Videophone-based multimodal home telecare support system for patients with diabetes

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Author(s)

Abstract

[Aims]We conducted an intervention study to clarify how effectively a telemedicine system using a multi-functional videophone could be used in lifestyle guidance, with special focus on diet for diabetic patients cared for at home. [Methods]Patients were assigned to a 3-month intervention group or to a usual care group. In the intervention group, patients and a medical professional communicated bi-directionally through a videophone-based communication system for 30 min, once a week. The participants were encouraged to send pictures of each meal online, through the videophone system, in real time. [Results]In intra-subjective comparison, the 3-month intervention program resulted in a significant decrease in body weight (BW) (p < 0.0005) and average HbA1C level (p < 0.005) compared with before the intervention program. Three months after the conclusion of the intervention program, average HbA1C levels returned to almost the same levels as before intervention (p < 0.05). In the usual care group, average HbA1C level did not change significantly for 6 months. [Conclusions]3-month intensive communication using the multimodal videophone system led to a significant decrease in BW and average HbA1C level. This novel bi-directional communication is useful for improving conditions such as diabetes, BW, and hyperglycemia for homecare diabetes patients, thus, reducing cardiovascular risk.

Journal

  • Diabetology international

    Diabetology international 4(1), 52-59, 2013-03-01

    Springer Japan

References:  31

Codes

  • NII Article ID (NAID)
    10030925834
  • NII NACSIS-CAT ID (NCID)
    AA12503387
  • Text Lang
    ENG
  • Article Type
    ART
  • ISSN
    21901678
  • NDL Article ID
    024376329
  • NDL Call No.
    Z78-A700
  • Data Source
    CJP  NDL  IR 
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