Randomized trial of technology-assisted self-monitoring of blood glucose by low-income seniors: improved glycemic control in type 2 diabetes mellitus

Levine, Jason C.; Burns, Edith; Whittle, Jeff; Fleming, Raymond; Knudson, Paul E.; Flax, Steve; Leventhal, Howard

doi:10.1007/s10865-016-9763-5

Cited by 58 publications

(13 citation statements)

References 23 publications

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“…Self‐monitoring of blood glucose provides real‐time glucose measurements for the adjustment of insulin doses and diet and exercise regimens, and thus plays a critical part in diabetes management of insulin‐treated and non‐insulin‐treated patients . Moreover, SMBG can offer direct and intuitive feedback from patients’ lifestyle.…”

Section: Discussionsupporting

confidence: 90%

“…Self-monitoring of blood glucose provides real-time glucose measurements for the adjustment of insulin doses and diet and exercise regimens, and thus plays a critical part in diabetes management of insulin-treated and non-insulin-treated patients. [32][33][34] Moreover, SMBG can offer direct and intuitive feedback from patients' lifestyle. In the present study, the rate of good glycemic control for patients in the SMBG group was higher than in the no-SMBG group when the effect of educational attainment was ignored (64.01% vs 53.92%, respectively; P = 0.009), which is consistent with most previous studies.…”

Section: Discussionmentioning

confidence: 99%

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Educational disparities in the associations between self‐monitoring of blood glucose and glycemic control in type 2 diabetes patients inXiamen,China

Zeng

et al. 2018

Journal of Diabetes

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Educational disparities in the associations between self‐monitoring of blood glucose and glycemic control in type 2 diabetes patients inXiamen,China

Zeng

et al. 2018

Journal of Diabetes

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“…Most studies employed a regular parallel-group design. Two studies were conducted using a delayed-start/semicrossover approach [ 23 , 48 ] and five studies employed a crossover design [ 8 , 11 , 14 , 24 , 27 ]. Of those five, two trials were judged to have a low risk of carryover, one studying an electronic vision enhancement system [ 24 ] and the other evaluating the benefit of video calls versus regular phone calls for patients with dementia [ 8 ].…”

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Assistive Technologies for Older Adults and the Influence of Frailty: Systematic Literature Review of Randomized Controlled Trials

Fotteler¹,

Mühlbauer²,

Brefka³

et al. 2022

JMIR Aging

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Background The use of assistive technologies (ATs) to support older people has been fueled by the demographic change and technological progress in many countries. These devices are designed to assist seniors, enable independent living at home or in residential facilities, and improve quality of life by addressing age-related difficulties. Objective We aimed to evaluate the effectiveness of ATs on relevant outcomes with a focus on frail older adults. Methods A systematic literature review of randomized controlled trials evaluating ATs was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The Ovid Medline, PsycINFO, SocIndex, CINAHL (Cumulative Index to Nursing and Allied Health Literature), CENTRAL (Cochrane Central Register of Controlled Trials), and IEEEXplore databases were searched from January 1, 2009, to March 15, 2019. ATs were included when aiming to support the domains autonomy, communication, or safety of older people with a mean age ≥65 years. Trials performed within a laboratory setting were excluded. Studies were retrospectively categorized according to the physical frailty status of participants. Results A total of 19 trials with a high level of heterogeneity were included in the analysis. Six device categories were identified: mobility, personal disease management, medication, mental support, hearing, and vision. Eight trials showed significant effectiveness in all or some of the primary outcome measures. Personal disease management devices seem to be the most effective, with four out of five studies showing significant improvement of disease-related outcomes. Frailty could only be assessed for seven trials. Studies including participants with significant or severe impairment showed no effectiveness. Conclusions Different ATs show some promising results in well-functioning but not in frail older adults, suggesting that the evaluated ATs might not (yet) be suitable for this subgroup. The uncertainty of the effectiveness of ATs and the lack of high-quality research for many promising supportive devices were confirmed in this systematic review. Large studies, also including frail older adults, and clear standards are needed in the future to guide professionals, older users, and their relatives. Trial Registration PROSPERO CRD42019130249; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=130249

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“…Levine and colleagues (Levine et al, 2016) conducted a randomized trial of technology-assisted selfmonitoring of blood glucose in a sample of low-income older adults with type 2 diabetes. Another study (Berg et al, 2016) examined the relationship among adolescents', mothers', and fathers' reports of adolescents' adherence to the type 1 diabetes self-management regimen across six time-points, comparing these adherence ratings to measures of daily blood glucose and overall glycemic control through a multitrait-multimethod approach.…”

mentioning

confidence: 99%

“…It cannot be simply assumed that theoretical models applied in more traditional intervention settings ''transfer'' to such contexts. Two papers in the present issue are examples of theory-based mHealth interventions (i.e., Levine et al, 2016;Nelson et al, 2016).…”

mentioning

confidence: 99%

Treatment adherence and illness self-management: introduction to the special issue

Howren

Gonzalez

2016

J Behav Med

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The current issue is devoted broadly to research on treatment adherence and chronic illness self-management behavior. As the prevalence of chronic illness increases, the pervasive problem of treatment nonadherence is increasingly viewed as having a major impact on treatment outcomes, public health and healthcare costs, making this issue particularly timely. Sixteen articles spanning an array of topics are presented; articles include empirical studies, statistical simulations, systematic reviews, and theoretical commentaries. Studies conducted with diverse patient populations (e.g., chronic headache, diabetes, end-stage renal disease, HIV, hypertension, severe obesity), samples (e.g., adolescents, ethnic/racial minorities, low-income adults, parents, spousal dyads), and designs (e.g., cross-sectional, longitudinal assessment, randomized controlled trial), are represented. This issue highlights psychosocial factors associated with nonadherence, promising interventions to promote adherence, and state-of-the art methods for the study of illness self-management. We hope these articles engender even more high quality, methodologically rigorous research in this important subfield of behavioral medicine.The current issue of the Journal of Behavioral Medicine is devoted broadly to research and practice in treatment adherence and illness self-management. Nonadherence to treatment prescriptions and self-management regimens is rightfully recognized as an important contributor to global public health burden (Bosworth, 2010); consequently, research into factors associated with treatment (non)adherence, as well as interventions to improve adherence, has grown almost exponentially over the past three-plus decades. Despite enormous attention, however, poor adherence remains pervasive and is associated with a host of outcomes, including cost, patient and provider frustration, illness complications and relapse, increased hospitalization, poor health-related quality of life, and mortality (Christensen, 2004). Moreover, this constellation of behaviors also inhibits our ability to establish empiricallybased treatment guidelines. The impetus for this issue is rooted in the fact that behavioral medicine is particularly well suited to improve upon these outcomes and, as such, makes this issue particularly timely.In response to an open call for papers on this topic, over 80 abstracts were submitted for consideration, of which approximately 45 were approved for full submission and peer-review. Multiple manuscript types (e.g

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Randomized trial of technology-assisted self-monitoring of blood glucose by low-income seniors: improved glycemic control in type 2 diabetes mellitus

Cited by 58 publications

References 23 publications

Educational disparities in the associations between self‐monitoring of blood glucose and glycemic control in type 2 diabetes patients inXiamen,China

Educational disparities in the associations between self‐monitoring of blood glucose and glycemic control in type 2 diabetes patients inXiamen,China

The Effectiveness of Assistive Technologies for Older Adults and the Influence of Frailty: Systematic Literature Review of Randomized Controlled Trials

Treatment adherence and illness self-management: introduction to the special issue

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