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P012
The Effectiveness of Diabetes Education on Glycemic Control through Telehealth Interventions in Type 2 Diabetes
Background: Telehealth has shown significant clinical improvements in the management of diabetes. Diabetes is a chronic condition that can be well-managed and prevented in some patients. There is a growing amount of research and evidence that have supported the use of telehealth in the management of this patient population. The objective of this study is to conduct a retrospective chart review to determine the effectiveness of telehealth interventions on glycemic control in adults with type 2 diabetes using clinical video technology (CVT).
Methods: A sample of 42 records were collected from electronic health system following a 3-month pilot from March 2021 to July 2021. The patients received the standard processes of diabetes education by licensed pharmacists. Each patient received one 30-minute telehealth visit prior to their next HbA1C score within the 3-month period.
Analysis: Microsoft Excel and statistical package for the social sciences (SPSS) was used for data analysis. A paired t-test was used to compare the difference of the mean A1C before andafter the telehealth diabetic education intervention and was measured twice, which result in pairs of observations.
Results: Evidence from paired t-test found that telehealth interventions produced a small but significant improvement in HbA1c level. The average HbA1C score prior to intervention was higher before (M = 7.924, SD = 1.81) than after the CVT (M = 7.495, SD = 1.52). This improvement, 0.4, with 95 % CI, was statistically significant, t (41) = 2.46, p < 0.01. 60% (n=25) HbA1C decreased 33% (n=14) HbA1C increased 7% (n=3) remained the same. 21% (n=9) significantly had greater than 1 point increase after the intervention. Of the 33% HbA1C increased, the average increase was 0.6 point.
Conclusion: Evidence suggests that telehealth diabetes education can be an effective strategy controlling HbA1c levels. The management of type 2 diabetes can be challenging; although, diabetes education through telehealth interventions can help provide additional support in managing the condition and glycemic control. To evaluate the overall effectiveness of telehealth interventions for type 2 diabetes management, future research should also focus on the impact of telehealth in other measurable outcomes of diabetes management such as cholesterol levels, patient satisfaction, and cost-effectiveness.
Methods: A sample of 42 records were collected from electronic health system following a 3-month pilot from March 2021 to July 2021. The patients received the standard processes of diabetes education by licensed pharmacists. Each patient received one 30-minute telehealth visit prior to their next HbA1C score within the 3-month period.
Analysis: Microsoft Excel and statistical package for the social sciences (SPSS) was used for data analysis. A paired t-test was used to compare the difference of the mean A1C before andafter the telehealth diabetic education intervention and was measured twice, which result in pairs of observations.
Results: Evidence from paired t-test found that telehealth interventions produced a small but significant improvement in HbA1c level. The average HbA1C score prior to intervention was higher before (M = 7.924, SD = 1.81) than after the CVT (M = 7.495, SD = 1.52). This improvement, 0.4, with 95 % CI, was statistically significant, t (41) = 2.46, p < 0.01. 60% (n=25) HbA1C decreased 33% (n=14) HbA1C increased 7% (n=3) remained the same. 21% (n=9) significantly had greater than 1 point increase after the intervention. Of the 33% HbA1C increased, the average increase was 0.6 point.
Conclusion: Evidence suggests that telehealth diabetes education can be an effective strategy controlling HbA1c levels. The management of type 2 diabetes can be challenging; although, diabetes education through telehealth interventions can help provide additional support in managing the condition and glycemic control. To evaluate the overall effectiveness of telehealth interventions for type 2 diabetes management, future research should also focus on the impact of telehealth in other measurable outcomes of diabetes management such as cholesterol levels, patient satisfaction, and cost-effectiveness.
Learning Objective
- After completing this learning activity, the participant will be able to assess innovations being used by other professionals in the specialty and evaluate the potential of implementing the improvements into practice.
Speaker
Anfel Crews, DNP, APRN, FNP-BC, FNP-C
Specialties
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