBG program in western Kenya

Charity

Kumar²,

Hinderaker

et al. 2016

Diabetes Research and Clinical Practice

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show abstract

“…Of the 32 interventions, 18 (56%) were PDA-, tablet-, computer-, or mobile phone–delivered or Web-based interventions [ 6 , 25 , 31 , 33 , 58 , 60 , 61 , 68 - 71 , 74 - 80 ], 7 interventions (22%) were telehealth interventions delivered via landline telephones [ 57 , 59 , 63 , 66 , 67 , 73 , 81 ], 6 (19%) used text messaging [ 20 , 56 , 62 , 64 , 65 , 72 ], and 1 employed videoconferencing [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

Characterizing Active Ingredients of eHealth Interventions Targeting Persons With Poorly Controlled Type 2 Diabetes Mellitus Using the Behavior Change Techniques Taxonomy: Scoping Review

Kebede¹,

Liedtke²,

Möllers³

et al. 2017

J Med Internet Res

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BackgroundThe behavior change technique taxonomy v1 (BCTTv1; Michie and colleagues, 2013) is a comprehensive tool to characterize active ingredients of interventions and includes 93 labels that are hierarchically clustered into 16 hierarchical clusters.ObjectiveThe aim of this study was to identify the active ingredients in electronic health (eHealth) interventions targeting patients with poorly controlled type 2 diabetes mellitus (T2DM) and relevant outcomes.MethodsWe conducted a scoping review using the BCTTv1. Randomized controlled trials (RCTs), studies with or pre-post-test designs, and quasi-experimental studies examining efficacy and effectiveness of eHealth interventions for disease management or the promotion of relevant health behaviors were identified by searching PubMed, Web of Science, and PsycINFO. Reviewers independently screened titles and abstracts for eligibility using predetermined eligibility criteria. Data were extracted following a data extraction sheet. The BCTTv1 was used to characterize active ingredients of the interventions reported in the included studies.ResultsOf the 1404 unique records screened, 32 studies fulfilled the inclusion criteria and reported results on the efficacy and or or effectiveness of interventions. Of the included 32 studies, 18 (56%) were Web-based interventions delivered via personal digital assistant (PDA), tablet, computer, and/or mobile phones; 7 (22%) were telehealth interventions delivered via landline; 6 (19%) made use of text messaging (short service message, SMS); and 1 employed videoconferencing (3%). Of the 16 hierarchical clusters of the BCTTv1, 11 were identified in interventions included in this review. Of the 93 individual behavior change techniques (BCTs), 31 were identified as active ingredients of the interventions. The most common BCTs identified were instruction on how to perform behavior, adding objects to the environment, information about health consequences, self-monitoring of the outcomes and/or and prefers to be explicit to avoid ambiguity. Response: Checked and avoided of a certain behavior Author: Please note that the journal discourages the use of parenthesis to denote either and/or and prefers to be explicit to avoid ambiguity. Response: Checked and avoided “and/or” and prefers to be explicit to avoid ambiguity. Response: Checked and avoided, and feedback on outcomes of behavior.ConclusionsOur results suggest that the majority of BCTs employed in interventions targeting persons with T2DM revolve around the promotion of self-regulatory behavior to manage the disease or to assist patients in performing health behaviors necessary to prevent further complications of the disease. Detailed reporting of the BCTs included in interventions targeting this population may facilitate the replication and further investigation of such interventions.

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“…Strategies to overcome these include structured patient education training and follow-up programs. These have been shown to significantly improve the management of diabetes28 as well as reduce diabetes-related distress 29. However, implementing insulin follow-up and education for patients requires sufficient staff resources.…”

Section: Discussionmentioning

confidence: 99%

What are the barriers faced by patients using insulin? A qualitative study of Malaysian health care professionals’ views

Lee

Ng²,

Lee³

et al. 2013

PPA

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BackgroundPatients with type 2 diabetes often require insulin as the disease progresses. However, health care professionals frequently encounter challenges when managing patients who require insulin therapy. Understanding how health care professionals perceive the barriers faced by patients on insulin will facilitate care and treatment strategies.ObjectiveThis study explores the views of Malaysian health care professionals on the barriers faced by patients using insulin.MethodsSemi-structured qualitative interviews and focus group discussions were conducted with health care professionals involved in diabetes care using insulin. Forty-one health care professionals participated in the study, consisting of primary care doctors (n = 20), family medicine specialists (n = 10), government policymakers (n = 5), diabetes educators (n = 3), endocrinologists (n = 2), and one pharmacist. We used a topic guide to facilitate the interviews, which were audio-recorded, transcribed verbatim, and analyzed using a thematic approach.ResultsFive themes were identified as barriers: side effects, patient education, negative perceptions, blood glucose monitoring, and patient adherence to treatment and follow-up. Patients perceive that insulin therapy causes numerous negative side effects. There is a lack of patient education on proper glucose monitoring and how to optimize insulin therapy. Cost of treatment and patient ignorance are highlighted when discussing patient self-monitoring of blood glucose. Finally, health care professionals identified a lack of a follow-up system, especially for patients who do not keep to regular appointments.ConclusionThis study identifies five substantial barriers to optimizing insulin therapy. Health care professionals who successfully identify and address these issues will empower patients to achieve effective self-management. System barriers require government agency in establishing insulin follow-up programs, multidisciplinary diabetes care teams, and subsidies for glucometers and test strips.

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One-Year Efficacy and Safety of the Telehealth System in Poorly Controlled Type 2 Diabetic Patients Receiving Insulin Therapy

Abstract: The intensive diabetes management program with the telehealth system is a useful education method to improve blood sugar control and prevent hospitalization in poorly controlled T2D patients receiving insulin injections.

Cited by 18 publications

References 23 publications

Do diabetes mellitus patients adhere to self-monitoring of blood glucose (SMBG) and is this associated with glycemic control? Experiences from a SMBG program in western Kenya

Do diabetes mellitus patients adhere to self-monitoring of blood glucose (SMBG) and is this associated with glycemic control? Experiences from a SMBG program in western Kenya

Characterizing Active Ingredients of eHealth Interventions Targeting Persons With Poorly Controlled Type 2 Diabetes Mellitus Using the Behavior Change Techniques Taxonomy: Scoping Review

What are the barriers faced by patients using insulin? A qualitative study of Malaysian health care professionals’ views

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One-Year Efficacy and Safety of the Telehealth System in Poorly Controlled Type 2 Diabetic Patients Receiving Insulin Therapy

Abstract: The intensive diabetes management program with the telehealth system is a useful education method to improve blood sugar control and prevent hospitalization in poorly controlled T2D patients receiving insulin injections.

Cited by 18 publications

References 23 publications

Do diabetes mellitus patients adhere to self-monitoring of blood glucose (SMBG) and is this associated with glycemic control? Experiences from a SMBG program in western Kenya

Do diabetes mellitus patients adhere to self-monitoring of blood glucose (SMBG) and is this associated with glycemic control? Experiences from a SMBG program in western Kenya

Characterizing Active Ingredients of eHealth Interventions Targeting Persons With Poorly Controlled Type 2 Diabetes Mellitus Using the Behavior Change Techniques Taxonomy: Scoping Review

What are the barriers faced by patients using insulin? A qualitative study of Malaysian health care professionals&rsquo; views

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What are the barriers faced by patients using insulin? A qualitative study of Malaysian health care professionals’ views