Evidence map›Paper›PMID 32406854›Full record

ArticleJournal of medical Internet research2020

Patient Empowerment Using Electronic Telemonitoring With Telephone Support in the Transition to Insulin Therapy in Adults With Type 2 Diabetes: Observational, Pre-Post, Mixed Methods Study.

Helen McGloin, Dympna O'Connell, Michele Glacken, Patsy Mc Sharry, Denise Healy, Lisa Winters-O'Donnell, Kathleen Crerand, Anne Gavaghan, Louise Doherty

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  4. Patients' and GPs' views and expectations of home monitoring with a pulse oximeter: a mixed-methods process evaluation of a pilot randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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  13. Characterizing Diabetes Empowerment and Motivation for Changing Health Behaviors Among People with Type 2 Diabetes: A Cross-Sectional Survey.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
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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 at 1 institution in 1 country.

Helen McGloinDepartment of Nursing, Health Science and Disability Studies, St Angela's College, Sligo, Ireland.ORCID 0000-0002-4570-3215
Dympna O'ConnellDepartment of Nursing, Health Science and Disability Studies, St Angela's College, Sligo, Ireland.ORCID 0000-0003-3354-4429
Michele GlackenInstitute of Technology, Sligo, Ireland.ORCID 0000-0003-3911-610X
Patsy Mc SharryDepartment of Nursing, Health Science and Disability Studies, St Angela's College, Sligo, Ireland.ORCID 0000-0003-0675-7867
Denise HealyDepartment of Nursing, Health Science and Disability Studies, St Angela's College, Sligo, Ireland.ORCID 0000-0001-6689-1377
Lisa Winters-O'DonnellDepartment of Nursing, Health Science and Disability Studies, St Angela's College, Sligo, Ireland.ORCID 0000-0002-8637-1464
Kathleen CrerandHSE West, Letterkenny, Donegal, Ireland.ORCID 0000-0001-7412-9833
Anne GavaghanHSE West, Letterkenny, Donegal, Ireland.ORCID 0000-0001-5615-1121
Louise DohertyHSE West, Letterkenny, Donegal, Ireland.ORCID 0000-0002-0254-9844
Institute of Technology Sligo · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInitiation of insulin therapy for the management of type 2 diabetes can be an unwelcome and distressful development for patients. Current evidence suggests that telemonitoring can help improve glycemic control in type 2 diabetes and can support empowerment to self-manage diabetes. This telemonitoring intervention was underpinned by an empowerment approach.

objectiveThis study aimed to evaluate the clinical effectiveness and feasibility and the patients' and health care providers' experiences of a 12-week telemonitoring intervention with telephone support for patients commencing insulin therapy. This paper focuses on the impact on patient empowerment.

methodsAn observational, pre-post, multimethod, and triangulation design was employed to study a 12-week automated electronic telemonitoring intervention with telephone support from a diabetes clinical nurse specialist (CNS). Forty patients were recruited from the clinic as they were about to commence insulin therapy. In the quantitative arm, biometric data (hemoglobin A

resultsOf 39 patients who completed the intervention, 23 (59%) were male. The mean age of the sample was 62.4 years (range 37-80 years). The mean HbA

conclusionsThis intervention had an empowering effect for patients in the self-management of type 2 diabetes and has the potential to meet the need for safer and more effective care in insulin initiation in the community setting. We observed a significant increase in workload for health care staff. Telemonitoring needs to be streamlined with health care delivery and accompanied by adequate support services.

Indexed as

AdultAgedAged, 80 and overDiabetes Mellitus, Type 2FemaleHumansInsulinMaleMiddle AgedPatient ParticipationTelemedicineTelephoneInsulindiabetes mellitusempowermentinsulinself-managementtelehealthtype 2

Identifiers

PMID32406854
PMCPMC7256748
OpenAlexW3022384708

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.