Skip to main content
Top
Published in: Current Diabetes Reports 7/2020

01-07-2020 | Care | Economics and Policy in Diabetes (AA Baig and N Laiteerapong, Section Editors)

Managing Diabetes in Hard to Reach Populations: A Review of Telehealth Interventions

Authors: Anusha Verravanallur Appuswamy, Marisa E. Desimone

Published in: Current Diabetes Reports | Issue 7/2020

Login to get access

Abstract

Purpose of Review

Diabetes mellitus is a leading chronic disease worldwide. Access to diabetes care varies widely and is influenced by multiple factors including social, geographic, and economic conditions. The use of technology to expand healthcare may bridge these barriers and improve access. Our aim was to review the evidence for the role of telehealth to expand access to quality diabetes care.

Recent Findings

There is evidence that application of technology-based programs to deliver healthcare are both feasible and effective. These programs are accepted by both patients and providers, can reduce healthcare costs, and may redress inequalities in healthcare access.

Summary

Technology-based care models can improve disease management, enhance efficiency and clinical decision-making, promote patient self-management skills, and promote patient centered care. Future research should focus on implementation of technology-based healthcare delivery programs on a larger scale.
Literature
3.
go back to reference Berenson J, Shih A. Higher readmissions at safety-net hospitals and potential policy solutions. Issue Brief (Commonw Fund). 2012;34:1–16. Berenson J, Shih A. Higher readmissions at safety-net hospitals and potential policy solutions. Issue Brief (Commonw Fund). 2012;34:1–16.
5.
go back to reference Centers for Disease Control and Prevention. National Diabetes Statistics Report. Atlanta: Centers for Disease Control and Prevention, US Department of Health and Human Services; 2020. www.cdc.gov Accessed December 2019 Centers for Disease Control and Prevention. National Diabetes Statistics Report. Atlanta: Centers for Disease Control and Prevention, US Department of Health and Human Services; 2020. www.​cdc.​gov Accessed December 2019
14.
go back to reference •• Bashshur RL, Shannon GW, Krupinski EA, et al. National telemedicine initiatives: essential to healthcare reform. Telemed J E Health. 2009;15(6):600–10. https://doi.org/10.1089/tmj.2009.9960An overview of the opportunities for telemedicine to address inequities in healthcare while reducing costs and inmproving quality.CrossRefPubMed •• Bashshur RL, Shannon GW, Krupinski EA, et al. National telemedicine initiatives: essential to healthcare reform. Telemed J E Health. 2009;15(6):600–10. https://​doi.​org/​10.​1089/​tmj.​2009.​9960An overview of the opportunities for telemedicine to address inequities in healthcare while reducing costs and inmproving quality.CrossRefPubMed
15.
go back to reference •• Bashshur RL, Shannon GW, Smith BR, Woodward MA. The empirical evidence for the telemedicine intervention in diabetes management. Telemed J E Health. 2015;21(5):321–54. An overwive of the evidence for telemedicine intervention on the management of diabetes. •• Bashshur RL, Shannon GW, Smith BR, Woodward MA. The empirical evidence for the telemedicine intervention in diabetes management. Telemed J E Health. 2015;21(5):321–54. An overwive of the evidence for telemedicine intervention on the management of diabetes.
27.
go back to reference Marcolino MS, Maia JX, Alkmim MBM, Boersma E, Ribeiro AL. Telemedicine application in the care of diabetes patient: systematic review and meta-analysis. PLoS One. 2013;8:e79246.CrossRefPubMedPubMedCentral Marcolino MS, Maia JX, Alkmim MBM, Boersma E, Ribeiro AL. Telemedicine application in the care of diabetes patient: systematic review and meta-analysis. PLoS One. 2013;8:e79246.CrossRefPubMedPubMedCentral
28.
go back to reference Toma T, Athanasoiu T, Harling L, et al. Online social networking services in the management of patients with diabetes mellitus: systematic review and meta-analysis of randomized controlled trials. Diabetes Res Clin Pract. 2014;106:200–11.CrossRefPubMed Toma T, Athanasoiu T, Harling L, et al. Online social networking services in the management of patients with diabetes mellitus: systematic review and meta-analysis of randomized controlled trials. Diabetes Res Clin Pract. 2014;106:200–11.CrossRefPubMed
29.
go back to reference Liang X, Wang Q, Yang X, Cao J, Chen J, Mo X, et al. Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis. Diabetic Med:J Brit Diabetic Assoc. 2011;28:455–63.CrossRef Liang X, Wang Q, Yang X, Cao J, Chen J, Mo X, et al. Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis. Diabetic Med:J Brit Diabetic Assoc. 2011;28:455–63.CrossRef
30.
go back to reference •• Hanlon P, Daines L, Campbell C, McKinstry B, Weller D, Pinnock H. Telehealth interventions to support self-Management of Long-Term Conditions: a systematic Metareview of diabetes, heart failure, asthma, chronic obstructive pulmonary disease, and cancer. J Med Internet Res. 2017;19(5):e172. https://doi.org/10.2196/jmir.6688A review of review articles and meta analyses on use of technology supported self management education for chronic health conditions. CrossRefPubMedPubMedCentral •• Hanlon P, Daines L, Campbell C, McKinstry B, Weller D, Pinnock H. Telehealth interventions to support self-Management of Long-Term Conditions: a systematic Metareview of diabetes, heart failure, asthma, chronic obstructive pulmonary disease, and cancer. J Med Internet Res. 2017;19(5):e172. https://​doi.​org/​10.​2196/​jmir.​6688A review of review articles and meta analyses on use of technology supported self management education for chronic health conditions. CrossRefPubMedPubMedCentral
