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

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:

Home monitoring equipment

– 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)