Online disease management of diabetes: Engaging and Motivating Patients Online With Enhanced Resources-Diabetes (EMPOWER-D), a randomized controlled trial

Abstract

A nurse-led, multidisciplinary health team can manage a population of diabetic patients in an online disease management program. INT patients achieved greater decreases in A1C at 6 months than UC patients, but the differences were not sustained at 12 months. More INT than UC patients achieved improvement in A1C (>0.5% decrease). Trial registered in clinical trials.gov: #NCT00542204.

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

“…The mean age of all participants ranged from 46 to 71 years. Ten studies (13,14,15,16,17,18,19,20,21,22) limited inclusion criteria to participants 1240 records identified through searches 899 records after duplicates removed 800 excluded based on abstracts.…”

“…Most studies reported improvement in HbA1c. Four studies (19,22,23,24) scored A for quality, nine (13,14,15,17,18,20,25,26,27) Fig. 2).…”

“…Outcome data about BMI were provided in four studies (16,18,21,28) and used for meta-analysis, finding no significant difference between telecare and standard care groups (K0.59 kg/m 2 ; 95% CI, K1.52 to 0.34; PZ0.21). There were four studies (16,20,21,22) that included weight change data; meta-analysis also showed that the telecare was not significantly different from standard care at endpoint (1.01 pounds; 95% CI, K3.31 to 5.33; PZ0.65).…”

User Perceptions and Expectations of the Personally Controlled Electronic Health Record (PCEHR): A Case Study of Australias e-health Solution

“…Demand for better healthcare services is increasing while human and fiscal resources are decreasing (Duckett & Willcox, 2011). These challenges have exposed the fragility of healthcare systems and their infrastructure further; and emphases the need to establish a reliable and coherent plan to deal with these challenges (Tang et al, 2013).…”

“…The benefits of transforming healthcare information from paper-based 1 It is important to note here that the name of the e-health solution was changed from PCEHR to MyHealth Record in 2015. To be systems to electronic health record systems have been very well documented; however, numerous social and technical e-health adaptation and implementation barriers have been reported in literature (André et al, 2008;Avgerou, 2008;Bernstein et al, 2007;Boonstra & Broekhuis, 2010;HFMA, 2006;Kennedy, 2011;Liu et al, 2011;Tang et al, 2013;Thweatt & Kleiner, 2007;Trudel, 2010). Previous reports call for the use of an EHR for better health information sharing and for more efficient healthcare delivery with more successful healthcare outcomes (Deloitte, 2008;Fiscella & Geiger, 2006;Gill, 2010;Häyrinen et al, 2008;NHHRC, 2009;Wiljer et al, 2008).…”