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

Study design:

RCT

Follow up: 9 months

Patient group:

Sample size:

Total: 81(70)

IG: 45 (39)

CG: 36 (31)

Inclusion criteria:

Diabetes type 1 or 2

Hba1c>7.5%

Type of technology:

Home monitoring (Mobile tele-health (MTH)) equipment:
– Storing and transmitting data
– Colour-coded graphical feed-back

Phone calls:
– Clinical data review
– Education

Intervention:

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/ Patient safety:

Clinical effect:

Insulin-management-diabetes-self-efficacy-subscales:

– General management ↑

– Diet ↑

– Insulin↑

– Exercise →

– Foot care ↑

– Diabetes self-care activities →

Patient safety:

NA

Patient experiences/ Staff experiences:

Patient experiences: NA

Staff experiences:

NA

Costs and organization:

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

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)