Using Remote Communication Technology in Insulin Pump Training

Parks, Linda; Kim, Tae Youn

doi:10.1177/1932296815606917

Cited by 10 publications

(20 citation statements)

References 16 publications

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“…After acquiring sufficient self-management skills, the second part of education consists of technical training [12,13] . There are many methods for education, which include group education, personalized education, and newly emerging remote technology communication [14] . After a successful initial education, periodic re-evaluation visits and established retraining protocols are essential [15][16][17] .…”

Section: Introductionmentioning

confidence: 99%

The Effect of Retraining on Treatment Success, Quality of Life, and Metabolic Parameters in Patients with Type 1 Diabetes Using an Insulin Pump

Saydam¹,

Yılmazmış²,

Aydin³

et al. 2017

Med Princ Pract

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Objective: To investigate the effect of insulin pump user retraining on treatment success, quality of life, and metabolic parameters of patients with type 1 diabetes using continuous subcutaneous insulin infusion. Subjects and Methods: A total of 35 subjects participated in this prospective study. All patients were given insulin pump user retraining. Their knowledge level and application skills, metabolic parameters, quality of life, and satisfaction from treatment were evaluated at baseline and after 6 months. Results: There wassignificant improvement in patients' knowledge and application skills after insulin pump user retraining (self-assessment of user skills: 69.7 ± 11.5 vs. 76.3 ± 11.3, p < 0.001; knowledge level on technical issues: 3.3 ± 1.1 vs. 4.1 ± 1.8, p = 0.003; glucose monitoring: 27.1 ± 5.8 vs. 29.2 ± 5.6, p = 0.006; management of hyperglycemia: 13.1 ± 3.2 vs. 15.7 ± 3.4, p < 0.001; management of pump and infusion site problems: 8.8 ± 2.6 vs. 10.6 ± 2.6, p = 0.001). Hemoglobin (Hb)A_1c levels of patients with poor glycemic control improved after retraining (8.61% ± 0.78 vs. 8.23% ± 0.79, p = 0.02). However, no significant improvement in quality of life and treatment satisfaction parameters were found. Conclusion: Management of type 1 diabetes in insulin pump users can be significantly improved by retraining. Even a basic short-term retraining program helps patients to increase their knowledge level and ability to more effectively use the insulin pump. The fact that retraining significantly improves glycemic parameters in patients with poor metabolic control indicates that priority should be given to this group of patients. Further studies with individualized training programs in larger sample sizes with long-term follow-up are needed to establish the importance of retraining and create re-education plans for patients with type 1 diabetes using an insulin pump.

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Section: Introductionmentioning

confidence: 99%

The Effect of Retraining on Treatment Success, Quality of Life, and Metabolic Parameters in Patients with Type 1 Diabetes Using an Insulin Pump

Saydam¹,

Yılmazmış²,

Aydin³

et al. 2017

Med Princ Pract

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“…analyzed surveys, 20 were from participants who used the face-to-face method and 17 were from participants who received the training through videoconferencing. 46 No statistically significant differences between groups were found in competence using the pump and satisfaction level with the chosen training method. Conducting the training through videoconferencing had high overall scores in regards to ability to use the pump, confidence in using the pump, and satisfaction with the pump and training method.…”

Section: G Telemonitorsmentioning

confidence: 87%

“…Based on review of the literature, questionnaires are the most frequently used and seemingly simple form of evaluating telehealth interventions, especially when using a survey to assess satisfaction. 24 Telehealth surveys have been used in pediatrics, 35,36 diabetes, 24,37,40,41 mental health, [12][13][14] dermatology, 15 cancer, 43,44 breastfeeding, 45 diabetic insulin pump training, 46 smoking cessation, 16 parenteral nutrition, 47 geriatrics, 34 and home health services. 48,49 The overall satisfaction rates were favorable, [12][13][14]16,[43][44][45][46]48,49 even in the wake of technical difficulties, 12 which should also be assessed when measuring feasibility.…”

Section: Discussionmentioning

confidence: 99%

“…They examined whether this training would be as effective and satisfactory when conducted through videoconferencing to the participants' home as when conducted via face-to-face training. 46 The participants chose which method they preferred to be trained in using an insulin pump. The mean age for the group who chose the remote method in the home was 39.7 years old (range 18-60 years old), while the mean age who chose the face-toface method was slightly higher at 41.9 years old (range 18-69 years old).…”

