Diabetes self-management support using mHealth and enhanced informal caregiving.

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dc.contributor.authorAikens, James E
dc.contributor.authorZivin, Kara
dc.contributor.authorTrivedi, Ranak
dc.contributor.authorPiette, John D
dc.date.accessioned2020-02-06T18:40:12Z
dc.date.available2020-02-06T18:40:12Z
dc.date.issued2014-02-25
dc.description.abstractOBJECTIVE To characterize diabetes patient engagement and clinician notifications for an mHealth interactive voice response IVR service DESIGN Observational study METHODS For three to six months VA patients with diabetes received weekly IVR calls assessing health status and self care along with tailored education Patients could enroll with an informal caregiver who received suggestions on self management support Notifications were issued to clinicians when patients reported significant problems RESULTS Patients n 303 participated for a total of 5684 patient weeks during which 84 of calls were completed The odds of call completion decreased over time AOR 0 96 p Under 0 001 and were lower among unmarried patients AOR 0 67 p 0 038 and those who had difficulties with health literacy AOR 0 67 p 0 039 diabetes related distress AOR 0 30 p 0 018 or medication nonadherence AOR 0 57 p 0 002 Twenty one clinician notifications were triggered per 100 patient weeks The odds of notification were higher during the early weeks of the program AOR 0 95 p Under 0 001 and among patients who were older AOR 1 03 p 0 004 or more physically impaired AOR 0 97 p Under 0 001 CONCLUSIONS By providing information that is reliable valid and actionable IVR based mHealth services may increase access to between visit monitoring and diabetes self management support The system detects abnormal glycemia and blood pressure levels that might otherwise go unreported although thresholds for clinician notifications might require adjustment to avoid overloading clinicians Patient engagement might be enhanced by addressing health literacy and psychological distress
dc.identifier.urihttp://dx.doi.org/10.1016/j.jdiacomp.2013.11.008
dc.identifier.urihttps://lib.digitalsquare.io/xmlui/handle/123456789/6717
dc.relation.uriJournal of diabetes and its complications
dc.subjectClient
dc.subjectContinuity of care
dc.subjectQuality of care
dc.subjectAccess to information or data
dc.subjectLoss to follow up
dc.subjectDiabetes
dc.subjectChronic care
dc.subjectTreatment adherence
dc.subjectRemote client-to-provider consultations (Telemedicine)
dc.subjectDisease management
dc.subjectData collection and reporting
dc.titleDiabetes self-management support using mHealth and enhanced informal caregiving.en
dcterms.abstractOBJECTIVE To characterize diabetes patient engagement and clinician notifications for an mHealth interactive voice response IVR service DESIGN Observational study METHODS For three to six months VA patients with diabetes received weekly IVR calls assessing health status and self care along with tailored education Patients could enroll with an informal caregiver who received suggestions on self management support Notifications were issued to clinicians when patients reported significant problems RESULTS Patients n 303 participated for a total of 5684 patient weeks during which 84 of calls were completed The odds of call completion decreased over time AOR 0 96 p Under 0 001 and were lower among unmarried patients AOR 0 67 p 0 038 and those who had difficulties with health literacy AOR 0 67 p 0 039 diabetes related distress AOR 0 30 p 0 018 or medication nonadherence AOR 0 57 p 0 002 Twenty one clinician notifications were triggered per 100 patient weeks The odds of notification were higher during the early weeks of the program AOR 0 95 p Under 0 001 and among patients who were older AOR 1 03 p 0 004 or more physically impaired AOR 0 97 p Under 0 001 CONCLUSIONS By providing information that is reliable valid and actionable IVR based mHealth services may increase access to between visit monitoring and diabetes self management support The system detects abnormal glycemia and blood pressure levels that might otherwise go unreported although thresholds for clinician notifications might require adjustment to avoid overloading clinicians Patient engagement might be enhanced by addressing health literacy and psychological distress
dcterms.contributorAikens, James E
dcterms.contributorZivin, Kara
dcterms.contributorTrivedi, Ranak
dcterms.contributorPiette, John D
dcterms.identifierhttp://dx.doi.org/10.1016/j.jdiacomp.2013.11.008
dcterms.relationJournal of diabetes and its complications
dcterms.subjectClient
dcterms.subjectContinuity of care
dcterms.subjectQuality of care
dcterms.subjectAccess to information or data
dcterms.subjectLoss to follow up
dcterms.subjectDiabetes
dcterms.subjectChronic care
dcterms.subjectTreatment adherence
dcterms.subjectRemote client-to-provider consultations (Telemedicine)
dcterms.subjectDisease management
dcterms.subjectData collection and reporting
dcterms.titleDiabetes self-management support using mHealth and enhanced informal caregiving.en
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