Overcoming Clinical Inertia: A Randomized Clinical Trial of a Telehealth Remote Monitoring Intervention Using Paired Glucose Testing in Adults With Type 2 Diabetes
Initiatives
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The purpose of this study was to evaluate a telehealth remote monitoring intervention using paired glucose testing and asynchronous data analysis in adults with type 2 diabetes. The primary aim was change in glycated hemoglobin (A(1c))—a measure of overall glucose management—between groups after 6 months. The secondary aims were change in self-reported Summary of Diabetes Self-Care Activities (SDSCA), Diabetes Empowerment Scale, and Diabetes Knowledge Test.
Note: All published information has been collected from the article referenced in the Marker Paper box below. Therefore, there may be variations with more advanced versions of the study.
- Start Year
- 2013
- End Year
- 2012
- Funding
- This research project has research support from the Investigator Initiated Studies program of LifeScan Corporation, Intel-GE Care Innovations, Sutter Institute for Medical Research, The Betty Irene Moore School of Nursing, The Jonas Center for Nursing Excellence, and the University of California Davis, National Center for Advancing Translational Sciences, National Institutes of Health, through grant number UL1 TR 000002.
Design
- Study design
- Clinical trial cohort
Marker Paper
Greenwood DA, Blozis SA, Young HM, Nesbitt TS, Quinn CC. Overcoming Clinical Inertia: A Randomized Clinical Trial of a Telehealth Remote Monitoring Intervention Using Paired Glucose Testing in Adults With Type 2 Diabetes. J Med Internet Res. 2015;17(7):e178. Published 2015 Jul 21. doi:10.2196/jmir.4112
PUBMED 26199142
Recruitment
- Sources of Recruitment
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- Individuals
Number of participants
- Number of participants
- 90
- Number of participants with biosamples
Access
Availability of data and biosamples
| Data | |
| Biosamples | |
| Other |
Timeline
Patients with type 2 diabetes diagnosis
The study was conducted between January and October 2013 in a large health care system in California with an established diabetes management program with telephonic nurse care coordination for diabetes population health management.
Selection Criteria
- Minimum age
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30
- Maximum age
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70
- Newborns
- Twins
- Countries
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- United States of America
- Territory
- California
- Ethnic Origin
-
- Health Status
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- type 2 diabetes diagnosis
- Other criteria
- Exclusion criteria identified by medical chart review included: Insulin prescription; Unable to independently self-manage (diagnosis of dementia, severe depression, schizophrenia, or cognitive impairment for previous 12 months); and/or Diagnoses of debilitating stroke, heart failure, end-stage renal disease, or legally blind.
Recruitment
- Sources of recruitment
-
- Specific population
- Specific Population
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- Clinic patients
Number of participants
- Number of participants
- 90
- Number of participants with biosamples
Data Collection Event
A 2-group randomized clinical trial was conducted comparing usual care to telehealth remote monitoring with paired glucose testing and asynchronous virtual visits. The telehealth remote monitoring tablet computer transmitted glucose data and facilitated a complete feedback loop to educate participants, analyze actionable glucose data, and provide feedback. Data from paired glucose testing were analyzed asynchronously using computer-assisted pattern analysis and were shared with patients via the EHR weekly.
- Start Date
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2013-01
- End Date
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2013-10
- Data sources
-
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Mobile data collection
- Smartphone
- Tablet/laptop
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Mobile data collection