TeleHealth Improves Diabetes Self-Management in an Underserved Community: Diabetes TeleCare
OBJECTIVE: To conduct a 1-year randomized clinical trial to evaluate a remote comprehensive diabetes self-management education (DSME) intervention, Diabetes TeleCare, administered by a dietitian and nurse/certified diabetes educator (CDE) in the setting of a federally qualified health center (FQHC)...
Gespeichert in:
| Veröffentlicht in: | Diabetes care 2010-08, Vol.33 (8), p.1712-1717 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1717 |
|---|---|
| container_issue | 8 |
| container_start_page | 1712 |
| container_title | Diabetes care |
| container_volume | 33 |
| creator | Davis, Richard M Hitch, Angela D Salaam, Muhammad M Herman, William H Zimmer-Galler, Ingrid E Mayer-Davis, Elizabeth J |
| description | OBJECTIVE: To conduct a 1-year randomized clinical trial to evaluate a remote comprehensive diabetes self-management education (DSME) intervention, Diabetes TeleCare, administered by a dietitian and nurse/certified diabetes educator (CDE) in the setting of a federally qualified health center (FQHC) in rural South Carolina. RESEARCH DESIGN AND METHODS: Participants were recruited from three member health centers of an FQHC and were randomized to either Diabetes TeleCare, a 12-month, 13-session curriculum delivered using telehealth strategies, or usual care. RESULTS: Mixed linear regression model results for repeated measures showed a significant reduction in glycated hemoglobin (GHb) in the Diabetes TeleCare group from baseline to 6 and 12 months (9.4 ± 0.3, 8.3 ± 0.3, and 8.2 ± 0.4, respectively) compared with usual care (8.8 ± 0.3, 8.6 ± 0.3, and 8.6 ± 0.3, respectively). LDL cholesterol was reduced at 12 months in the Diabetes TeleCare group compared with usual care. Although not part of the original study design, GHb was reduced from baseline to 12 and 24 months in the Diabetes TeleCare group (9.2 ± 0.4, 7.4 ± 0.5, and 7.6 ± 0.5, respectively) compared with usual care (8.7 ± 0.4, 8.1 ± 0.4, and 8.1 ± 0.5, respectively) in a post hoc analysis of a subset of the randomized sample who completed a 24-month follow-up visit. CONCLUSIONS: Telehealth effectively created access to successfully conduct a 1-year remote DSME by a nurse CDE and dietitian that improved metabolic control and reduced cardiovascular risk in an ethnically diverse and rural population. |
| doi_str_mv | 10.2337/dc09-1919 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2909047</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A234998319</galeid><sourcerecordid>A234998319</sourcerecordid><originalsourceid>FETCH-LOGICAL-f336t-c2b7c036950c3c88920fe95fc93010eb4569fc5f4489e232dd3936e59af1da8c3</originalsourceid><addsrcrecordid>eNptkU1v1DAQhi0EosvCgT8AERw4pfgjTjwckKrlo5WKOLR74mB5nXHqKrEXJ1mp_x6vtnwUrXywNX7mnXdmCHnJ6CkXonnfWgolAwaPyIKBkKWUlXpMFpRVUEoAfkKejeMtpbSqlHpKTjitVMW4XJAf19jjOZp-uikuhm2KOxyLT95scMqPK-xd-c0E0-GAYSp8KEwo1qHFNGLaYVus4jDMwU93H_5m7SVXJuFz8sSZfsQX9_eSrL98vl6dl5ffv16szi5LJ0Q9lZZvGktFDZJaYZUCTh2CdBYEZRQ3lazBWemyd0AueNsKEDVKMI61RlmxJB8Putt5M2Brs9Nker1NfjDpTkfj9cOf4G90F3eaAwVaNVng3b1Aij9nHCc9-NFi35uAcR51kys3wCXL5Jv_yNs4p5C7y1DNOKN0D709QJ3pUfvgYq5q95L6jIsKQIm8pSUpj1AdBswWY0Dnc_gBf3qEz6fFwdujCa_-HcufefxefgZeHwBnojZd8qNeX_HcAGWq4apm4hf9w7eD</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>746121001</pqid></control><display><type>article</type><title>TeleHealth Improves Diabetes Self-Management in an Underserved Community: Diabetes TeleCare</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Davis, Richard M ; Hitch, Angela D ; Salaam, Muhammad M ; Herman, William H ; Zimmer-Galler, Ingrid E ; Mayer-Davis, Elizabeth J</creator><creatorcontrib>Davis, Richard M ; Hitch, Angela D ; Salaam, Muhammad M ; Herman, William H ; Zimmer-Galler, Ingrid E ; Mayer-Davis, Elizabeth J</creatorcontrib><description>OBJECTIVE: