Other Titles

Giving Back Patient Autonomy: Diabetes Related Telehealth

Abstract

Session presented on Friday, July 24, 2015: Background: Diabetes self-management has always been an integral part of diabetes management and access to care for diabetics requires time and travel for patients in this rural county. Telehealth technology is a tool that can provide access to diabetic educators and nutritionists in this rural county. The Executive Summary: Standards of Medical Care in Diabetes- 2013 lists diabetes self-management education, support, and a standard of care for all diabetics at the time of diagnosis and as needed thereafter. Effective self-management and quality of life are key outcomes of the DSME and should be measured as part of care. This clinic instituted a pilot study utilizing telehealth technology. Aims: The purpose of this study is to determine if diabetes education through telehealth will improve outcomes in hemoglobin A1C and BMI measurements in a 3-month period. Methods: Retrospective data collection (chart review) of a current pilot project. Hemoglobin A1C and BMI will be measured before and after the intervention. Results: N= 20. The mean hemoglobin A1C scores were decreased after the intervention. The mean BMI scores did not change. A paired sample t-test was performed using SPSS and the hemoglobin A1C scores were significant, while the BMI were not significant. Project conducted in 2014. Discussion: Follow up care was difficult as some participants did not come back after the intervention for their follow up lab work. Linking evidence to actions: The Standards of Medical Care in Diabetes-2014 list diabetes self-management as an important step in the prevention and treatment of type 2 diabetes mellitus. Implications for practice: Telehealth can be an effective, low-cost method of delivering diabetes self-management education and should be offered to some populations to enhance access to care. Conclusions: Telehealth interventions are a viable solution to lack of access to care for some populations.

Author Details

Amelia R. Malcom, Family Nurse Practitioner

Sigma Membership

Unknown

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Telehealth, Diabetes

Conference Name

26th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

San Juan, Puerto Rico

Conference Year

2015

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Acquisition

Proxy-submission

Share

COinS
 

Telehealth and Diabetes Self-Management

San Juan, Puerto Rico

Session presented on Friday, July 24, 2015: Background: Diabetes self-management has always been an integral part of diabetes management and access to care for diabetics requires time and travel for patients in this rural county. Telehealth technology is a tool that can provide access to diabetic educators and nutritionists in this rural county. The Executive Summary: Standards of Medical Care in Diabetes- 2013 lists diabetes self-management education, support, and a standard of care for all diabetics at the time of diagnosis and as needed thereafter. Effective self-management and quality of life are key outcomes of the DSME and should be measured as part of care. This clinic instituted a pilot study utilizing telehealth technology. Aims: The purpose of this study is to determine if diabetes education through telehealth will improve outcomes in hemoglobin A1C and BMI measurements in a 3-month period. Methods: Retrospective data collection (chart review) of a current pilot project. Hemoglobin A1C and BMI will be measured before and after the intervention. Results: N= 20. The mean hemoglobin A1C scores were decreased after the intervention. The mean BMI scores did not change. A paired sample t-test was performed using SPSS and the hemoglobin A1C scores were significant, while the BMI were not significant. Project conducted in 2014. Discussion: Follow up care was difficult as some participants did not come back after the intervention for their follow up lab work. Linking evidence to actions: The Standards of Medical Care in Diabetes-2014 list diabetes self-management as an important step in the prevention and treatment of type 2 diabetes mellitus. Implications for practice: Telehealth can be an effective, low-cost method of delivering diabetes self-management education and should be offered to some populations to enhance access to care. Conclusions: Telehealth interventions are a viable solution to lack of access to care for some populations.