The role of telenursing in the management of Diabetes Type 1: A randomized controlled trial

Kotsani, Konstantia; Antonopoulou, Vasiliki; Kountouri, Aikaterini; Grammatiki, Maria; Rapti, Eleni; Karras, Spyridon Ν.; Trakatelli, Christina; Tsaklis, Panagiotis; Kazakos, Kyriakos; Kotsa, Kalliopi

doi:10.1016/j.ijnurstu.2018.01.003

Cited by 44 publications

(55 citation statements)

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“…In the review by Tao et al, subgroup analysis did not show any significant differential effects among the intervention durations. Through short-term remote monitoring of diabetes, the patient's blood sugar control is ideal, but whether the benefits are significant or not, remains to be further studied (Aliha et al, 2013;Borhani et al, 2013;Fountoulakis et al, 2015;Kotsani et al, 2018;Solaiman, 2016).…”

Section: Summary Of the Main Resultsmentioning

confidence: 99%

“…Seventeen studies reported HBA1c levels (Aliha et al, 2013;Aytekin et al, 2016;Blackberry, 2013;Bond, 2007;Borhani et al, 2013;Elgaphar, 2017;Hansen et al, 2017;Crowley et al, 2013;Kotsani et al, 2018;Navicharern et al, 2009;Nesari et al, 2010;Odnoletkova et al, 2016;Piette et al, 2001;Piette, 2000;Wong, 2005;Solaiman, 2016;Zolfaghari et al, 2012), four studies reported BMI (Aliha et al, 2013;Odnoletkova et al, 2016), five studies reported fasting blood sugar (Aliha et al, 2013;Borhani et al, 2013;Elgaphar, 2017;Kotsani et al, 2018;Solaiman, 2016), and four studies reported total cholesterol (Aytekin, 2016;Blackberry, 2013;Odnoletkova et al, 2016;Solaiman, 2016). Some literature did not report HbA1c levels or complete data, and we excluded these documents (Tsaklis, Kotsa, Kotsani, & Kazakos, 2015;Young et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Each study reported detailed information about the intervention time and intervention procedures. In the included studies, the intervention group procedure included automated telephone calls and nurse telephone follow-up (Piette et al, 2001(Piette et al, , 2000, nurse telephone follow-up (Aliha et al, 2013;Aytekin et al, 2016;Borhani et al, 2013;Crowley et al, 2013;Elgaphar, 2017;Kotsani et al, 2018;Nesari et al, 2010;Wong, 2005;Solaiman, 2016), multifaceted nurse-coaching intervention (Navicharern et al, 2009), short message service (Zolfaghari et al, 2012), nurse-led telephone coaching (Blackberry et al, 2013;Odnoletkova et al, 2016;Young et al, 2014), monthly video conferences with a nurse-coaching intervention (Hansen et al, 2017), and synchronous or asynchronous communication and webbased intervention (Bond et al, 2007) (Table 2). The results showed that the intervention period ranged from 3 to 18 months.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…Five studies (Aliha et al, 2013;Borhani et al, 2013;Fountoulakis, Papanastasiou, Gryparis, Markou, & Piaditis, 2015;Kotsani et al, 2018;Solaiman, 2016) examined FBS change after the intervention, and their finding can explain the insignificant difference (SMD = −0.19, 95% CI: 0.20-1.01, p = 0.003).…”

Section: Changes In Fbsmentioning

confidence: 99%

“…The American Academy of Ambulatory Care Nursing defines telenursing as the delivery, management, and coordination of all types of nursing care and services provided via telecommunications technology that includes a vast array of telecommunications technologies, such as telephone, fax, electronic mail, Internet, videomonitoring, and interactive video (Aytekin, Ovayolu, & Ovayolu, 2016;Blackberry et al, 2013;Bond et al, 2007;Borhani, Lashkari, Sabzevari, & Abbaszadeh, 2013;Crowley et al, 2013;Elgaphar & El-Gafar, 2017;Hansen, Perrild, Koefoed, & Zander, 2017;Kotsani et al, 2018), that remove time and distance barriers for the delivery of nursing care (Sorrells-Jones, Tschirch, & Liong, 2006). Although it cannot replace personal contact and physical examination, it may strengthen patient-nurse relationships, reduce visits to clinics, save costs and help DM patients achieve their glycemic targets (Chumbler, Neugaard, Ryan, Qin, & Joo, 2005).…”

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confidence: 99%

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The role of telenursing in the management of diabetes：A systematic review and meta‐analysis