37.
39.
go back to reference Trief PM, Izquierdo R, Eimicke JP, Teresi JA, Goland R, Palmas W, et al. Adherence to diabetes self care for white, African American and Hispanic American telemedicine participants: 5 year results from the IDEATel project. Ethin Health. 2013;18(1):83–96.CrossRef Trief PM, Izquierdo R, Eimicke JP, Teresi JA, Goland R, Palmas W, et al. Adherence to diabetes self care for white, African American and Hispanic American telemedicine participants: 5 year results from the IDEATel project. Ethin Health. 2013;18(1):83–96.CrossRef
50.
go back to reference Gervera K, Graves BA. Integrating Diabetes Guidelines into a Telehealth Screening Tool. Perspect Heal Inf Manag. 2015;12:1f. Gervera K, Graves BA. Integrating Diabetes Guidelines into a Telehealth Screening Tool. Perspect Heal Inf Manag. 2015;12:1f.
54.
go back to reference Barnett TE, Chumbler NR, Vogel WB, Beyth RJ, Qin H, Kobb R. The effectiveness of a care coordination home telehealth program for veterans with diabetes mellitus: a 2-year follow-up. Am J Manag Care. 2006;12(8):467–74.PubMed Barnett TE, Chumbler NR, Vogel WB, Beyth RJ, Qin H, Kobb R. The effectiveness of a care coordination home telehealth program for veterans with diabetes mellitus: a 2-year follow-up. Am J Manag Care. 2006;12(8):467–74.PubMed
59.
go back to reference Powers BJ, Olsen MK, Oddone EZ, Bosworth HB. The effect of a hypertension self-management intervention on diabetes and cholesterol control. Am J Med. 2009;122(7):639–46.CrossRefPubMedPubMedCentral Powers BJ, Olsen MK, Oddone EZ, Bosworth HB. The effect of a hypertension self-management intervention on diabetes and cholesterol control. Am J Med. 2009;122(7):639–46.CrossRefPubMedPubMedCentral
84.
go back to reference Charpentier G, Benhamou P-Y, Dardari D, Clergeot A, Franc S, Schaepelynck-Belicar P, et al. The Diabeo software enabling individualized insulin dose adjustments combined with telemedicine support improves HbA1c in poorly controlled type 1 diabetic patients: a 6-month, randomized, open-label, parallel-group, multicenter trial (TeleDiab 1 study). Diabetes Care. 2011;34(3):533–9. https://doi.org/10.2337/dc10-1259.CrossRefPubMedPubMedCentral Charpentier G, Benhamou P-Y, Dardari D, Clergeot A, Franc S, Schaepelynck-Belicar P, et al. The Diabeo software enabling individualized insulin dose adjustments combined with telemedicine support improves HbA1c in poorly controlled type 1 diabetic patients: a 6-month, randomized, open-label, parallel-group, multicenter trial (TeleDiab 1 study). Diabetes Care. 2011;34(3):533–9. https://​doi.​org/​10.​2337/​dc10-1259.CrossRefPubMedPubMedCentral
86.
go back to reference Mora P, Buskirk A, Lyden M, Parkin CG, Borsa L, Petersen B. Use of a novel, remotely connected diabetes management system is associated with increased treatment satisfaction, reduced diabetes distress, and improved glycemic control in individuals with insulin-treated diabetes: first results from the personal Diab. Diabetes Technol Ther. 2017;19(12):715–22. https://doi.org/10.1089/dia.2017.0206.CrossRefPubMedPubMedCentral Mora P, Buskirk A, Lyden M, Parkin CG, Borsa L, Petersen B. Use of a novel, remotely connected diabetes management system is associated with increased treatment satisfaction, reduced diabetes distress, and improved glycemic control in individuals with insulin-treated diabetes: first results from the personal Diab. Diabetes Technol Ther. 2017;19(12):715–22. https://​doi.​org/​10.​1089/​dia.​2017.​0206.CrossRefPubMedPubMedCentral
90.
go back to reference Fischer HH, Eisert SL, Everhart RM, et al. Nurse-run, telephone-based outreach to improve lipids in people with diabetes. Am J Manag Care. 2012;18(2):77–84.PubMed Fischer HH, Eisert SL, Everhart RM, et al. Nurse-run, telephone-based outreach to improve lipids in people with diabetes. Am J Manag Care. 2012;18(2):77–84.PubMed
Metadata
Title
Managing Diabetes in Hard to Reach Populations: A Review of Telehealth Interventions
Authors
Anusha Verravanallur Appuswamy
Marisa E. Desimone
Publication date
01-07-2020
Publisher
Springer US
Keywords
Care
Telemedicine
Published in
Current Diabetes Reports / Issue 7/2020
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-020-01310-2

Other articles of this Issue 7/2020

Current Diabetes Reports 7/2020 Go to the issue

Immunology, Transplantation, and Regenerative Medicine (L Piemonti and V Sordi, Section Editors)

Updates on Gene Therapy for Diabetic Retinopathy

Other Forms of Diabetes and Its Complications (JJ Nolan and H Thabit, Section Editors)

Euglycemic Ketoacidosis

Economics and Policy in Diabetes (AA Baig and N Laiteerapong, Section Editors)

Economic Simulation Modeling in Type 2 Diabetes

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine