Evidence map›Paper›PMID 21859347›Full record

ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2011

Using telehealth to provide diabetes care to patients in rural Montana: findings from the promoting realistic individual self-management program.

Elizabeth Ciemins, Patricia Coon, Rory Peck, Barbara Holloway, Sung-Joon Min

Open access · greenAbstract read
In one paragraph

Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Trial
  6. Trial
  7. Sustained effects of a nurse coaching intervention via telehealth to improve health behavior change in diabetes.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2014
    Trial
  8. Fundus image diagnostic agreement in uveitis utilizing free and open source software.Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · 2013
    Trial
  9. Article
  10. Review
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  12. Article
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  15. Dietitians Australia position statement on telehealth.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2020
    Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Virtually Better Diabetes Care?Clinical diabetes : a publication of the American Diabetes Association · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Elizabeth CieminsBillings Clinic Center for Clinical Translational Research, Billings, Montana 59107, USA. eciemins@billingsclinic.org
Patricia Coon
Rory Peck
Barbara Holloway
Sung-Joon Min
Billings Clinic · USUniversity of Colorado Anschutz Medical Campus · US

Funding

USE OF MIDLEVEL PROVIDERS IN DIABETES MANAGEMENTR18DK065787 · NIDDK · BILLINGS CLINIC FOUNDATION · PI COON, PATRICIA J · 2004 to 2007
$2.2M
NIDDK NIH HHS R18 DK065787-03
6 · The paper itself

Abstract

objectiveThe objectives of this study were to demonstrate the feasibility of telehealth technology to provide a team approach to diabetes care for rural patients and determine its effect on patient outcomes when compared with face-to-face diabetes visits. MATERIALS AND

methodsAn evaluation of a patient-centered interdisciplinary team approach to diabetes management compared telehealth with face-to-face visits on receipt of recommended preventive guidelines, vascular risk factor control, patient satisfaction, and diabetes self-management at baseline and 1, 2, and 3 years postintervention.

resultsOne-year postintervention the receipt of recommended dilated eye exams increased 31% and 43% among telehealth and face-to-face patients, respectively (p=0.28). Control of two or more risk factors increased 37% and 69% (p=0.21). Patient diabetes care satisfaction rates increased 191% and 131% among telehealth and face-to-face patients, respectively (p=0.51). A comparison of telehealth with face-to-face patients resulted in increased self-reported blood glucose monitoring as instructed (97% vs. 89%; p=0.63) and increased dietary adherence (244% vs. 159%; p=0.86), respectively. Receipt of a monofilament foot test showed a significantly greater improvement among face-to-face patients (17% vs. 35%; p=0.01) at 1 year postintervention, but this difference disappeared in years 2 and 3.

conclusionsTelehealth proved to be an effective mode for the provision of diabetes care to rural patients. Few differences were detected in the delivery of a team approach to diabetes management via telehealth compared with face-to-face visits on receipt of preventive care services, vascular risk factor control, patient satisfaction, and patient self-management. A team approach using telehealth may be a viable strategy for addressing the unique challenges faced by patients living in rural communities.

Indexed as

Diabetes MellitusFemaleHumansLogistic ModelsMaleMiddle AgedMontanaPatient SatisfactionRural HealthSelf CareTelemedicineUrban Health

Identifiers

PMID21859347
PMCPMC3208251
OpenAlexW1992104896

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.