Effect of home telemonitoring on glycemic and blood pressure control in primary care clinic patients with diabetes.
Telemed J E Health
; 20(3): 199-205, 2014 Mar.
Article
em En
| MEDLINE
| ID: mdl-24404819
ABSTRACT
OBJECTIVE:
Patient self-management support may be augmented by using home-based technologies that generate data points that providers can potentially use to make more timely changes in the patients' care. The purpose of this study was to evaluate the effectiveness of short-term targeted use of remote data transmission on treatment outcomes in patients with diabetes who had either out-of-range hemoglobin A1c (A1c) and/or blood pressure (BP) measurements. MATERIALS ANDMETHODS:
A single-center randomized controlled clinical trial design compared in-home monitoring (n=55) and usual care (n=53) in patients with type 2 diabetes and hypertension being treated in primary care clinics. Primary outcomes were A1c and systolic BP after a 12-week intervention.RESULTS:
There were no significant differences between the intervention and control groups on either A1c or systolic BP following the intervention.CONCLUSIONS:
The addition of technology alone is unlikely to lead to improvements in outcomes. Practices need to be selective in their use of telemonitoring with patients, limiting it to patients who have motivation or a significant change in care, such as starting insulin. Attention to the need for effective and responsive clinic processes to optimize the use of the additional data is also important when implementing these types of technology.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Glicemia
/
Pressão Sanguínea
/
Telemedicina
/
Diabetes Mellitus
/
Serviços de Assistência Domiciliar
/
Monitorização Fisiológica
Tipo de estudo:
Clinical_trials
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Telemed J E Health
Assunto da revista:
INFORMATICA MEDICA
/
SERVICOS DE SAUDE
Ano de publicação:
2014
Tipo de documento:
Article