The Use of Digital Telehealth for the Self-Management of Type 2 Diabetes Patients in Hinds County, Mississippi: A Pilot Study
Self-management is crucial for the management of type 2 diabetes. Remote patient monitoring via telehealth may enhance self-management and control of diabetes. A three-arm randomized controlled trial involving 90 participants randomized into two intervention groups and one control group was conducte...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-09-01
|
| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735231188835 |
| _version_ | 1797663513530859520 |
|---|---|
| author | Austine U Onyia MPH Girmay Berhie PhD Alfred Cecchetti PhD Andre Hines PhD |
| author_facet | Austine U Onyia MPH Girmay Berhie PhD Alfred Cecchetti PhD Andre Hines PhD |
| author_sort | Austine U Onyia MPH |
| collection | DOAJ |
| description | Self-management is crucial for the management of type 2 diabetes. Remote patient monitoring via telehealth may enhance self-management and control of diabetes. A three-arm randomized controlled trial involving 90 participants randomized into two intervention groups and one control group was conducted. The purpose of this study is to test whether the use of a mobile phone-based app, with or without telehealth counseling, could improve HbA1c level, self-management, and health-related quality of life compared with usual care. The two intervention groups received a mobile phone with a self-management app. One intervention group additionally received telehealth counseling delivered by a diabetes specialist nurse for 6 months. All three groups continued to receive the usual care from their provider. The primary outcome is a reduction in HbA1c level. Secondary outcomes are self-management, health-related quality of life, depressive symptoms, and lifestyle changes. Data were analyzed using univariate and multivariate (descriptive, t -test, MANOVA) methods. There was a significant reduction in the HbA1c levels of participants after 3 and 6 months. There was also a significant difference in HbA1c levels between the control and two intervention groups. Pre- and posteducation surveys for intervention group 2 showed an improvement in the understanding of type 2 diabetes risk factors, diabetes, and self-management. Digital telehealth demonstrated considerable potential for reducing blood sugar levels, enhancing self-management, and improving the quality of life of type 2 diabetic patients. The addition of telehealth education and counseling further improved the positive outcomes. |
| first_indexed | 2024-03-11T19:16:43Z |
| format | Article |
| id | doaj.art-06202120da3d4f9e9506ee11932674b8 |
| institution | Directory Open Access Journal |
| issn | 2374-3743 |
| language | English |
| last_indexed | 2024-03-11T19:16:43Z |
| publishDate | 2023-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-06202120da3d4f9e9506ee11932674b82023-10-08T21:33:21ZengSAGE PublishingJournal of Patient Experience2374-37432023-09-011010.1177/23743735231188835The Use of Digital Telehealth for the Self-Management of Type 2 Diabetes Patients in Hinds County, Mississippi: A Pilot StudyAustine U Onyia MPH0Girmay Berhie PhD1Alfred Cecchetti PhD2Andre Hines PhD3 Public Health Informatics and Technology, , Jackson, Mississippi, USA Public Health Informatics and Technology, , Jackson, Mississippi, USA Department of Clinical and Translational Sciences, (DCTS) , Huntington, WV, USA Department of Public Policy and Administration, , Jackson, Mississippi, USASelf-management is crucial for the management of type 2 diabetes. Remote patient monitoring via telehealth may enhance self-management and control of diabetes. A three-arm randomized controlled trial involving 90 participants randomized into two intervention groups and one control group was conducted. The purpose of this study is to test whether the use of a mobile phone-based app, with or without telehealth counseling, could improve HbA1c level, self-management, and health-related quality of life compared with usual care. The two intervention groups received a mobile phone with a self-management app. One intervention group additionally received telehealth counseling delivered by a diabetes specialist nurse for 6 months. All three groups continued to receive the usual care from their provider. The primary outcome is a reduction in HbA1c level. Secondary outcomes are self-management, health-related quality of life, depressive symptoms, and lifestyle changes. Data were analyzed using univariate and multivariate (descriptive, t -test, MANOVA) methods. There was a significant reduction in the HbA1c levels of participants after 3 and 6 months. There was also a significant difference in HbA1c levels between the control and two intervention groups. Pre- and posteducation surveys for intervention group 2 showed an improvement in the understanding of type 2 diabetes risk factors, diabetes, and self-management. Digital telehealth demonstrated considerable potential for reducing blood sugar levels, enhancing self-management, and improving the quality of life of type 2 diabetic patients. The addition of telehealth education and counseling further improved the positive outcomes.https://doi.org/10.1177/23743735231188835 |
| spellingShingle | Austine U Onyia MPH Girmay Berhie PhD Alfred Cecchetti PhD Andre Hines PhD The Use of Digital Telehealth for the Self-Management of Type 2 Diabetes Patients in Hinds County, Mississippi: A Pilot Study Journal of Patient Experience |
| title | The Use of Digital Telehealth for the Self-Management of Type 2 Diabetes Patients in Hinds County, Mississippi: A Pilot Study |
| title_full | The Use of Digital Telehealth for the Self-Management of Type 2 Diabetes Patients in Hinds County, Mississippi: A Pilot Study |
| title_fullStr | The Use of Digital Telehealth for the Self-Management of Type 2 Diabetes Patients in Hinds County, Mississippi: A Pilot Study |
| title_full_unstemmed | The Use of Digital Telehealth for the Self-Management of Type 2 Diabetes Patients in Hinds County, Mississippi: A Pilot Study |
| title_short | The Use of Digital Telehealth for the Self-Management of Type 2 Diabetes Patients in Hinds County, Mississippi: A Pilot Study |
| title_sort | use of digital telehealth for the self management of type 2 diabetes patients in hinds county mississippi a pilot study |
| url | https://doi.org/10.1177/23743735231188835 |
| work_keys_str_mv | AT austineuonyiamph theuseofdigitaltelehealthfortheselfmanagementoftype2diabetespatientsinhindscountymississippiapilotstudy AT girmayberhiephd theuseofdigitaltelehealthfortheselfmanagementoftype2diabetespatientsinhindscountymississippiapilotstudy AT alfredcecchettiphd theuseofdigitaltelehealthfortheselfmanagementoftype2diabetespatientsinhindscountymississippiapilotstudy AT andrehinesphd theuseofdigitaltelehealthfortheselfmanagementoftype2diabetespatientsinhindscountymississippiapilotstudy AT austineuonyiamph useofdigitaltelehealthfortheselfmanagementoftype2diabetespatientsinhindscountymississippiapilotstudy AT girmayberhiephd useofdigitaltelehealthfortheselfmanagementoftype2diabetespatientsinhindscountymississippiapilotstudy AT alfredcecchettiphd useofdigitaltelehealthfortheselfmanagementoftype2diabetespatientsinhindscountymississippiapilotstudy AT andrehinesphd useofdigitaltelehealthfortheselfmanagementoftype2diabetespatientsinhindscountymississippiapilotstudy |