Telehealth Technologies: Changing the Way We Deliver Efficacious and Cost-Effective Diabetes Self-Management Education

Nearly 26 million people diagnosed with diabetes mellitus in the U.S. must actively engage in self-management of the disease. Telehealth is a population-based approach with the potential to optimize resources and increase access to diabetes self-management education/training (DSME/T). We conducted a...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2014-11, Vol.25 (4), p.1853-1897
Main Authors: Fitzner, Karen K, Heckinger, Elizabeth, Tulas, Katrina M, Specker, James, McKoy, June
Format: Article
Language:English
Subjects:
Behavior
Blood pressure
Chronic illnesses
Cost control
Cost-Benefit Analysis
Diabetes
Diabetes Mellitus - economics
Diabetes Mellitus - therapy
Disease
Education
Humans
Literature reviews
Meta-analysis
Self Care - economics
Self Care - methods
Smartphones
Studies
Systematic review
Teachers
Telemedicine - methods
United States
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Summary:Nearly 26 million people diagnosed with diabetes mellitus in the U.S. must actively engage in self-management of the disease. Telehealth is a population-based approach with the potential to optimize resources and increase access to diabetes self-management education/training (DSME/T). We conducted a systematic literature review on diabetes education and telehealth (2009–April 2014) to determine whether remote DSME/T sufficiently improves behavioral, clinical, and economic outcomes and access. Twenty-five out of 213 identified systematic literature reviews or meta-analyses (two on mobile health were identified via a Google search) met our criteria and were fully reviewed; 22 additional studies and reports of diabetes-related technologies and interventions were also identified. Telemedicine has the potential to offer great utility, but guidelines for high research standards must be introduced, adopted, and proactively refined to determine the strengths of this technology for DSME/T, behavioral change, cost-effective care, and improved access in chronic disease self-management.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2014.0157