PMID- 31287736
OWN - NLM
STAT- MEDLINE
DCOM- 20200528
LR  - 20221207
IS  - 1557-8593 (Electronic)
IS  - 1520-9156 (Linking)
VI  - 21
IP  - 9
DP  - 2019 Sep
TI  - Telemedicine-Assisted Self-Management Program for Type 2 Diabetes Patients.
PG  - 514-521
LID - 10.1089/dia.2019.0056 [doi]
AB  - Background: Lifestyle interventions with personalized self-management programs 
      have shown benefits for patients with type 2 diabetes mellitus (T2DM), a 
      devastating highly prevalent disease worldwide. Despite advances in drug therapy 
      and nonpharmacological strategies achieved in the past recent years, 
      self-management programs to be implemented in everyday life are needed. The aim 
      of the present prospective study was to evaluate the effects, in terms of 
      glycated hemoglobin (HbA(1c)) values and self-management behavior, of a 
      telemedicine-assisted self-management program offered to T2DM patients by a large 
      private health insurance company. Methods: Participants with T2DM included 60 
      adults in the intervention group (M = 59.4 years) and 55 adults in the control 
      group (M = 58.4 years). In the beginning of the study, the intervention group was 
      provided with a tablet computer, a glucometer, and a step counter. Additionally, 
      they received an individual need-based telephone coaching to address and improve 
      motivation and diabetes self-management in daily life. The control group received 
      care as usual and were not offered additional treatment. The study examined the 
      results of a diabetes lifestyle program after 3 months. Results: The intervention 
      resulted in significantly greater declines in HbA(1c) compared with the control 
      group. In addition, tele-assisted participants showed significant improvements in 
      Diabetes Self-Management scale score and body mass index compared with usual care 
      participants. Conclusions: Patients with T2DM can benefit from 
      telemedicine-assisted self-management programs, which may offer new options for 
      treatment and prevention of disease progression. More follow-up and research is 
      needed to assess feasibility and effectiveness on a larger scale.
FAU - von Storch, Katja
AU  - von Storch K
AD  - GROW Gerontological Research on Well-Being, Faculty of Medicine and Faculty of 
      Human Sciences, University of Cologne, Cologne, Germany.
FAU - Graaf, Elisabeth
AU  - Graaf E
AD  - Health Care Managment, Central Krankenversicherung AG, Cologne, Germany.
FAU - Wunderlich, Max
AU  - Wunderlich M
AD  - Generali Health Solutions GmbH, Cologne, Germany.
FAU - Rietz, Christian
AU  - Rietz C
AD  - Department of Educational Science, Mixed Methods-Research, PH Heidelberg, 
      University of Education, Heidelberg, Germany.
FAU - Polidori, M Cristina
AU  - Polidori MC
AD  - Faculty of Medicine, Aging Clinical Research, Department Medicine II of Internal 
      Medicine and Center for Molecular Medicine Cologne, University Hospital Cologne, 
      Cologne, Germany.
FAU - Woopen, Christiane
AU  - Woopen C
AD  - Faculty of Medicine, Research Unit Ethics, University Hospital Cologne, Cologne, 
      Germany.
AD  - ceres-Cologne Center for Ethics, Rights, Economics, and Social Sciences of 
      Health, University of Cologne, Cologne, Germany.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20190709
PL  - United States
TA  - Diabetes Technol Ther
JT  - Diabetes technology & therapeutics
JID - 100889084
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Blood Glucose Self-Monitoring/methods/psychology
MH  - Body Mass Index
MH  - Diabetes Mellitus, Type 2/blood/psychology/*therapy
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - Humans
MH  - Life Style
MH  - Male
MH  - Mentoring/*methods
MH  - Middle Aged
MH  - Motivation
MH  - Patient Acceptance of Health Care/*psychology
MH  - Program Evaluation
MH  - Prospective Studies
MH  - Self-Management/*methods/psychology
MH  - Telemedicine/*methods
OTO - NOTNLM
OT  - Glycemic control
OT  - Lifestyle program
OT  - Self-management
OT  - Telemedicine
OT  - Type 2 diabetes
EDAT- 2019/07/10 06:00
MHDA- 2020/05/29 06:00
CRDT- 2019/07/10 06:00
PHST- 2019/07/10 06:00 [pubmed]
PHST- 2020/05/29 06:00 [medline]
PHST- 2019/07/10 06:00 [entrez]
AID - 10.1089/dia.2019.0056 [doi]
PST - ppublish
SO  - Diabetes Technol Ther. 2019 Sep;21(9):514-521. doi: 10.1089/dia.2019.0056. Epub 
      2019 Jul 9.