Abstract：
:Introduction The aim of this study was to improve the quality of diabetes control and evaluate the efficacy of an Internet-based integrated healthcare system for diabetes management and safety. Methods We conducted a large-scale, multi-centre, randomized clinical trial involving 484 patients. Patients in the intervention group ( n = 244) were treated with the Internet-based system for six months, while the control group ( n = 240) received the usual outpatient management over the same period. HbA1c, blood chemistries, anthropometric parameters, and adverse events were assessed at the beginning of the study, after three months, and the end of the study. Results There were no initial significant differences between the groups with respect to demographics and clinical parameters. Upon six-month follow-up, HbA1c levels were significantly decreased from 7.86 ± 0.69% to 7.55 ± 0.86% within the intervention group ( p < 0.001) compared to 7.81 ± 0.66% to 7.70 ± 0.88% within the control group. Postprandial glucose reduction was predominant. A subgroup with baseline HbA1c higher than 8% and good compliance achieved a reduction of HbA1c by 0.8 ± 1.05%. Glucose control and waist circumference reduction were more effective in females and subjects older than 40 years of age. There were no adverse events associated with the intervention. Discussion This e-healthcare system was effective for glucose control and body composition improvement without associated adverse events in a multi-centre trial. This system may be effective in improving diabetes control in the general population.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Cho JH,Kim HS,Yoo SH,Jung CH,Lee WJ,Park CY,Yang HK,Park JY,Park SW,Yoon KHdoi
10.1177/1357633X16657500subject
Has Abstractpub_date
2017-07-01 00:00:00pages
595-604issue
6eissn
1357-633Xissn
1758-1109pii
1357633X16657500journal_volume
23pub_type
杂志文章,多中心研究,随机对照试验abstract：:Since 2000, routine tele-ophthalmology services have been provided by St Erik's Eye Hospital to three large urban primary care centres in Stockholm. Diagnostic support from the specialist eye hospital to primary care centres uses video slit-lamps and realtime videoconferencing. After the initial introduction period at...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X020080S219
更新日期：2002-01-01 00:00:00
abstract：:Tele-education has been used for many years to deliver continuing education programmes to rural health-care professionals. The main modes are audio, video and computer. Audio technologies involve the transmission of the spoken word (voice) between learners and instructors, either synchronously or asynchronously. Examp...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763306776084400
更新日期：2006-01-01 00:00:00
abstract：:The prevention of falls in the elderly could be based on risk assessment and the prediction of when an individual is likely to sustain an injury. A telecare system should allow the dynamic assessment of risk to be produced by a control centre computer, based on data transmitted from local sensors in the elderly person...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633981931605
更新日期：1998-01-01 00:00:00
abstract：:The Internet is a potentially inexpensive, widely available medium for telepathology, but there are concerns about its reliability and security. Using a digital camera, 41 photomicrographs of transbronchial biopsies, at x 100 optical magnification, were captured and digitized at 2700 x 3400 pixel, 24 bit/pixel resolut...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633991933404
更新日期：1999-01-01 00:00:00
abstract：:We assessed the clinical effectiveness and patient satisfaction with nurse-led telephone follow-up of women with lower urinary tract symptoms. Participants were offered telephone follow-up with a nurse instead of a conventional outpatient appointment. Suitability was decided by the doctor who saw the women at her last...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763307782215424
更新日期：2007-01-01 00:00:00
abstract：:Telemedicine embraces the concept of global health-care. In order to realize the internationalization of the practice of medicine, licensing issues need to be addressed. Most countries have their own regulations on licensing to protect the patient and ensure high-quality care. International licensing regulations are l...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633001934564
更新日期：2000-01-01 00:00:00
abstract：:Electromyographic (EMG) biofeedback can be used to train motor functions at a distance, which makes therapy at home a possibility. To enable patients to train properly without the presence of a therapist, artificial feedback is considered essential. We studied the combined effect of age and timing of artificial feedba...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763306777978588
更新日期：2006-01-01 00:00:00
abstract：:We examined the feasibility of using a remotely manoeuverable robot to make home hazard assessments for fall prevention. We employed use-case simulations to compare robot assessments with in-person assessments. We screened the homes of nine elderly patients (aged 65 years or more) for fall risks using the HEROS screen...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X13517350