To conduct a 1-year randomized clinical trial to evaluate a remote comprehensive diabetes self-management education (DSME) intervention, Diabetes TeleCare, administered by a dietitian and nurse/certified diabetes educator (CDE) in the setting of a federally qualified health center (FQHC) in rural South Carolina. RESEARCH DESIGN AND METHODS: Participants were recruited from three member health centers of an FQHC and were randomized to either Diabetes TeleCare, a 12-month, 13-session curriculum delivered using telehealth strategies, or usual care. RESULTS: Mixed linear regression model results for repeated measures showed a significant reduction in glycated hemoglobin (GHb) in the Diabetes TeleCare group from baseline to 6 and 12 months (9.4 ± 0.3, 8.3 ± 0.3, and 8.2 ± 0.4, respectively) compared with usual care (8.8 ± 0.3, 8.6 ± 0.3, and 8.6 ± 0.3, respectively). LDL cholesterol was reduced at 12 months in the Diabetes TeleCare group compared with usual care. Although not part of the original study design, GHb was reduced from baseline to 12 and 24 months in the Diabetes TeleCare group (9.2 ± 0.4, 7.4 ± 0.5, and 7.6 ± 0.5, respectively) compared with usual care (8.7 ± 0.4, 8.1 ± 0.4, and 8.1 ± 0.5, respectively) in a post hoc analysis of a subset of the randomized sample who completed a 24-month follow-up visit. CONCLUSIONS: Telehealth effectively created access to successfully conduct a 1-year remote DSME by a nurse CDE and dietitian that improved metabolic control and reduced cardiovascular risk in an ethnically diverse and rural population.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/dc09-1919</identifier><identifier>PMID: 20484125</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>United States: American Diabetes Association</publisher><subject>Aged ; Clinical medicine ; Community ; Data collection ; Diabetes ; Diabetes Mellitus ; Education ; Female ; Glycosylated hemoglobin ; Health facilities ; Health Personnel - organization & administration ; Humans ; Intervention ; Male ; Middle Aged ; Original Research ; Patient Education as Topic - organization & administration ; Prevention programs ; Rural areas ; Rural Population ; Self Care - methods ; South Carolina ; Telemedicine - methods</subject><ispartof>Diabetes care, 2010-08, Vol.33 (8), p.1712-1717</ispartof><rights>COPYRIGHT 2010 American Diabetes Association</rights><rights>Copyright American Diabetes Association Aug 2010</rights><rights>2010 by the American Diabetes Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20484125$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davis, Richard M</creatorcontrib><creatorcontrib>Hitch, Angela D</creatorcontrib><creatorcontrib>Salaam, Muhammad M</creatorcontrib><creatorcontrib>Herman, William H</creatorcontrib><creatorcontrib>Zimmer-Galler, Ingrid E</creatorcontrib><creatorcontrib>Mayer-Davis, Elizabeth J</creatorcontrib><title>TeleHealth Improves Diabetes Self-Management in an Underserved Community: Diabetes TeleCare</title><title>Diabetes care</title><addtitle>Diabetes Care</addtitle><description>OBJECTIVE: To conduct a 1-year randomized clinical trial to evaluate a remote comprehensive diabetes self-management education (DSME) intervention, Diabetes TeleCare, administered by a dietitian and nurse/certified diabetes educator (CDE) in the setting of a federally qualified health center (FQHC) in rural South Carolina. RESEARCH DESIGN AND METHODS: Participants were recruited from three member health centers of an FQHC and were randomized to either Diabetes TeleCare, a 12-month, 13-session curriculum delivered using telehealth strategies, or usual care. RESULTS: Mixed linear regression model results for repeated measures showed a significant reduction in glycated hemoglobin (GHb) in the Diabetes TeleCare group from baseline to 6 and 12 months (9.4 ± 0.3, 8.3 ± 0.3, and 8.2 ± 