Video consultations as add-on to standard care among patients with type 2 diabetes not responding to standard regimens: a randomized controlled trial.
Source: Hansen, C. R., et al. 2017 - Pubmed ID: 28325823
Setting: Denmark, Three hospital and one local health center
Study design:
RCT
Follow up: 14 months
Patient group:
Sample size:
Total: 165 (139)
IG: 83 (68)
CG: 82 (71)
Inclusion criteria:
- Diabetes type 2
- Participation in a diabetes management program at least six months prior to inclusion
- HbA1c >7.5%
- BMI >25 kg/m2
Type of technology:
Video consultation
- Tablet computer
Home monitoring
- Blood sugar
- Blood pressure
- Weight
Intervention:
Intervention:
- Monthly video conferences with a nurse
- Patients upload measurements on blood sugar, blood pressure, and weight regularly
- Based upon the principles of empowerment and aimed toward being responsible of self-management and control of their disease
Duration: 8 months
Add on: +
Control group: Outpatient visits every 3-6 months
Clinical effect:
- HbA1c→
- Bp →
- BMI →
- Waist/hip ratio →
- Lipids →
- SF-36 →
Patient safety: No incidents of hypoglycemia were reported
Patient experiences/
Staff experiences:
Patient experiences: NA
Staff experiences: NA
Investment:
Equipment/Materials
- Tablet
- Glucometer
- Blood pressure
Staff resources
- Educational program in type 2 diabetes
Running:
Staff resources
- Monthly teleconsultation
Organization: All Nurses completed an educational program in type 2 diabetes.
Health care utilization:
- Diabetes control →
- Diabetes-related admissions and emergency visits →