Telehealth and Diabetes Self-Management
Repository Posting Date2016-03-17T13:01:35Z
Author(s)Malcom, Amelia R.
Author DetailsAmelia R. Malcom, Family Nurse Practitioner
Lead Author Sigma AffliationNu Gamma
Other Title(s)Giving Back Patient Autonomy: Diabetes Related Telehealth
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.