0.4, respectively) compared with usual care (8.8 ± 0.3, 8.6 ± 0.3, and 8.6 ± 0.3, respectively). LDL cholesterol was reduced at 12 months in the Diabetes TeleCare group compared with usual care. Although not part of the original study design, GHb was reduced from baseline to 12 and 24 months in the Diabetes TeleCare group (9.2 ± 0.4, 7.4 ± 0.5, and 7.6 ± 0.5, respectively) compared with usual care (8.7 ± 0.4, 8.1 ± 0.4, and 8.1 ± 0.5, respectively) in a post hoc analysis of a subset of the randomized sample who completed a 24-month follow-up visit. CONCLUSIONS: Telehealth effectively created access to successfully conduct a 1-year remote DSME by a nurse CDE and dietitian that improved metabolic control and reduced cardiovascular risk in an ethnically diverse and rural population.</description><subject>Aged</subject><subject>Clinical medicine</subject><subject>Community</subject><subject>Data collection</subject><subject>Diabetes</subject><subject>Diabetes Mellitus</subject><subject>Education</subject><subject>Female</subject><subject>Glycosylated hemoglobin</subject><subject>Health facilities</subject><subject>Health Personnel - organization & administration</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Research</subject><subject>Patient Education as Topic - organization & administration</subject><subject>Prevention programs</subject><subject>Rural areas</subject><subject>Rural Population</subject><subject>Self Care - methods</subject><subject>South Carolina</subject><subject>Telemedicine - methods</subject><issn>0149-5992</issn><issn>1935-5548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkU1v1DAQhi0EosvCgT8AERw4pfgjTjwckKrlo5WKOLR74mB5nXHqKrEXJ1mp_x6vtnwUrXywNX7mnXdmCHnJ6CkXonnfWgolAwaPyIKBkKWUlXpMFpRVUEoAfkKejeMtpbSqlHpKTjitVMW4XJAf19jjOZp-uikuhm2KOxyLT95scMqPK-xd-c0E0-GAYSp8KEwo1qHFNGLaYVus4jDMwU93H_5m7SVXJuFz8sSZfsQX9_eSrL98vl6dl5ffv16szi5LJ0Q9lZZvGktFDZJaYZUCTh2CdBYEZRQ3lazBWemyd0AueNsKEDVKMI61RlmxJB8Putt5M2Brs9Nker1NfjDpTkfj9cOf4G90F3eaAwVaNVng3b1Aij9nHCc9-NFi35uAcR51kys3wCXL5Jv_yNs4p5C7y1DNOKN0D709QJ3pUfvgYq5q95L6jIsKQIm8pSUpj1AdBswWY0Dnc_gBf3qEz6fFwdujCa_-HcufefxefgZeHwBnojZd8qNeX_HcAGWq4apm4hf9w7eD</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>Davis, Richard M</creator><creator>Hitch, Angela D</creator><creator>Salaam, Muhammad M</creator><creator>Herman, William H</creator><creator>Zimmer-Galler, Ingrid E</creator><creator>Mayer-Davis, Elizabeth J</creator><general>American Diabetes Association</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201008</creationdate><title>TeleHealth Improves Diabetes Self-Management in an Underserved Community: Diabetes TeleCare</title><author>Davis, Richard M ; Hitch, Angela D ; Salaam, Muhammad M ; Herman, William H ; Zimmer-Galler, Ingrid E ; Mayer-Davis, Elizabeth J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-f336t-c2b7c036950c3c88920fe95fc93010eb4569fc5f4489e232dd3936e59af1da8c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Clinical medicine</topic><topic>Community</topic><topic>Data collection</topic><topic>Diabetes</topic><topic>Diabetes Mellitus</topic><topic>Education</topic><topic>Female</topic><topic>Glycosylated hemoglobin</topic><topic>Health facilities</topic><topic>Health Personnel - organization & administration</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Research</topic><topic>Patient Education as Topic - organization & administration</topic><topic>Prevention programs</topic><topic>Rural areas</topic><topic>Rural Population</topic><topic>Self Care - methods</topic><topic>South Carolina</topic><topic>Telemedicine - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davis, Richard M</creatorcontrib><creatorcontrib>Hitch, Angela D</creatorcontrib><creatorcontrib>Salaam, Muhammad M</creatorcontrib><creatorcontrib>Herman, William H</creatorcontrib><creatorcontrib>Zimmer-Galler, Ingrid