Video consultations as add-on to standard care among patients with type 2 diabetes not responding to standard regimens: a randomized controlled trial.

Source: Hansen, C. R., et al. 2017 - Pubmed ID: 28325823

Setting: Denmark, Three hospital and one local health center

Study design:

RCT

Follow up: 14 months

Patient group:

Sample size:  

Total: 165 (139)

IG: 83 (68)

CG: 82 (71)

Inclusion criteria:

– Diabetes type 2

– Participation in a diabetes management program at least six months prior to inclusion

– HbA1c >7.5%

-BMI >25 kg/m2

Type of technology:

Video consultation

– Tablet computer

Home monitoring equipment

– Blood sugar

– Blood pressure

– weight

Intervention:

Intervention:

– Monthly video conferences with a nurse

– Patients upload measurements on blood sugar, blood pressure, and weight regularly.

– Based upon the principles of empowerment and aimed toward being responsible of self-management and control of their disease.

Duration: 8 months

Add on: +

 

Control group: Outpatient visits every 3-6 months

Clinical effect/ Patient safety:

Clinical effect:

– HbA1c→

– Bp →

– BMI →

– Waist/hip ratio →

– Lipids →

– SF-36 →

 

Patient safety:

No incidents of hypoglycemia were reported

Patient experiences/ Staff experiences:

Patient experiences:

NA

Staff experiences:

NA

Costs and organization:

Investment:

Home monitoring equipment

– Tablet

– Glucometer

– blood pressure

Staff resources

– Educational program in type 2 diabetes

 

Running:

Staff resources

– for monthly teleconsultation

Organization:

All Nurses completed an educational program in type 2 diabetes.

Health care utilization:

– Diabetes control →

– Diabetes-related admissions and emergency visits →

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)