Determining the Effectiveness of a Telehealth Strategy as a Self-Management Education Tool on Adult Patients with Type 2 Diabetes Mellitus to Manage Their Glucose Level: An Integrative Literature Review
Journal Title: Saudi Journal of Medical and Pharmaceutical Sciences - Year 2018, Vol 4, Issue 8
Abstract
Abstract:Telehealth is increasingly used to manage many long-term conditions including ones which affect physical and mental health. The range of methods of delivering telehealth is increasing as technology, and the internet, develop and become increasingly ubiquitous. The various means of delivering telehealth includes the use of computers, smart phones, mobile phones and landlines. As the means of communicating remotely increase, so do the range of ways in which telehealth can be used to both monitor long-term conditions and aid in the delivery of self-care. This paper reviews various applications of telehealth as they are applied to the management of type II diabetes. It examines the role of the different forms of technology in monitoring the disease remotely, in prompting episodes of self-care and in the delivery of proactive education. The review identifies sixteen randomised controlled trials which all use telehealth, in at least one of its forms, to deliver monitoring, disease management prompts and proactive education (or any combination of the three) remotely. The quality of the evidence uncovered is variable, with the long-term utility of many of the approaches remaining largely unproven because of the time limited nature of the research available. The least equivocal findings are from the studies which take a three pronged approach to the delivery of telehealth – monitoring, prompting and educating – which all showed measurable benefit in terms of the management of blood glucose levels. This improvement also held true for the studies which employed both monitoring and real time disease management prompts alone. The evidence suggests therefore, that attempts to use telehealth to improve the management of type II need to include, at the very least, an element of remote monitoring and real-time disease management prompts. Whether the benefits which accrue from these approaches have any long-term value needs to be further researched. Keywords: Telehealth, diabetes, remote monitoring, education, self-care, blood glucose, HbA1c.
Authors and Affiliations
Jamal Mohammed Hamzi
Keywords
Related Articles
- EP ID EP397698
- DOI -
- Views 107
- Downloads 0
Oral Colonization of Aerobic Gram Positive and Gram Negative Bacteria in Individuals Irradiated For Head and Neck Malignancies
Abstract:The oropharyngeal aerobic gram-negative bacillary carriage, uncommon in healthy people, is high in patients with head and neck cancer. A marked increase in oral Gram-negative enterobacteria and pseudomonads has...
The Effect of Carbamazepine on EEG Tracings of People with Seizure Disorders in Calabar, Nigeria
Abstract: The Effect of Carbamazepine on EEG tracings of some people with Seizure Disorders was studied on human subjects. This study conducted within 12-24 weeks was a prospective descriptive study involving 30 people w...
Atypical Evolution of Squamous Cell Carcinoma of the Male Urethra: A Rare Case Report
Abstract:Squamous cell carcinoma of the male urethra is an exceptional tumor. All types tumors of the urethra representing less than 1% of urinary tract tumors. The prognosis remains unfavorable. We report the ninth case...
Epidemiological and Observational Studies on Neurological Disorders: A cross-sectional study
Abstract: The aim of this study was to estimate the prevalence and risk factors for different neurological disorders. We also aimed to explore the effect of different socio-demographic variables in neurological disorders...
Comparative Study of Oxytocin and Prostaglandin E2 Gel in Induction of Labourin High Risk Pregnant Women from Tamil Nadu
Abstract: A few studies concluded that EASI with oxytocin is a better method of induction than prostaglandin E2 gel whereas a few others observed that EASI efficiency similar to that of prostaglandin compounds. We planne...