J Telemed Telecare - A pilot project for improving paediatric diabetes outcomes using a website: the Pediatric Diabetes Education Portal.

Tópicos

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{ inform(2794) health(2639) internet(1427) }
{ clinic(1479) use(1117) guidelin(835) }
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{ measur(2081) correl(1212) valu(896) }
{ patient(2837) hospit(1953) medic(668) }
{ use(1733) differ(960) four(931) }
{ research(1085) discuss(1038) issu(1018) }
{ research(1218) medic(880) student(794) }
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{ assess(1506) score(1403) qualiti(1306) }
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{ medic(1828) order(1363) alert(1069) }
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{ sampl(1606) size(1419) use(1276) }
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{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
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{ drug(1928) target(777) effect(648) }
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{ decis(3086) make(1611) patient(1517) }
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{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

We created a website for patients and families that allowed them to review clinic test results, review educational materials related to these results and post questions to their diabetes educator. Fingerstick haemoglobin A(1c) (HbA(1c)) testing and periodic use of a continuous glucose monitoring system (CGMS) were offered to all patients. The HbA(1c) and CGMS results were posted to the website after each clinic visit. A total of 52 patients with type 1 diabetes were enrolled in the study. There were 16 patients with HbA(1c) values within ADA guidelines and 16 with HbA(1c) values above guidelines; 20 patients were excluded for various reasons. Users of the website were defined as families who logged in four or more times over the six-month study period. For patients whose HbA(1c) started above ADA guidelines, the mean HbA(1c) for website users decreased from 10.5% (SD 2.2) at baseline to 9.1% (SD 1.2) after six months. In the non-users, the mean HbA(1c) increased from 9.5% (SD 1.5) at baseline to 10.4% (SD 2.5). However, these changes were not significant. A between groups comparison (users versus non-users) showed a significant improvement in HbA(1c) for website users (P = 0.03). This change in HbA(1c) was clinically relevant. Further studies with more patients are needed to see if these improvements can be sustained over a longer period.

Resumo Limpo

creat websit patient famili allow review clinic test result review educ materi relat result post question diabet educ fingerstick haemoglobin ac hbac test period use continu glucos monitor system cgms offer patient hbac cgms result post websit clinic visit total patient type diabet enrol studi patient hbac valu within ada guidelin hbac valu guidelin patient exclud various reason user websit defin famili log four time sixmonth studi period patient whose hbac start ada guidelin mean hbac websit user decreas sd baselin sd six month nonus mean hbac increas sd baselin sd howev chang signific group comparison user versus nonus show signific improv hbac websit user p chang hbac clinic relev studi patient need see improv can sustain longer period

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