Evaluating Self-Management Behaviors of Diabetic Patients in a Telehealthcare Program: Longitudinal Study Over 18 Months

Chen, Li-Chin; Chuang, Lee‐Ming; Chang, Chia‐Hsuin; Wang, Chiou-Shiang; Wang, I‐Ching; Chung, Yu-Fang; Peng, Hui-Yu; Chen, Hui-Chuen; Hsu, Yu-Ling; Lin, Yu‐Sheng; Chen, Huang-Jen; Chang, Tieng-Chun; Yin, Jiuli; Lee, Hung‐Chang; Tan, Ching-Ting; Chang, Hsin-Lu; Lai, Feipei

doi:10.2196/jmir.2699

Cited by 67 publications

(88 citation statements)

References 48 publications

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“…A positive change in the self-care activities as indicated by increased self-care scale scores after education and telephone follow-up demonstrates that regular monitoring of patients is beneficial. In previous studies on diabetic patients, education 3,18,19 and telephone-delivered follow-up 11,12,20,21 have been found to have a positive influence on self-care behaviors of patients. The telemedicine intervention was shown to be related to improved self-efficacy, which was directly and indirectly associated with improved glycemic control.…”

Section: Discussionmentioning

confidence: 93%

Does Telephone Follow-Up and Education Affect Self-Care and Metabolic Control in Diabetic Patients?

Kanadli

Ovayolu

2016

Holistic Nursing Practice

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The major goal of diabetes control is to assist patients to perform self-care and metabolic control. One possible way to achieve this goal is education and regular monitoring of patients by telephone. Thus, the present study was conducted with the aim of investigating the impact of education and telephone follow-up on self-care and metabolic control in diabetic patients. This experimental study was conducted at a hospital in the Central Anatolia region of Turkey, with 88 diabetic patients including 44 intervention subjects and 44 control subjects. After an initial discussion, patients in the intervention group received education and telephone follow-up for 3 months. Required approvals were obtained before initiation of the study. Data were collected using a questionnaire form and the Diabetes Self-Care Scale. The Diabetes Self-Care Scale scores ranged between 140 and 210, where higher scores indicated increased self-care activities of patients. At the end of the study, the self-care score was found to increase from 61.3 ± 10.9 to 89.9 ± 12.3 in the intervention group (P < .005), but it showed a reduction from 56.5 ± 7.6 to 54.7 ± 9.3 after 3-month period in the control group. Education and telephone follow-up was also found to reduce the values of several variables of metabolic control including hemoglobin A1c, total cholesterol, triglycerides, low-density lipoprotein cholesterol, and systolic blood pressure. In conclusion, education and telephone follow-up of diabetic patients led to increased self-care scores and had a positive impact on metabolic control variables. In light of these findings, we suggest that education and tele-health home monitoring may be provided on a continuous basis to help patients sustain self-care behaviors that they have adopted during the study period.

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Section: Discussionmentioning

confidence: 93%

Does Telephone Follow-Up and Education Affect Self-Care and Metabolic Control in Diabetic Patients?

Kanadli

Ovayolu

2016

Holistic Nursing Practice

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“…The program included a teleconsultant service, a web portal that is integrated with a third-generation mobile telecommunication (3G) glucometer. [7,25] The teaching hospital had 5 branches, one of which was the Taipei city branch, where the telehealthcare program was launched. In 2012, after additional development on the program, the service was extended to the Jin-Shan branch.…”

Section: Methodsmentioning

confidence: 99%

Urban-rural difference in patients utilizing the service of telehealthcare

Chen

Shih

et al. 2015

JHA

Self Cite

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There are concerns about the unbalanced distribution of healthcare resources between rural and urban areas. There have been attempts to use existing healthcare resources more effectively through telehealthcare. Usability is an important indicator for evaluating patient behavior and determining service improvements. Nevertheless, usability has not been studied extensively enough. This study analyzed the usability differences between urban and rural areas in Taiwan for a web portal used in a telehealthcare program. Data were collected for two years. Usability data includes the frequency of web portal patient logins, the frequency of glucose measurements, whether the records were transmitted to the system through 3G networks automatically or were manually inputted, and the correlation of the mean 3-month daily glucose levels and HbA1c results. Patients in urban areas logged into the web portal more frequently (p < .001) and recorded glucose levels more frequently (p = .003). More patients in the rural area transmitted their daily glucose levels using devices (p < .001). Mean 3-month daily glucose levels and HbA1c results appear to be highly consistent. Patients in urban areas did not readily change glucometer habits but were willing to log in to web portal and record daily glucose levels manually. Patients in rural areas were willing to use the 3G glucometer to transmit data more frequently. For patients in urban areas, web portals should provide more information and smart applications. For patients in rural areas, the application should be simple and easy to use.

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“…A cellphone-connected glucometer along with telephone and SMS communication was used to monitor the behavioral pattern of adolescent type 1 diabetic patients, resulted in a significant improvement in the self-management profile and a reduction in HbA1c [27]. A telehealthcare program was used to monitor self-management behavior in adult type 2 diabetic patients [28]. They used an online diabetes self-management system with teleconsultant service, in addition to a cell phone-connected glucometer.…”

Section: Patient Behavior Monitoringmentioning

confidence: 99%

Novel Health Mobile Technology as an Emerging Strategy in Diabetes Management

David¹,

Rafiullah²

2017

Case Study of Innovative Projects - Successful Real Cases

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Advances in mobile phone technology and its applications coupled with equally robust growth of telecommunication technology can serve to give patients a better access to the healthcare. More and more healthcare providers and patients started using these applications. Mobile applications are useful in handling various aspects of healthcare namely, health promotion and disease prevention, diagnosis, treatment, monitoring and supporting health services. Clinical studies evaluating mobile applications often come up with mixed results. In this chapter, application of mobile health technology or mHealth in diabetes management is presented as a case study. We have reviewed 25 articles from pubmed database that fulfilled our selection criteria which included original clinical studies that evaluated mobile health technology in the management of diabetes mellitus. Most studies (88%) reported positive outcomes after use of the mobile health applications in various aspects of diabetes treatment such as disease management, behavioural monitoring and patient education. Educational SMS were effective but inferior to Smartphone Apps or teleconsultations. User-friendliness of the systems influenced patient compliance and outcomes. Smartphone/web applications offer significant benefits for patient care, education and behavioural modifications. As providing continuous patient support would require adequate infrastructure and personnel, cost effectiveness of such interventions need to be studied.

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Evaluating Self-Management Behaviors of Diabetic Patients in a Telehealthcare Program: Longitudinal Study Over 18 Months

Cited by 67 publications

References 48 publications

Does Telephone Follow-Up and Education Affect Self-Care and Metabolic Control in Diabetic Patients?

Does Telephone Follow-Up and Education Affect Self-Care and Metabolic Control in Diabetic Patients?

Urban-rural difference in patients utilizing the service of telehealthcare

Novel Health Mobile Technology as an Emerging Strategy in Diabetes Management

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