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

Study design:

RCT

Follow up: 6 months

Patient group:

Sample size:

Total: 91

IG: 44

CG: 47

Inclusion criteria:

– Older than 65 years

– HbA1C level 7-10%

Type of technology:

App (mhealth)
– Data transfer
– diet manage-ment software

SMS
– Data transfer
– guidance

Home monitoring equipment
– Glucometer

Intervention:

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/ Patient safety:

Clinical effect:

– HbA1c ↓

– postprandial plasma glucose level ↓

Patient safety:

No patients experienced any serious adverse events or aggravation of complications.

Patient experiences/ Staff experiences:

Patient experiences:

High satisfaction (score 6.3/7)

Staff experiences:

NA

Costs and organization:

Investment:

Staff resources

– Development of app

Material

– glucometer

Running:

Staff resources

– Training patients

– Data monitoring and messaging.

Organization:

NA

Health care utilization:

NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)