E-healthcare for diabetes mellitus type 2 patients – a randomised controlled trial in Slovenia

Iljaž, Rade; Brodnik, Andrej; Zrimec, Tatjana; Cukjati, Iztok

doi:10.1515/sjph-2017-0020

Cited by 25 publications

(48 citation statements)

References 28 publications

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“…Glycemia deserves even more prominence given that another limiting factor was that it was performed at random. Changes in glycemic control and other parameters in randomized studies such as BP and BMI were observed after 3 months of intervention (24) . Studies that resulted in these changes after 6 months of intervention were also observed (25) .…”

Section: Discussionmentioning

confidence: 95%

Intervenção educativa para a promoção do autocuidado de idosos com diabetes mellitus

Marques

Coutinho

Martins

et al. 2019

Rev. esc. enferm. USP

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RESUMO Objetivo: Avaliar a eficácia de uma intervenção educativa de enfermagem no autocuidado de idosos com Diabetes Mellitus. Método: Estudo quase-experimental com dois grupos, controle e intervenção, realizado com idosos que vivem com Diabetes Mellitus, atendidos em Unidades de Atenção Primária à Saúde do município de Fortaleza/Ceará. A intervenção foi uma abordagem educativa grupal com orientações sobre o tratamento de diabetes e cuidado com os pés. Para a avaliação antes e depois do autocuidado utilizou-se do Questionário de Autocuidado em Diabetes. Foi considerado um nível de significância de 0,05. Resultados: Participaram 103 idosos. Depois da intervenção educativa houve aumento do autocuidado em diabetes relacionado aos aspectos: dieta saudável (p=0,027), orientação alimentar (p=0,013) e exame dos pés (p=0,012). Conclusão: A intervenção realizada promoveu de forma positiva mudanças comportamentais, favorecendo a adoção de hábitos saudáveis e a promoção do autocuidado em pacientes idosos com Diabetes Mellitus.

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Section: Discussionmentioning

confidence: 95%

Intervenção educativa para a promoção do autocuidado de idosos com diabetes mellitus

Marques

Coutinho

Martins

et al. 2019

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…Nine (2.2%) RCTs [ 21 – 29 ] confirmed inclusion of people with SMI following email requests; however, of these, only six [ 21 – 23 , 25 , 28 , 29 ] provided data on the numbers recruited and none provided data on effectiveness of the interventions in their participants with SMI. The six trials that provided data recruited a total of 1009 participants with T2DM, of whom 31 (3.1%) had SMI.…”

Section: Resultsmentioning

confidence: 99%

Are diabetes self-management programmes for the general diabetes population effective for people with severe mental illness?: a systematic review

et al. 2020

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Background Diabetes self-management education programmes are effective in improving health outcomes in the general population with diabetes. However, it is not known if these programmes include people who also have a severe mental illness (SMI) and, if so, what their outcomes are. The aim of this review was to examine if evaluations of diabetes self-management education programmes included people with SMI, and if so, whether the interventions were beneficial for this population. Methods The inclusion criteria for this systematic review, defined by PICOS criteria, were: Population - Adults with type 2 diabetes; Intervention - self-management education programme; Comparator – another active intervention or usual care; Outcomes of interest – inclusion of people with SMI and the clinical, behavioural and psychosocial outcomes in this population; Study design - randomised controlled trials. The following bibliographic databases were searched from January 2004 to April 2018: Cochrane Library, Medline, Embase, PsychINFO, Allied and Complimentary Medicine Database, Health Technology Assessment, NHS Economic Evaluations Database and CINAHL. Data were extracted on study characteristics, inclusion and exclusion criteria, participant and intervention characteristics, number of participants with SMI, and outcomes for people with SMI, if reported. Authors were contacted by email for missing data. Results A total of 410 trials were included. At least 42% of trials did not recruit any participants with SMI. Only nine confirmed inclusion of participants with SMI, of which six provided data on the number recruited. These six trials recruited a total of 1009 participants, of whom 31 (3.1%) had SMI. It was not possible to assess intervention effectiveness for people with SMI as none of the trials reported outcomes for these participants. Conclusions This systematic review confirms that people with SMI are often excluded from trials of diabetes self-management education, resulting in a lack of an evidence base on which to base treatment paths for this vulnerable population. It cannot be assumed that programmes developed for the general diabetes population meet the needs of people with SMI. Future research needs to examine if and how these programmes could be adapted for people with SMI or if new programmes are required.

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“…The fact is that there is great technological progress even in Slovenia and many sophisticated devices are available, especially in the field of treating diabetes mellitus type 2, where a similar study was conducted using the eDiabetes application for better self-management of DM type 2 patients not using insulin (28). Despite that, there is only one study running in Slovenia which includes an ambulatory ECG recording device, although old studies have shown great advantages for the use of telecardiology in the family doctor's office (29).…”

Section: Discussionmentioning

confidence: 99%

The Role of Telecardiology in Dealing with Patients with Cardiac Rhythm Disorders in Family Medicine – Systematic Review

Vodička

Naji

Zelko

2020

Slovenian Journal of Public Health

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PurposeHeart rhythm disorders (HRD) are often present in patients visiting their family physician (FP). Dealing with their problems is not always simple, efficient and cost effective. The aim of this paper is to review the existing literature about the use and experience of telecardiology in patients experiencing HRD.MethodsWe conducted a review of literature in PubMed biographical databases (MeSH thesaurus), Web of Science and Cochrane, between 1995 and 2019. We included original articles in English that describe the use of telecardiology at primary and secondary healthcare levels. Exclusion criteria are those publications that discuss heart failure or observation of the activity of pacemakers or defibrillators and the age of patients under 18 years. A total of 19 papers met the inclusion criteria, thirteen of them were original scientific articles and we included them in the analysis.ResultsUse of telemedicine can shorten the time from diagnosis to the necessary treatment (2/13), telemedicine can reduce mortality in patients with acute myocardial infarction (4/13), it can shorten the time to diagnose atrial fibrillations (4/13), it can help determine the diagnosis for patients complaining about heart rhythm disorders which were not detected on the standard ECG recording (2/13) and can also help identify cardiac causes for syncope or collapse (2/13). All studies have confirmed that the use of telecardiology significantly reduces the number of unnecessary referrals to a cardiologist or hospitalization, and shortens the time needed to treat patients with life-threatening conditions.ConclusionThe use of telecardiological techniques increases the quality and safety of work in managing patients with cardiovascular disease in FP practice. Usage of telecardiologic devices can also save money and bridge the gap between the primary and secondary healthcare levels.

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E-healthcare for diabetes mellitus type 2 patients – a randomised controlled trial in Slovenia

Cited by 25 publications

References 28 publications

Intervenção educativa para a promoção do autocuidado de idosos com diabetes mellitus

Intervenção educativa para a promoção do autocuidado de idosos com diabetes mellitus

Are diabetes self-management programmes for the general diabetes population effective for people with severe mental illness?: a systematic review

The Role of Telecardiology in Dealing with Patients with Cardiac Rhythm Disorders in Family Medicine – Systematic Review

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