Improving Diabetes Self-Care with a PDA in Ambulatory Care
| Autor: | Glen R. Couchman, Marcia G. Ory, Samuel N. Forjuoh, Michael D. Reis |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty business.industry Type 2 Diabetes Mellitus Health Informatics General Medicine Middle Aged medicine.disease Texas Outcome parameter Self Care Diabetes Mellitus Type 2 Health Information Management Ambulatory care Computers Handheld Health Care Surveys Diabetes mellitus Emergency medicine Ambulatory Care medicine Self care Humans Female business Aged |
| Zdroj: | Telemedicine and e-Health. 14:273-279 |
| ISSN: | 1556-3669 1530-5627 |
| DOI: | 10.1089/tmj.2007.0053 |
| Popis: | Use of information technology in diabetes management has been shown to improve self-care. We determined whether enhancing type 2 diabetes (T2DM) self-care with a personal digital assistant (PDA) by patients in the ambulatory setting would improve glycemic control. A pretest/posttest intervention study was conducted in four family practice clinics in a large multispecialty group practice associated with an 186,000-member Health Maintenance Organization. Adults with T2DM and last measured glycosylated hemoglobin (HbA1c) ofor = 8.00% received one-on-one training on the use of a loaned PDA pre-installed with "Diabetes Pilot." Changes in HbA1c and other outcomes were assessed at 6 months from baseline for all participants and by participant-reported PDA use patterns, dichotomized into high PDA users (or =3 days in past 7) and low PDA users (3 days). Of 43 subjects enrolled, 18 (41.90%) completed the 6-month intervention. Their mean HbA1c decreased 17.50% from 9.70% at baseline to 8.00%, a significant mean HbA1c change of -1.7% (95% CI = -2.60 to -0.90). The mean HbA1c change was higher among reported high PDA users (n = 9, mean difference = -1.90, 95% CI = -3.20 to -0.50) than among reported low PDA users (n = 9, mean difference = -1.50, 95% CI = -2.80 to -0.30). Significant increases were reported for the foot care and general diet subscales of the Summary of Diabetes Self-Care Activities from 3 to 6 months. Enhancing T2DM self-care by adults with a PDA was associated with significant reductions in HbA1c; the reductions were greater among reported high PDA users. |
| Databáze: | OpenAIRE |
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