Evidence map›Paper›PMID 24404819›Full record

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

Effect of home telemonitoring on glycemic and blood pressure control in primary care clinic patients with diabetes.

Bonnie J Wakefield, Richelle J Koopman, Lynn E Keplinger, Marilee Bomar, Beth Bernt, Jennifer L Johanning, Robin L Kruse, J Wade Davis, 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 32 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 12 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

32 citing papers in PubMed, 12 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Can Smart Home Technologies Help Older Adults Manage Their Chronic Condition? A Systematic Literature Review.International journal of environmental research and public health · 2023
    Pooled it
  7. An Updated Meta-Analysis of Remote Blood Pressure Monitoring in Urban-Dwelling Patients with Hypertension.International journal of environmental research and public health · 2021
    Pooled it
  8. Pooled it
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  13. Trial
  14. Trial
  15. Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2014
    Trial
  16. Article
  17. Review
  18. Review
  19. Home Telemonitoring of Patients With Type 2 Diabetes: A Meta-Analysis and Systematic Review.Diabetes spectrum : a publication of the American Diabetes Association · 2022
    Article
  20. 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

10 authors.

Bonnie J Wakefield1 Iowa City Veterans Administration Medical Center , Iowa City, Iowa.
Richelle J Koopman
Lynn E Keplinger
Marilee Bomar
Beth Bernt
Jennifer L Johanning
Robin L Kruse
J Wade Davis
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
AHRQ HHS K08 HS017948AHRQ HHS R18 HS017035AHRQ HHS R18HS017035
6 · The paper itself

Abstract

objectivePatient self-management support may be augmented by using home-based technologies that generate data points that providers can potentially use to make more timely changes in the patients' care. The purpose of this study was to evaluate the effectiveness of short-term targeted use of remote data transmission on treatment outcomes in patients with diabetes who had either out-of-range hemoglobin A1c (A1c) and/or blood pressure (BP) measurements. MATERIALS AND

methodsA single-center randomized controlled clinical trial design compared in-home monitoring (n=55) and usual care (n=53) in patients with type 2 diabetes and hypertension being treated in primary care clinics. Primary outcomes were A1c and systolic BP after a 12-week intervention.

resultsThere were no significant differences between the intervention and control groups on either A1c or systolic BP following the intervention.

conclusionsThe addition of technology alone is unlikely to lead to improvements in outcomes. Practices need to be selective in their use of telemonitoring with patients, limiting it to patients who have motivation or a significant change in care, such as starting insulin. Attention to the need for effective and responsive clinic processes to optimize the use of the additional data is also important when implementing these types of technology.

Indexed as

Blood PressureHome Care ServicesPrimary Health CareTelemedicineAdultAgedAged, 80 and overBlood GlucoseDiabetes MellitusFemaleGlycated HemoglobinHumansMaleMiddle AgedMonitoring, PhysiologicSelf CareBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID24404819
PMCPMC3934666

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.