Optimizing diabetes control in people with Type 2 diabetes through nurse‐led telecoaching

Odnoletkova, Irina; Goderis, Geert; Nobels, Frank; Fieuws, Steffen; Aertgeerts, Bert; Annemans, Lieven; Ramaekers, Dirk

doi:10.1111/dme.13092

Cited by 65 publications

(121 citation statements)

References 28 publications

Supporting

Mentioning

102

Contrasting

Order By: Relevance

“…The evidence to support telecoaching in cardiac rehabilitation has been growing [32, 33] and may offer a solution for some patient groups. Of all the telecoaching programmes in chronic conditions, the COACH Program merits special attention, as in the past 15 years it has proved effective in different chronic conditions, including diabetes and coronary heart disease, and in diverse cultural contexts [12, 13, 34]. …”

Section: Discussionmentioning

confidence: 99%

“…Two hundred and eighty-seven patients with type 2 diabetes were randomised to the intervention group and received the COACH Program (TCP), delivered by certified diabetes nurse educators after additional training [13]. The intervention consisted of 5 monthly telephone sessions of 30 min on average and was focused on achieving guideline-recommended diabetes treatment targets through regular control of diabetes risk factors including self-monitoring of blood glucose, appropriate lifestyle adjustments and intensification of medication therapy upon a patient consultation with GP [12]. …”

Section: Methodsmentioning

confidence: 99%

“…This paper explores the patient and provider perceptions about diabetes education by phone in Belgian primary care setting. The study participants were involved in a randomised clinical trial (RCT) which was the first to test a nurse-led telecoaching programme in Belgium and showed sustainable improvement in glycaemic control [12]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Patient and provider acceptance of telecoaching in type 2 diabetes: a mixed-method study embedded in a randomised clinical trial

Odnoletkova

Buysse

Nobels

et al. 2016

BMC Med Inform Decis Mak

Self Cite

View full text Add to dashboard Cite

BackgroundDespite advances in diagnosis and treatment of type 2 diabetes, suboptimal metabolic control persists. Patient education in diabetes has been proved to enhance self-efficacy and guideline-driven treatment, however many people with type 2 diabetes do not have access to or do not participate in self-management support programmes. Tele-education and telecoaching have the potential to improve accessibility and efficiency of care, but there is a slow uptake in Europe. Patient and provider acceptance in a local context is an important pre-condition for implementation. The aim of the study was to explore the perceptions of patients, nurses and general practitioners (GPs) regarding telecoaching in type 2 diabetes.MethodsMixed-method study embedded in a clinical trial, in which a nurse-led target-driven telecoaching programme consisting of 5 monthly telephone sessions of +/− 30 min was offered to 287 people with type 2 diabetes in Belgian primary care. Intervention attendance and satisfaction about the programme were analysed along with qualitative data obtained during post-trial semi-structured interviews with a purposive sample of patients, general practitioners (GPs) and nurses. The perceptions of patients and care providers about the intervention were coded and the themes interpreted as barriers or facilitators for adoption.ResultsOf 252 patients available for a follow-up analysis, 97.5 % reported being satisfied. Interviews were held with 16 patients, 17 general practitioners (GPs) and all nurses involved (n = 6). Themes associated with adoption facilitation were: 1) improved diabetes control; 2) need for more tailored patient education programmes offered from the moment of diagnosis; 3) comfort and flexibility; 4) evidence-based nature of the programme; 5) established cooperation between GPs and diabetes educators; and 6) efficiency gains. Most potential barriers were derived from the provider views: 1) poor patient motivation and suboptimal compliance with “faceless” advice; 2) GPs’ reluctance in the area of patient referral and information sharing; 3) lack of legal, organisational and financial framework for telecare.ConclusionsNurse-led telecoaching of people with type 2 diabetes was well-accepted by patients and providers, with providers being in general more critical in their reflections. With increasing patient demand for mobile and remote services in healthcare, the findings of this study should support professionals involved in healthcare policy and innovation.Trial registration NCT01612520, registered prior to recruitment on 4th June 2012.Electronic supplementary materialThe online version of this article (doi:10.1186/s12911-016-0383-3) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Patient and provider acceptance of telecoaching in type 2 diabetes: a mixed-method study embedded in a randomised clinical trial

Odnoletkova

Buysse

Nobels

et al. 2016

BMC Med Inform Decis Mak

Self Cite

View full text Add to dashboard Cite

show abstract

“…Regarding the motivation of the professional, it is also evident how there are variations in the results of the patients by groups according to the professional who provides the education. In some studies, the professionals underwent a period of training before starting the diabetes education (Jutterström et al, ; Khunti et al, ; Mash et al, ; Odnoletkova et al, ). The importance of specialization in health personnel to carry out diabetes education is therefore highlighted in these studies.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Diabetes Education in Adults With Diabetes Mellitus Type 2 in Primary Care: A Systematic Review

Cruz-Cobo

Cano

2020

J of Nursing Scholarship

View full text Add to dashboard Cite

Purpose To analyze the effect of different diabetes education methods on metabolic control, body mass index (BMI), and blood pressure. Design A systematic review was carried out. Data Sources PubMed, Medline, Embase, Cochrane, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), CUIDEN, Ibecs, and Scopus databases were consulted. The search was done in May 2018. Studies included controlled clinical trials on diabetes education in primary care that were published in English and Spanish during the years 2011 to 2018. Results The post‐intervention results were as follows: glycosylated hemoglobin concentration (HbA1c) ranged between ‐1.6% (individual education [IE]) and + 0.05% (mixed education [ME]). The values of BMI varied from ‐0.7% (group education [GE]) to ‐0.3% (GE). Systolic blood pressure (SBP) and diastolic blood pressure (DBP) fluctuated. SBP varied from ‐8.5 mmHg (GE) to +2.9 mmHg (GE); DBP varied from ‐3.1 mmHg (GE) to ‐0.9 mmHg (GE). Total cholesterol ranged from ‐15.9/dL (GE) to +2 mg/dL (GE). LDL cholesterol ranged from ‐18.3 mg/dL (GE) to ‐7 mg/dL (ME). HDL cholesterol ranged from +0.8 mg/dL (IE) to +8.12 mg/dL (GE). Triglycerides varied from ‐21.1 mg/dL (GE) to +11.0 (GE). Conclusions The most profound decrease in HbA1c was achieved using individual education. However, to decrease BMI, SBP, DBP, total cholesterol, LDL cholesterol, and triglycerides, group education was the most effective intervention. Clinical Relevance To obtain good metabolic control, it is necessary to address both clinical and psychological aspects, including modifying nutritional and dietary habits, monitoring medication, increasing knowledge of diabetes, and combining theoretical content with physical exercise programs. Reinforcement strategies are very important to achieve the objectives of educational programs.

show abstract

“…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%

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

Yang

Jiang

2019

Public Health Nursing

View full text Add to dashboard Cite

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.

show abstract

Optimizing diabetes control in people with Type 2 diabetes through nurse‐led telecoaching

Abstract: Nurse-led telecoaching improved glycaemic control, total cholesterol levels and BMI in people with Type 2 diabetes. Twelve months after the intervention completion, there were sustained improvements in glycaemic control.

Cited by 65 publications

References 28 publications

Patient and provider acceptance of telecoaching in type 2 diabetes: a mixed-method study embedded in a randomised clinical trial

Patient and provider acceptance of telecoaching in type 2 diabetes: a mixed-method study embedded in a randomised clinical trial

Efficacy of Diabetes Education in Adults With Diabetes Mellitus Type 2 in Primary Care: A Systematic Review

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

Contact Info

Product

Resources

About