Yang

Jiang

2019

Public Health Nursing

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Background Diabetes is a common chronic disease that requires a long‐term regimen. However, the management of diabetes by telenursing is limited and inconclusive. Objectives To determine the effectiveness of telenursing on control in diabetes. We conducted a systematic review and meta‐analysis of randomized controlled trials (RCTs). Methods We searched electronic databases, including PubMed, Embase, Web of Science and Cochrane Library. Studies comparing telenursing with usual care in diabetes patients were included. Results A total of 17 randomized controlled trials were identified. Glycated hemoglobin (HbA1c) dates were pooled using a random effects meta‐analysis method, followed by subgroup analyses to examine heterogeneity. The meta‐analysis showed that the use of telenursing (vs. usual care) was associated with a significant reduction in HbA1c levels compared to usual care, with a pooled 0.68% (95% CI: 0.33–1.03, p = 0.0001; I2 = 95%). For the secondary outcome, the SMD of body mass index (BMI) was −0.25% (95% CI: −0.81 to 0.32%, p = 0.39), with no statistically significant change; the fasting blood sugar (FBS) SMD was −0.19% (95% CI: 0.20 to 1.01, p = 0.003), with a statistically significant change; the total cholesterol (TC) SMD was −0.09% (95% CI: −0.03 to 0.21, p = 0.12), with no statistically significant change. Conclusions Telenursing, as a useful tool for patient education and behavioral interventions, can help diabetes patients to improve their glycemic control. However, more studies on up‐to‐date and cost‐effective technologies are needed.

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Section: Summary Of the Main Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Intervention Characteristicsmentioning

confidence: 99%

Section: Changes In Fbsmentioning

confidence: 99%

mentioning

confidence: 99%

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The role of telenursing in the management of diabetes：A systematic review and meta‐analysis

Yang

Jiang

2019

Public Health Nursing

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Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes

Yogasingam

Konnyu

Lépine

et al. 2023

Cochrane Database of Systematic Reviews

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Background There is a large body of evidence evaluating quality improvement (QI) programmes to improve care for adults living with diabetes. These programmes are often comprised of multiple QI strategies, which may be implemented in various combinations. Decision‐makers planning to implement or evaluate a new QI programme, or both, need reliable evidence on the relative effectiveness of different QI strategies (individually and in combination) for different patient populations. Objectives To update existing systematic reviews of diabetes QI programmes and apply novel meta‐analytical techniques to estimate the effectiveness of QI strategies (individually and in combination) on diabetes quality of care. Search methods We searched databases (CENTRAL, MEDLINE, Embase and CINAHL) and trials registers (ClinicalTrials.gov and WHO ICTRP) to 4 June 2019. We conducted a top‐up search to 23 September 2021; we screened these search results and 42 studies meeting our eligibility criteria are available in the awaiting classification section. Selection criteria We included randomised trials that assessed a QI programme to improve care in outpatient settings for people living with diabetes. QI programmes needed to evaluate at least one system‐ or provider‐targeted QI strategy alone or in combination with a patient‐targeted strategy. ‐ System‐targeted: case management (CM); team changes (TC); electronic patient registry (EPR); facilitated relay of clinical information (FR); continuous quality improvement (CQI). ‐ Provider‐targeted: audit and feedback (AF); clinician education (CE); clinician reminders (CR); financial incentives (FI). ‐ Patient‐targeted: patient education (PE); promotion of self‐management (PSM); patient reminders (PR). Patient‐targeted QI strategies needed to occur with a minimum of one provider or system‐targeted strategy. Data collection and analysis We dual‐screened search results and abstracted data on study design, study population and QI strategies. We assessed the impact of the programmes on 13 measures of diabetes care, including: glycaemic control (e.g. mean glycated haemoglobin (HbA1c)); cardiovascular risk factor management (e.g. mean systolic blood pressure (SBP), low‐density lipoprotein cholesterol (LDL‐C), proportion of people living with diabetes that quit smoking or receiving cardiovascular medications); and screening/prevention of microvascular complications (e.g. proportion of patients receiving retinopathy or foot screening); and harms (e.g. proportion of patients experiencing adverse hypoglycaemia or hyperglycaemia). We modelled the association of each QI strategy with outcomes using a series of hierarchical multivariable meta‐regression models in a Bayesian framework. The previous version of this review identified that different strategies were more or less effective depending on baseline levels of outco...

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Technologieeinsatz im Homecare-Bereich

Drossel,

Korth

2023

Innovationen in Der Gesundheitsversorgung

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The role of telenursing in the management of Diabetes Type 1: A randomized controlled trial

Cited by 44 publications

References 44 publications

The role of telenursing in the management of diabetes：A systematic review and meta‐analysis

The role of telenursing in the management of diabetes：A systematic review and meta‐analysis

Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes

Technologieeinsatz im Homecare-Bereich

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