Investigating the behavioural effects of a mobile-phone based home telehealth intervention in people with insulin-requiring diabetes: Results of a randomized controlled trial with patient interviews.
Source: Baron, J. S., et al. 2017. - Pubmed ID: 27377790
Setting: UK, Diabetes clinic
RCT
Follow up: 9 months
Sample size:
Total: 81(70)
IG: 45 (39)
CG: 36 (31)
Inclusion criteria:
- Diabetes type 1 or 2
- Hba1c>7.5%
Home monitoring (Mobile tele-health (MTH))
- Storing and transmitting data
- Colour-coded graphical feed-back
Phone calls
- Clinical data review
- Education
Intervention: Diabetes-related data recorded and stored by patients. Nurse accessed data via web and provided feedback on the clinical readings (as needed) and education on lifestyle changes (six weekly calls). The nurse supported insulin titration. An engineer delivered devices/equipment and training.
Duration: NA
Add on: +
Control group: Usual care (Follow-up appointments with nurse every 3-4. months, 1-2 annual appointments with diabetes consultants)
Clinical effect:
(Insulin-management-diabetes-self-efficacy-subscales)
- General management ↑
- Diet ↑
- Insulin↑
- Exercise →
- Foot care ↑
- Diabetes self-care activities →
Patient safety: NA
Patient experiences: NA
Staff experiences: NA
Investment:
Equipment
- BG meter
- BP monitor
- Bluetooth cradle
Staff resources
- Education/training
Running:
Staff resources
- Telephone call
- Data monitoring
- Technical assistance
Organization: NA
Health care utilization: NA