E</creatorcontrib><creatorcontrib>Mayer-Davis, Elizabeth J</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Diabetes care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davis, Richard M</au><au>Hitch, Angela D</au><au>Salaam, Muhammad M</au><au>Herman, William H</au><au>Zimmer-Galler, Ingrid E</au><au>Mayer-Davis, Elizabeth J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>TeleHealth Improves Diabetes Self-Management in an Underserved Community: Diabetes TeleCare</atitle><jtitle>Diabetes care</jtitle><addtitle>Diabetes Care</addtitle><date>2010-08</date><risdate>2010</risdate><volume>33</volume><issue>8</issue><spage>1712</spage><epage>1717</epage><pages>1712-1717</pages><issn>0149-5992</issn><eissn>1935-5548</eissn><coden>DICAD2</coden><abstract>OBJECTIVE: To conduct a 1-year randomized clinical trial to evaluate a remote comprehensive diabetes self-management education (DSME) intervention, Diabetes TeleCare, administered by a dietitian and nurse/certified diabetes educator (CDE) in the setting of a federally qualified health center (FQHC) in rural South Carolina. RESEARCH DESIGN AND METHODS: Participants were recruited from three member health centers of an FQHC and were randomized to either Diabetes TeleCare, a 12-month, 13-session curriculum delivered using telehealth strategies, or usual care. RESULTS: Mixed linear regression model results for repeated measures showed a significant reduction in glycated hemoglobin (GHb) in the Diabetes TeleCare group from baseline to 6 and 12 months (9.4 ± 0.3, 8.3 ± 0.3, and 8.2 ± 0.4, respectively) compared with usual care (8.8 ± 0.3, 8.6 ± 0.3, and 8.6 ± 0.3, respectively). LDL cholesterol was reduced at 12 months in the Diabetes TeleCare group compared with usual care. Although not part of the original study design, GHb was reduced from baseline to 12 and 24 months in the Diabetes TeleCare group (9.2 ± 0.4, 7.4 ± 0.5, and 7.6 ± 0.5, respectively) compared with usual care (8.7 ± 0.4, 8.1 ± 0.4, and 8.1 ± 0.5, respectively) in a post hoc analysis of a subset of the randomized sample who completed a 24-month follow-up visit. CONCLUSIONS: Telehealth effectively created access to successfully conduct a 1-year remote DSME by a nurse CDE and dietitian that improved metabolic control and reduced cardiovascular risk in an ethnically diverse and rural population.</abstract><cop>United States</cop><pub>American Diabetes Association</pub><pmid>20484125</pmid><doi>10.2337/dc09-1919</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0149-5992 |
| ispartof | Diabetes care, 2010-08, Vol.33 (8), p.1712-1717 |
| issn | 0149-5992 1935-5548 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2909047 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Clinical medicine Community Data collection Diabetes Diabetes Mellitus Education Female Glycosylated hemoglobin Health facilities Health Personnel - organization & administration Humans Intervention Male Middle Aged Original Research Patient Education as Topic - organization & administration Prevention programs Rural areas Rural Population Self Care - methods South Carolina Telemedicine - methods |
| title | TeleHealth Improves Diabetes Self-Management in an Underserved Community: Diabetes TeleCare |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T01%3A33%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=TeleHealth%20Improves%20Diabetes%20Self-Management%20in%20an%20Underserved%20Community:%20Diabetes%20TeleCare&rft.jtitle=Diabetes%20care&rft.au=Davis,%20Richard%20M&rft.date=2010-08&rft.volume=33&rft.issue=8&rft.spage=1712&rft.epage=1717&rft.pages=1712-1717&rft.issn=0149-5992&rft.eissn=1935-5548&rft.coden=DICAD2&rft_id=info:doi/10.2337/dc09-1919&rft_dat=%3Cgale_pubme%3EA234998319%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=746121001&rft_id=info:pmid/20484125&rft_galeid=A234998319&rfr_iscdi=true |