<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_sjph-2017-0020_s_333_w2aab2b8b2b1b7b1aab1c16b1Aa"><h3>Background</h3><p>Telemonitoring and web-based interventions are increasingly used in primary-care practices in many countries for more effective management of patients with diabetes mellitus (DM). A new approach in treating patients with diabetes mellitus in family practices, based on ICT use and nurse practitioners, has been introduced and evaluated in this study.</p></sec><sec id="j_sjph-2017-0020_s_334_w2aab2b8b2b1b7b1aab1c16b2Aa"><h3>Method</h3><p>Fifteen Slovene family practices enrolled 120 DM patients treated only with a diet regime and/or tablets into the study. 58 of them were included into the interventional group, and the other 62 DM patients into the control group, within one-year-long interventional, randomised controlled trial. Patients in the control group had conventional care for DM according to Slovenian professional guidelines, while the patients in the interventional group were using also the eDiabetes application. Patients were randomised through a balanced randomisation process.</p></sec><sec id="j_sjph-2017-0020_s_335_w2aab2b8b2b1b7b1aab1c16b3Aa"><h3>Results</h3><p>Significant reductions of glycated haemoglobin (HbA1c) values were found after 6 and 12 months among patients using this eDiabetes application (p&lt;0.05). Among these patients, a significant correlation was also found between self-monitored blood pressure and the final HbA1c values. Diabetic patients’ involvement in web-based intervention had only transient impact on their functional health status.</p></sec><sec id="j_sjph-2017-0020_s_336_w2aab2b8b2b1b7b1aab1c16b4Aa"><h3>Conclusion</h3><p>This eDiabetes application was confirmed to be an innovative approach for better self-management of DM type 2 patients not using insulin. Both a significant reduction of HbA1c values and a significant correlation between the average self-measured blood pressure and the final HbA1c values in the interventional group were found. Nurse practitioners – as diabetes care coordinators – could contribute to better adherence in diabetes e-care.</p></sec></abstract>

BackgroundTelemonitoring and web-based interventions are increasingly used in primary-care practices in many countries for more effective management of patients with diabetes mellitus (DM). A new approach in treating patients with diabetes mellitus in family practices, based on ICT use and nurse practitioners, has been introduced and evaluated in this study.MethodFifteen Slovene family practices enrolled 120 DM patients treated only with a diet regime and/or tablets into the study. 58 of them were included into the interventional group, and the other 62 DM patients into the control group, within one-year-long interventional, randomised controlled trial. Patients in the control group had conventional care for DM according to Slovenian professional guidelines, while the patients in the interventional group were using also the eDiabetes application. Patients were randomised through a balanced randomisation process.ResultsSignificant reductions of glycated haemoglobin (HbA1c) values were found after 6 and 12 months among patients using this eDiabetes application (p<0.05). Among these patients, a significant correlation was also found between self-monitored blood pressure and the final HbA1c values. Diabetic patients’ involvement in web-based intervention had only transient impact on their functional health status.ConclusionThis eDiabetes application was confirmed to be an innovative approach for better self-management of DM type 2 patients not using insulin. Both a significant reduction of HbA1c values and a significant correlation between the average self-measured blood pressure and the final HbA1c values in the interventional group were found. Nurse practitioners – as diabetes care coordinators – could contribute to better adherence in diabetes e-care.

E-healthcare for diabetes mellitus type 2 patients – a randomised controlled trial in Slovenia

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

E-ZDRAVSTVENA OSKRBA BOLNIKOV S SLADKORNO BOLEZNIJO TIPA II – RANDOMIZIRANA KONTROLIRANA RAZISKAVA V SLOVENIJI

BackgroundTelemonitoring and web-based interventions are increasingly used in primary-care practices in many countries for more effective management of...

E-healthcare for diabetes mellitus type 2 patients – a randomised controlled trial in Slovenia

Article Category: Original scientific article

Published Online: May 26, 2017

Page range: 150 - 157

Received: Jun 05, 2016

Accepted: Feb 27, 2017

DOI: https://doi.org/10.1515/sjph-2017-0020

Keywords
diabetes mellitus, telemedicine, functional health status, HbA1c, family practice

© National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

E-healthcare for diabetes mellitus type 2 patients – a randomised controlled trial in Slovenia

Article Category: Original scientific article

Published Online: May 26, 2017

Page range: 150 - 157

Received: Jun 05, 2016

Accepted: Feb 27, 2017

DOI: https://doi.org/10.1515/sjph-2017-0020

Keywordsdiabetes mellitus, telemedicine, functional health status, HbA1c, family practice

© National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
diabetes mellitus, telemedicine, functional health status, HbA1c, family practice