Evidence map›Paper›PMID 24350806›Full record

Trial reportTelemedicine journal and e-health : the official journal of the American Telemedicine Association2014

Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned.

Richelle J Koopman, Bonnie J Wakefield, Jennifer L Johanning, Lynn E Keplinger, Robin L Kruse, Marilee Bomar, Beth Bernt, Douglas S Wakefield, David R Mehr

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Richelle J Koopman1 Curtis W. and Ann H. Long Department of Family and Community Medicine, University of Missouri School of Medicine , Columbia, Missouri.
Bonnie J Wakefield
Jennifer L Johanning
Lynn E Keplinger
Robin L Kruse
Marilee Bomar
Beth Bernt
Douglas S Wakefield
David R Mehr

Funding

Using HIT to Improve Ambulatory Chronic Disease CareR18HS017035 · AHRQ · UNIVERSITY OF MISSOURI-COLUMBIA · PI MEHR, DAVID R · 2007 to 2009
$1.2M
Patient Readiness to Use Internet Health ResourcesK08HS017948 · AHRQ · UNIVERSITY OF MISSOURI-COLUMBIA · PI KOOPMAN, RICHELLE J · 2009 to 2013
$711k
AHRQ HHS K08 HS017948AHRQ HHS K08HS017948AHRQ HHS R18 HS017035AHRQ HHS R18HS017035
6 · The paper itself

Abstract

backgroundPrior telemonitoring trials of blood pressure and blood glucose have shown improvements in blood pressure and glycemic targets. However, implementation of telemonitoring in primary care practices may not yield the same results as research trials with extra resources and rigid protocols. In this study we examined the process of implementing home telemonitoring of blood glucose and blood pressure for patients with diabetes in six primary care practices. MATERIALS AND

methodsGrounded theory qualitative analysis was conducted in parallel with a randomized controlled effectiveness trial of home telemonitoring. Data included semistructured interviews with 6 nurse care coordinators and 12 physicians in six participating practices and field notes from exit interviews with 93 of 108 randomized patients.

resultsThe three stakeholder groups (patients, nurse care coordinators, and physicians) exhibited some shared themes and some unique to the particular stakeholder group. Major themes were that practices should (1) understand the capabilities and limitations of the technology and the willingness of patient and physician stakeholders to use it, (2) understand the workflow, flow of information, and human factors needed to optimize use of the technology, (3) engage and prepare the physicians, and (4) involve the patient in the process. Although there was enthusiasm for a patient-centered medical home model that included between-visit telemonitoring, there was concern about the support and resources needed to provide this service to patients.

conclusionsAs with many technology interventions, careful consideration of workflow and information flow will help enable effective implementations.

Indexed as

Blood Pressure DeterminationHome Care ServicesPrimary Health CareTelemetryBlood GlucoseDiabetes MellitusHumansMonitoring, PhysiologicPatient-Centered CarePatient ParticipationQualitative ResearchTelemedicineBlood Glucose

Identifiers

PMID24350806
PMCPMC3934548

What OpenQuestion holds

Textmetadata
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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.