Effectiveness of Home Telehealth in Comorbid Diabetes and Hypertension: A Randomized, Controlled Trial

Wakefield, Bonnie J.; Holman, John E.; Ray, Annette; Scherubel, Melody; Adams, Margaret; Hillis, Stephen L.; Rosenthal, Gary E.

doi:10.1089/tmj.2010.0176

Cited by 146 publications

(192 citation statements)

References 29 publications

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“…24 Eight studies utilized registered nurses (RN), nurse practitioners (NP), or certified diabetes educators (CDE) to provide the intervention. 23,24,33,36,[38][39][40][41][42] Two studies provided automatic Abbreviations: ADA, American Diabetes Association; A1C, hemoglobin A1C; BG, blood glucose; BMI, body mass index; BP, blood pressure; C, control ; CAHPS, computer assessment of health care providers and systems; DDS17, Diabetes Distress Scale-17; DKT, Diabetes Knowledge Test; DSME, diabetes self-management education; DTSQ, Diabetes Treatment Satisfaction Questionnaire ; FBG, fasting blood glucose; I, intervention; IE, intervention effect; NS, not significant; PAID, problem areas in diabetes; PCP, primary care provider; PHQ9, Patient Health Questionnaire-9; PHR, personal health record; PPG, postprandial glucose; QOL, quality of life; RCT, randomized clinical trial; RD, registered dietitian; RN, registered nurse; SDSCA, summary of diabetes self-care activities; SMBG, self-monitoring of blood glucose; UC, usual care; WC, waist circumference. feedback as the main intervention, generated from computer algorithms, without provider input.…”

Section: Study Design and Subjectsmentioning

confidence: 99%

“…Of the 6 studies which used 4 of the 7 elements, only 4 achieved a significant percentage decrease in A1C. 33,36,44,45 These studies emphasized feedback and interactive communication. One study incorporating 4 of the 7 elements achieved significant Abbreviations: C, control group; I, intervention group; IE = intervention effect-difference between intervention and control over time; m, months; Δ, change.…”

Section: Study Design and Subjectsmentioning

confidence: 99%

“…36 To further synthesize these data, the 7 categories were grouped into 3 sections: education, SMBG profiles, and feedback.…”

Section: Elements Of Structured Smbgmentioning

confidence: 99%

See 2 more Smart Citations

Telehealth Remote Monitoring Systematic Review

Greenwood

Young

Quinn

2014

J Diabetes Sci Technol

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Approximately 26 million Americans have diabetes. When uncontrolled, diabetes is the seventh leading cause of death and the leading cause of kidney failure, blindness, and nontraumatic amputations in the United States. 1 Researchers have found a decrease in complications and improved quality of life when persons with type 2 diabetes achieve national diabetes outcomes targets for blood glucose, blood pressure, and blood fats. 2 Identifying evidence-based solutions to improve outcomes in this population is critical. Patient self-management is an integral component of effective diabetes care and improves diabetes short-term outcomes. 2-4 The American Association of Diabetes Educators (AADE) identifies healthy eating, being active, monitoring, taking medications, problem solving, healthy coping, and reducing risks as 7 essential self-management skills, the AADE7, 5 required for successful behavior change to promote health for persons with diabetes. 6 Clinical studies have demonstrated the importance of self-monitoring of blood glucose (SMBG) in improving hemoglobin A1C (A1C) for persons with type 2 diabetes who use insulin. 7 However, critics cite meta-analyses that demonstrate small improvements in A1C in studies of type 2 diabetes not managed with insulin that, although significant, may not be clinically meaningful. 8 Because the majority of individuals with type 2 diabetes are not treated with insulin, studying and understanding this population independently is important. 9,10 In 2009 the International Diabetes Federation (IDF) published guidelines that focus on structured SMBG protocols to 519311D STXXX10.

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Section: Study Design and Subjectsmentioning

confidence: 99%

Section: Study Design and Subjectsmentioning

confidence: 99%

See 1 more Smart Citation

Telehealth Remote Monitoring Systematic Review

Greenwood

Young

Quinn

2014

J Diabetes Sci Technol

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“…10 In brief, the study was a single-center, randomized, controlled clinical trial that evaluated use of a messaging device and compared two monitoring intensity levels and usual care in patients with comorbid DM and HTN. Primary outcome measures were hemoglobin A1c and systolic blood pressure (SBP).…”

Section: Methodsmentioning

confidence: 99%

Nursing Interventions in a Telemonitoring Program

Wakefield

Scherubel

Ray

et al. 2013

Telemedicine and e-Health

Self Cite

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Background: The use of telemonitoring of patients with chronic illness in their homes is growing. Current literature does not describe what types of patient problems are addressed by nurses in these programs and what actions are taken in response to identified problems. This study defined and analyzed patient problems and nursing actions delivered in a telemonitoring program focused on chronic disease management. Subjects and Methods: Data were drawn from a clinical trial that evaluated telemonitoring in patients with comorbid diabetes and hypertension. Using study patient records, patient problems and nursing actions were coded using an inductive approach. Results: In total, 2,336 actions were coded for 68 and 65 participants in two intervention groups. The most frequent reasons for contact were reporting information to the primary care provider and lifestyle information related to diabetes and hypertension (e.g., diet, smoking cessation, foot care, and social contacts). The most frequent mode of contact was the study sending a letter to a participant. Conclusions: Detailed descriptions of interventions delivered facilitate analysis of the unique contributions of nurses in the expanding market of telemonitoring, enable identification of the appropriate number and combination of interventions needed to improve outcomes, and make possible more systematic translation of findings to practice. Furthermore, this information can inform calculation of appropriate panel sizes for care managers and the competencies needed to provide this care.

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“…Previous studies of veterans with chronic conditions who used CCHT have shown lower mortality 24 and healthcare utilization [25][26][27] , as well as improved quality of life 26 and more timely receipt of care 28 . Other work has found increased time to readmission among veterans with heart failure 29 , including a dose-response relationship 30,31 .…”

Section: Va's Care Coordination Home Telehealth (Ccht) Programmentioning

confidence: 96%