An Internet-based health gateway device for interactive communication and automatic data uploading: Clinical efficacy for type 2 diabetes in a multi-centre trial.

Source: Cho, J. H., et al. 2017 - Pubmed ID: 27381040

Setting: Southkorea, 3 Hospitals

Study design:

RCT

 

Follow up: 6 months

Patient group:

Sample size:

Total: 484 (444)

IG: 244

CG: 240

 

Inclusion criteria:

  • Diabetes 2 for more than one year
Type of technology:

Home monitoring

  • Glucometer

App (Electronic chart system)

  • Messaging
Intervention:

Intervention: Patients oploaded data to online server. Nurses monitored the patient system, reviewed patient information, and sent optimized recommendations to patients via the device’s electronic chart system (every week for 3 months, every second week for 3 months). Patients visited outpatient clinic every three months.

 

Duration: 6 months
Add on: NA

 

Control group: Conventional outpatient management

Clinical effect/ Patient safety:

Clinical effect:

  • HbA1c ↓
  • Weight →
  • Blood pressure →
  • Quality of life →
  • Treatment satisfaction ↑

Patient safety: There was no side effect associated with the intervention system.

Patient experiences/ Staff experiences:

Patient experiences:

  • Quality of life →
  • Treatment satisfaction ↑ 

Staff experiences: NA

Costs and organization:

Investment:

Equipment/Materials

  • Blood glucose

Running:

Staff resources

  • Staff for monitoring clinical data and messaging

Organization: NA

Health care utilization: NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)