Telemedicine Improved Diabetic Management

Whitlock, Warren L.; Brown, A L; Moore, Kevin; Pavliscsak, Holly H.; Dingbaum, Angela; Lacefield, Dollie; Buker, Kirk Lorne; Xenakis, Steven

doi:10.1093/milmed/165.8.579

Cited by 118 publications

(133 citation statements)

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“…Communication with health care providers and health care facilities using telemedicine can improve diabetes care (21). Our findings of similar effects in the in-person and telemedicine groups support the necessity for larger studies to confirm this preliminary finding to enable Medicare, Medicaid, and third-party payers to determine policy for reimbursement for diabetes education services provided via telemedicine technology (22).…”

Section: Costs Of Telemedicine Interventionsupporting

confidence: 67%

A Comparison of Diabetes Education Administered Through Telemedicine Versus in Person

et al. 2003

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OBJECTIVE -To determine whether diabetes education can be provided as effectively through telemedicine technology as through in-person encounters with diabetes nurse and nutrition educators. RESEARCH DESIGN AND METHODS-A total of 56 adults with diabetes were randomized to receive diabetes education in person (control group) or via telemedicine (telemedicine group) and were followed prospectively. The education consisted of three consultative visits with diabetes nurse and nutrition educators. The in-person and telemedicine groups were compared using measures of glycemic control (HbA 1c ) and questionnaires to assess patient satisfaction and psychosocial functioning as related to diabetes. Outcome measures were obtained at baseline, immediately after the completion of diabetes education, and 3 months after the third educational visit.RESULTS -Patient satisfaction was high in the telemedicine group. Problem Areas in Diabetes scale scores improved significantly with diabetes education (adjusted P Ͻ 0.05, before vs. immediately after education and 3 months after education), and the attainment of behaviorchange goals did not differ between groups. With diabetes education, HbA 1c improved from 8.6 Ϯ 1.8% at baseline to 7.8 Ϯ 1.5% immediately after education and 7.8 Ϯ 1.8% 3 months after the third educational visit (unadjusted P Ͻ 0.001, P ϭ 0.089 adjusted for BMI and age), with similar changes observed in the telemedicine and in-person groups.CONCLUSIONS -Diabetes education via telemedicine and in person was equally effective in improving glycemic control, and both methods were well accepted by patients. Reduced diabetes-related stress was observed in both groups. These data suggest that telemedicine can be successfully used to provide diabetes education to patients.

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Section: Costs Of Telemedicine Interventionsupporting

confidence: 67%

A Comparison of Diabetes Education Administered Through Telemedicine Versus in Person

et al. 2003

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“…A reduction in HbA1c of 0.5 would be clinically meaningful [8]. The choice of 0.3 for the standard deviation of the mean difference was a logical guess, derived from the wide range of initial and follow-up values in the literature on diabetes management [9][10][11][12][13][14][15]. TWC experiences an average drop-out rate of patients who do not complete the entire four courses of 10-20% (K. Wiggins, personal communication, June 14, 2010).…”

Section: Study Design and Analysismentioning

confidence: 99%

“…Likewise, 14% of healthcare spending goes to treating it, amounting to hundreds of billions of dollars a year, and nearly 95% of diabetes cases are type 2 [6,7]. Lowering glycated hemoglobin (HbA1c) through disease management programs improve patient outcomes and with clinically significant benefits from even small reductions [8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…However, little research has focused on methods for daily reinforcement of the material learned in disease management programs. The data have demonstrated that disease management programs can be effective, but there is still room for improvement; patients, providers, and health plans alike need to identify other tools to further improve patient outcomes [9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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Visual Reminders and Patient Compliance of Type 2 Diabetics

Clobes¹

2017

J Diabetes Metab

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Objective: To determine how visual reminders affect patient compliance in Type 2 diabetics following the completion of a disease management program, a pretest-posttest randomized design was used. Methods:Patients were recruited following enrollment in a diabetes management course. Classes were randomized into the visual reminder group (VG) or control group (CG). The VG selected an object of importance and one seen frequently, reminding themselves to choose healthy behaviors. Baseline and follow-up data included HbA1c, BMI, and exercise time.Results: For HbA1c, the decrease in the CG was 5.49% (0.56 ± 1.4) while the VG group was 13.3% (1.2 ± 1.6) with no statistical significance between the two groups (p=0.36). From baseline to follow-up, the change in the CG was not statistically significant (p=0.3) while the change in the VG was (p=0.04). For BMI, the CG reduced 0.53% while the mean reduction with the VG group was 1.5%. The difference between the groups was not statistically significant (p=0.61). For exercise time, the CG was increased 18.4% while the mean increase in the VG group was 82.0%. The difference was not statistically significant (p=0.27). The change from baseline for both the CG and VG (p=0.004 and 0.02, respectively). Conclusion:Though trending positively, this research cannot conclusively confirm the value of a visual reminder in changing patients' health behavior to manage their diabetes. Nonetheless, when considering the clinically significant differences between the CG and VG with greater improvements in all measured variables, implementation of a visual reminder into diabetes management should be considered.

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“…Of the 18 studies identified involving synchronous interaction, most concern healthcare professionals such as nurses, dieticians, physiotherapists and others, interacting with patients for educational purposes. Some studies report on how home telemedicine consultations may replace standard outpatient care [22], where nurses are present at the home of the patients and a specialist participates through videoconferencing. Others report on outreach service delivery from a specialist hospital to regional clinics [23].…”

Section: Related Workmentioning

confidence: 99%

Service innovation from the edges: enhanced by telemedicine decision support

Osmundsen

Jaatun

Heggem

et al. 2015

Pers Ubiquit Comput

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Increased prevalence of diabetes creates a need for improved care. Diabetes, as a chronic disease in which the patient is a central asset for effective care, is relevant as an illustrative example for also other chronic diseases that are on the rise globally. Such diseases demand localised co-produced healthcare services that respond to the need for integrated health care. The aim of the current paper was to investigate how telemedicine may facilitate patient consultations that improve quality, efficiency and patient involvement. Patient consultations facilitated by telemedicine were evaluated by the means of qualitative questionnaires to specialist, general practitioner and patients. The questionnaires revealed that the patient consultations improved quality of health care and saved time and cost. Findings suggest that such tripartite consultations may lead to outcomes where patients are empowered to take a more active role, the general practitioner increases his knowledge and competence, and the specialist is able to have a more holistic approach grounded in an understanding of patient history and local context. The support of telemedicine strengthens the consultations in terms of synchronous communication with visual clues and reduces time spent on the consultation by the specialist and travel time and cost for the patient. The contribution of this paper is to demonstrate how telemedicine can provide improved patient consultations by altering the established system of healthcare delivery.

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Telemedicine Improved Diabetic Management

Cited by 118 publications

References 0 publications

A Comparison of Diabetes Education Administered Through Telemedicine Versus in Person

A Comparison of Diabetes Education Administered Through Telemedicine Versus in Person

Visual Reminders and Patient Compliance of Type 2 Diabetics

Service innovation from the edges: enhanced by telemedicine decision support

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