Clinical Effects of a Home Care Pilot Program for Patients with Type 1 Diabetes Mellitus: A Retrospective Cohort Study
Background Given the importance of continuous self-care for people with type 1 diabetes mellitus (T1DM), the Ministry of Health and Welfare of Korea launched a pilot program for chronic disease management. Herein, we applied a home care pilot program to people with T1DM to investigate its effects. M...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Diabetes Association
2023-09-01
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| Series: | Diabetes & Metabolism Journal |
| Subjects: | |
| Online Access: | http://www.e-dmj.org/upload/pdf/dmj-2022-0170.pdf |
| _version_ | 1797664578333573120 |
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| author | Sejeong Lee KyungYi Kim Ji Eun Kim Yura Hyun Minyoung Lee Myung-Il Hahm Sang Gyu Lee Eun Seok Kang |
| author_facet | Sejeong Lee KyungYi Kim Ji Eun Kim Yura Hyun Minyoung Lee Myung-Il Hahm Sang Gyu Lee Eun Seok Kang |
| author_sort | Sejeong Lee |
| collection | DOAJ |
| description | Background Given the importance of continuous self-care for people with type 1 diabetes mellitus (T1DM), the Ministry of Health and Welfare of Korea launched a pilot program for chronic disease management. Herein, we applied a home care pilot program to people with T1DM to investigate its effects. Methods This retrospective cohort study was conducted at a single tertiary hospital (January 2019 to October 2021). A multidisciplinary team comprising doctors, nurses, and clinical nutritionists provided specialized education and periodically assessed patients’ health status through phone calls or text messages. A linear mixed model adjusting for age, sex, and body mass index was used to analyze the glycemic control changes before and after implementing the program between the intervention and control groups. Results Among 408 people with T1DM, 196 were enrolled in the intervention group and 212 in the control group. The reduction in glycosylated hemoglobin (HbA1c) after the program was significantly greater in the intervention group than in the control group (estimated marginal mean, –0.57% vs. –0.23%, P=0.008); the same trend was confirmed for glycoalbumin (GA) (–3.2% vs. –0.39%, P<0.001). More patients achieved the target values of HbA1c (<7.0%) and GA (<20%) in the intervention group than in the control group at the 9-month follow-up (34.5% vs. 19.6% and 46.7% vs. 28.0%, respectively). Conclusion The home care program for T1DM was clinically effective in improving glycemic control and may provide an efficient care option for people with T1DM, and positive outcomes are expected to expand the program to include more patients. |
| first_indexed | 2024-03-11T19:32:19Z |
| format | Article |
| id | doaj.art-fd18d1dac6d7458caa7d816c1498d60d |
| institution | Directory Open Access Journal |
| issn | 2233-6079 2233-6087 |
| language | English |
| last_indexed | 2024-03-11T19:32:19Z |
| publishDate | 2023-09-01 |
| publisher | Korean Diabetes Association |
| record_format | Article |
| series | Diabetes & Metabolism Journal |
| spelling | doaj.art-fd18d1dac6d7458caa7d816c1498d60d2023-10-06T13:16:55ZengKorean Diabetes AssociationDiabetes & Metabolism Journal2233-60792233-60872023-09-0147569370210.4093/dmj.2022.01702754Clinical Effects of a Home Care Pilot Program for Patients with Type 1 Diabetes Mellitus: A Retrospective Cohort StudySejeong Lee0KyungYi Kim1Ji Eun Kim2Yura Hyun3Minyoung Lee4Myung-Il Hahm5Sang Gyu Lee6Eun Seok Kang7 Graduate School, Yonsei University College of Medicine, Seoul, Korea Department of Medical Device Engineering and Management, Yonsei University Graduate School, Seoul, Korea Department of Medical Science, Soonchunhyang University Graduate School, Asan, Korea Diabetes Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Division of Endocrinology and Metabolism, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea Department of Health Administration and Management, College of Medical Science, Soonchunhyang University, Asan, Korea Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea Division of Endocrinology and Metabolism, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, KoreaBackground Given the importance of continuous self-care for people with type 1 diabetes mellitus (T1DM), the Ministry of Health and Welfare of Korea launched a pilot program for chronic disease management. Herein, we applied a home care pilot program to people with T1DM to investigate its effects. Methods This retrospective cohort study was conducted at a single tertiary hospital (January 2019 to October 2021). A multidisciplinary team comprising doctors, nurses, and clinical nutritionists provided specialized education and periodically assessed patients’ health status through phone calls or text messages. A linear mixed model adjusting for age, sex, and body mass index was used to analyze the glycemic control changes before and after implementing the program between the intervention and control groups. Results Among 408 people with T1DM, 196 were enrolled in the intervention group and 212 in the control group. The reduction in glycosylated hemoglobin (HbA1c) after the program was significantly greater in the intervention group than in the control group (estimated marginal mean, –0.57% vs. –0.23%, P=0.008); the same trend was confirmed for glycoalbumin (GA) (–3.2% vs. –0.39%, P<0.001). More patients achieved the target values of HbA1c (<7.0%) and GA (<20%) in the intervention group than in the control group at the 9-month follow-up (34.5% vs. 19.6% and 46.7% vs. 28.0%, respectively). Conclusion The home care program for T1DM was clinically effective in improving glycemic control and may provide an efficient care option for people with T1DM, and positive outcomes are expected to expand the program to include more patients.http://www.e-dmj.org/upload/pdf/dmj-2022-0170.pdfdiabetes mellitus, type 1home care servicesremote consultation |
| spellingShingle | Sejeong Lee KyungYi Kim Ji Eun Kim Yura Hyun Minyoung Lee Myung-Il Hahm Sang Gyu Lee Eun Seok Kang Clinical Effects of a Home Care Pilot Program for Patients with Type 1 Diabetes Mellitus: A Retrospective Cohort Study Diabetes & Metabolism Journal diabetes mellitus, type 1 home care services remote consultation |
| title | Clinical Effects of a Home Care Pilot Program for Patients with Type 1 Diabetes Mellitus: A Retrospective Cohort Study |
| title_full | Clinical Effects of a Home Care Pilot Program for Patients with Type 1 Diabetes Mellitus: A Retrospective Cohort Study |
| title_fullStr | Clinical Effects of a Home Care Pilot Program for Patients with Type 1 Diabetes Mellitus: A Retrospective Cohort Study |
| title_full_unstemmed | Clinical Effects of a Home Care Pilot Program for Patients with Type 1 Diabetes Mellitus: A Retrospective Cohort Study |
| title_short | Clinical Effects of a Home Care Pilot Program for Patients with Type 1 Diabetes Mellitus: A Retrospective Cohort Study |
| title_sort | clinical effects of a home care pilot program for patients with type 1 diabetes mellitus a retrospective cohort study |
| topic | diabetes mellitus, type 1 home care services remote consultation |
| url | http://www.e-dmj.org/upload/pdf/dmj-2022-0170.pdf |
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