Mobile Phone-Based Telemedicine Practice in Older Chinese Patients with Type 2 Diabetes Mellitus: Randomized Controlled Trial.
Source: Sun, C., et al. 2019 - Pubmed ID: 30609983
Setting: China, Hospital
RCT
Follow up: 6 months
Sample size:
Total: 91
IG: 44
CG: 47
Inclusion criteria:
- Older than 65 years
- HbA1C level 7-10%
App (mhealth)
- Data transfer
- Diet manage-ment software
SMS
- Data transfer
- Guidance
Home monitoring
- Glucometer
Intervention: Patients upload data via app. Medical team send medical advice and reminders via app or SMS every 2 weeks. Once monthly dietary recommendations were sent. Follow up in clinic at 3 months interval
Duration: 6 months
Add on: NA
Control group: Followed up through conventional outpatient clinic appointments
Clinical effect:
- HbA1c ↓
- Postprandial plasma glucose level ↓
Patient safety: No patients experienced any serious adverse events or aggravation of complications.
Patient experiences:
- High satisfaction (score 6.3/7)
Staff experiences: NA
Investment:
Staff resources
- Development of app
Equipment/Material
- Glucometer
Running:
Staff resources
- Training patients
- Data monitoring and messaging.
Organization: NA
Health care utilization: NA