Telemed J E Health - Effect of home telemonitoring on glycemic and blood pressure control in primary care clinic patients with diabetes.


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JECTIVE: Patient self-management support may be augmented by using home-based technologies that generate data points that providers can potentially use to make more timely changes in the patients' care. The purpose of this study was to evaluate the effectiveness of short-term targeted use of remote data transmission on treatment outcomes in patients with diabetes who had either out-of-range hemoglobin A1c (A1c) and/or blood pressure (BP) measurements.MATERIALS AND METHODS: A single-center randomized controlled clinical trial design compared in-home monitoring (n=55) and usual care (n=53) in patients with type 2 diabetes and hypertension being treated in primary care clinics. Primary outcomes were A1c and systolic BP after a 12-week intervention.RESULTS: There were no significant differences between the intervention and control groups on either A1c or systolic BP following the intervention.CONCLUSIONS: The addition of technology alone is unlikely to lead to improvements in outcomes. Practices need to be selective in their use of telemonitoring with patients, limiting it to patients who have motivation or a significant change in care, such as starting insulin. Attention to the need for effective and responsive clinic processes to optimize the use of the additional data is also important when implementing these types of technology.

Resumo Limpo

jectiv patient selfmanag support may augment use homebas technolog generat data point provid can potenti use make time chang patient care purpos studi evalu effect shortterm target use remot data transmiss treatment outcom patient diabet either outofrang hemoglobin ac ac andor blood pressur bp measurementsmateri method singlecent random control clinic trial design compar inhom monitor n usual care n patient type diabet hypertens treat primari care clinic primari outcom ac systol bp week interventionresult signific differ intervent control group either ac systol bp follow interventionconclus addit technolog alon unlik lead improv outcom practic need select use telemonitor patient limit patient motiv signific chang care start insulin attent need effect respons clinic process optim use addit data also import implement type technolog

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