Examining a Diabetes Self-Management Education and Support Telemedicine Model With High-Risk Patients in a Rural Community
Authors' conclusion
This feasibility study suggests that TREAT-ON was well-received and as effective as traditional in-person DSMES. While findings augment ample evidence regarding DSMES benefits, the TREAT-ON model offers additional advantages and provides validation for telehealth to inform future practice in reaching and supporting self-management for high-risk patients in underserved areas.
Study context
- Population
- High-risk patients with T2D and hemoglobin A1c (HbA1c) >9% in federally qualified health centers in a rural community
- Exposure
- Diabetes self-management education and support (DSMES) via videoconferencing vs in-person DSMES
- Intervention group (IG)n = 30
- Outcome
- HbA1c change
Methodological details12-month, propensity score-matched retrospective control group, federally qualified health centers
- 12-month
- Propensity score-matched retrospective control group
- Federally qualified health centers
Main finding
As reported in the abstract
- IG had similar significant reductions in HbA1c as the control group (CG)
Observational data: associations, not effects.
Further findings
- Self-management goal attainment (IG)
- 64%
HbA1c, diabetes distress and dietary intake in goal attainers (IG)
- Significant HbA1c decrease every 3 months in goal attainers
- 0.21%
- Significant reduction in diabetes distress and improvement in general dietary intake in goal attainers
Acceptability (IG)
- High acceptability of TREAT-ON regardless of goal attainment
Original publication
Examining a Diabetes Self-Management Education and Support Telemedicine Model With High-Risk Patients in a Rural Community. J Diabetes Sci Technol. Published 20 June 2023. doi:10.
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