Section: G Telemonitorsmentioning

confidence: 99%

“…The researchers concluded that using videoconferencing as a training method for insulin pumps was as effective and satisfactory as face-to-face training. 46…”

Section: G Telemonitorsmentioning

confidence: 99%

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The Feasibility of a Home Telenutrition Intervention for Weight Reduction in Men in West Virginia

Campion¹

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Background West Virginia (WV) has one of the highest national rates of obesity, especially among middleaged men, and one of the lowest Registered Dietitian Nutritionist (RDN) ratios per capita. Providing nutrition advice via teleconferencing may allow obese WV middle-aged men to overcome access barriers that are preventing them from overcoming obesity. However, before large-scale interventions can be effectively conducted, the feasibility must be assessed. Objective The purpose of this study is to evaluate the feasibility of a home telenutrition weight-loss program using videoconferencing among obese men in WV. Feasibility is assessed through technical difficulties tracked throughout the intervention and through a post-intervention satisfaction survey. Methods A survey was developed to assess the participants' level of satisfaction related to the technological and nutritional care aspects of the intervention. Twenty-seven men aged 40-70 who participated in a 12-week telenutrition weight loss intervention took this survey upon completion of the intervention. The amount and type of technical difficulties were also documented throughout the intervention. Results Eighty-one video calls were attempted throughout the intervention with all but one participant experiencing at least one minor or major technical difficulty either logging on or during the calls. Even with these technical difficulties, overall satisfaction with this mode of delivery was high, regardless of age, income level, education level, employment status, and technical difficulties logging on or during video calls. Previous videoconferencing experience was significantly related to higher satisfaction levels. Conclusion and summary Videoconferencing is a technologically feasible and highly acceptable method of nutrition counseling for the middle-aged, obese male population in WV, as shown with no significant differences between group demographics. Videoconferencing should be used to develop a largerscale intervention for this population to combat obesity within this demographic.

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Education programmes for persons with type 1 diabetes using an insulin pump: A systematic review

Rytter

Schmidt

Rasmussen

et al. 2020

Diabetes Metabolism Res

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Education is essential in insulin pump therapy, but literature in the field is limited. We systematically reviewed insulin pump education programmes and their effects in two situations as follows: (1) basic education at the start of insulin pump therapy, providing the study design enabled us to separate the effects of insulin pump therapy itself from the effects of education and (2) re‐education of experienced pump users. Population: individuals ≥16 years with type 1 diabetes using insulin pumps with or without continuous glucose monitoring. Systematic searches were run in MEDLINE, Embase, CINAHL and ERIC. Original studies reporting an effect of insulin pump education programmes were included if published in English between January 1999 and May 2019. Of 988 potentially relevant studies, 48 were assessed in full text. Nine studies fulfilled the inclusion criteria, including one randomised controlled trial. Educational approaches and settings were sparsely described in all studies, and the content was usually reported as teaching points. Two studies considered basic education, reporting evaluations of knowledge and application skills, and programme satisfaction. The remaining seven studies referred to re‐education. Two studies measured severe hypoglycaemic events before and after a re‐education intervention, both reporting a significant event reduction. HbA1c decreased significantly in three of four studies. Two studies reported increased knowledge and improved application skills. In conclusion, this review indicates benefits from basic education and from re‐education. The strength of the conclusions is limited by the low number of studies and study designs. High‐quality studies are needed comparing different approaches for insulin pump education.

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Using Remote Communication Technology in Insulin Pump Training

Cited by 10 publications

References 16 publications

The Effect of Retraining on Treatment Success, Quality of Life, and Metabolic Parameters in Patients with Type 1 Diabetes Using an Insulin Pump

The Effect of Retraining on Treatment Success, Quality of Life, and Metabolic Parameters in Patients with Type 1 Diabetes Using an Insulin Pump

The Feasibility of a Home Telenutrition Intervention for Weight Reduction in Men in West Virginia

Education programmes for persons with type 1 diabetes using an insulin pump: A systematic review

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