Web-based Care For Adults with Type 2 Diabetes

Abstract

Telediabetes is a form of telemedicine used to provide education and clinical care to persons living with diabetes. Web-based delivery modes using cellular telephones and/or computers are of particular interest as they are becoming increasingly available. A review of current research on the practice of web-based telediabetes to adults with type 2 diabetes was conducted to determine the potential impact of this delivery mode on professional dietetics practice. Nine articles meeting the inclusion criteria were identified, critiqued, and summarized. Studies varied greatly in breadth and scope; consequently, few general conclusions could be drawn about telediabetes programs. Telediabetes programs were discussed in the context of soundness, effectiveness, cost-effectiveness, and practical characteristics. Trends indicated a promising future for telediabetes. Dietitians should view telemedicine as a viable tool for service delivery and increase their knowledge, competency, advocacy, and research efforts in this area.

Public eHealth and new scenarios in terms of risks and opportunities: a specific focus on cyberpharmacies

“…Firstly, regarding health professionals, the Internet can be useful for accessing scientific advances, sharing professional experiences in real time and interacting with patients for better management of diseases (Dalton 2008). Purchasing scientific literature and evidence has become as easy as clicking a button, and is not comparable with the time when it was necessary to go a library in person to look for a journal, and, if they did not have it, to go to another library, maybe even in another town.…”

Quality of Life in Telemedicine-Based Interventions for Type-2 Diabetes Patients: The TECNOB Project

“…Finally, patient satisfaction can also be used to measure the effectiveness of a telemedicine program. User experience can be quantified by using surveys to measure patient satisfaction, classifying patient feedback in response to provider instructions, and determining the amount of system use by patients [81]. A cost-effective telemedicine technology, compared to usual care, will provide benefits for a cost that is either less expensive than current care ('cost-saving intervention') or a cost-per-benefit ratio, which is within a range that society is already willing to pay for other widely used services.…”

The Clinical Impact of eHealth on the Self-Management of Diabetes: A Double Adoption Perspective

“…Our double adoption approach also provides early evidence of the predisposing factors that affect diabetes self-care and health, which could be cautiously generalized to chronic care conditions. Most of the eHealth research so far has only focused on one part of the causal chain, often using experimental studies to analyze group differences without a particular theory to analytically test eHealth functionality and individual pathways (Dalton, 2008;Sigurdardottir, Jonsdottir, & Benediktsson, 2007). Combining both electronic content and interactive functionality illustrates how important it is to identify the combined advantages and disadvantages of eHealth functionality.…”

“…Our study, borrowing on the antecedents of IT use from IS research, also addressed a gap in the eHealth literature investigating the antecedents to eHealth learning use. Finally, the future roll-out of an eHealth system can take into account individual variation and decide which functionality can be used by different individuals and how this use may affect self-care behaviors and health outcomes (Azar & Gabbay, 2009;Dalton, 2008;Sigurdardottir et al, 2007).…”