更新日期：2014-01-01 00:00:00
abstract：INTRODUCTION:Telemedicine is the delivery of healthcare from a remote location using integrated computer/communication technology. The current COVID-19 pandemic has led to increased adoption of telemedicine with national orthopaedic governing bodies advocating its use, as evidence suggests that social distancing maybe ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X20938241
更新日期：2020-08-06 00:00:00
abstract：:A free iPhone app was designed to help parents in Ontario track their children's vaccination records. It was launched in the iTunes app store on 20 November 2012. There were 4867 downloads in the following 12 months. We observed that downloads of the app were correlated with media coverage. Usage of the app was measur...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X14537771
更新日期：2014-12-01 00:00:00
abstract：:Saudi Arabia faces a severe shortage of nurses. An online nursing degree is being introduced as one approach to this problem. In 1999, the College of Nursing and Health Science at George Mason University formed a strategic partnership with IMED Link, a private telehealth company, to deliver online nursing education. N...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X020080S229
更新日期：2002-01-01 00:00:00
abstract：INTRODUCTION:eHealth emerged as an interdisciplinary research area about 70 years ago. This study employs probabilistic techniques to semantically analyse scientific literature related to the field of eHealth in order to identify topics and trends and discuss their comparative evolution. METHODS:Authors collected titl...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X19846252
更新日期：2020-08-01 00:00:00
abstract：:We conducted a retrospective study of incident reports concerning the national, nurse-led telephone triage system in Sweden. The Swedish Health Care Direct organization (SHD) is staffed by registered nurses who act as telenurses and triage the callers' need for care, using a computerized decision support system. Data ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,多中心研究
doi：10.1258/jtt.2009.090813
更新日期：2010-01-01 00:00:00
abstract：:We tested the efficacy of the Healthy Workplace programme for metabolic syndrome. A total of 226 workers with metabolic syndrome from 12 companies enrolled in the study and completed baseline and 6-month follow-up. The Healthy Workplace programme consisted of a 4-week structured education module, telephone counselling...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/jtt.2012.120318
更新日期：2012-09-01 00:00:00
abstract：:Three key areas in diagnostics will drive the convergence of diagnostic and communication technologies: point-of-care testing, micro-electromechanical systems and biomarker discovery. In addition, the communications revolution means that increasing numbers of people will be able to send data from their home to their d...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/jtt.2009.009001
更新日期：2009-01-01 00:00:00
abstract：BACKGROUND:Prison telemedicine can improve the access, cost and quality of healthcare for prisoners, however adoption in prison systems worldwide has been variable despite these demonstrable benefits. This study examines anticipated and realised benefits, barriers and enablers for prison telemedicine, thereby providing...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X19869131
更新日期：2019-10-22 00:00:00
abstract：INTRODUCTION:Help4Mood is an interactive system with an embodied virtual agent (avatar) to assist in self-monitoring of patients receiving treatment for depression. Help4Mood supports self-report and biometric monitoring and includes elements of cognitive behavioural therapy. We aimed to evaluate system use and accepta...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,随机对照试验
doi：10.1177/1357633X15609793
更新日期：2016-09-01 00:00:00
abstract：:We conducted a randomized controlled study to compare conventional lectures with tele-education for delivering wound care education. Education was delivered by the two methods simultaneously to two classes. Forty-eight paramedics received a live didactic presentation and 41 paramedics received the same lecture via vid...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,随机对照试验
doi：10.1258/jtt.2011.110811
更新日期：2012-03-01 00:00:00
abstract：:We conducted a pilot study of the effectiveness of individual counselling sessions provided by a dietician through telemedicine for patients with diabetes. All participants received a single group education session via videoconference. Those who were randomized to the intervention also received two additional follow-u...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,随机对照试验
doi：10.1258/jtt.2008.080813
更新日期：2009-01-01 00:00:00
abstract：:We designed a telemedicine system that supports collaborative work on video-images from coronary cine-angiograms and cine-ventriculograms. Two workstations were connected by ISDN at 128 kbit/s. Coronary cine-angiogram and cine-ventriculogram video-images were transmitted to an image examination workstation before the ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763304323070797
更新日期：2004-01-01 00:00:00
abstract：INTRODUCTION:Decentralised services through outreach clinics or modern technology reduce patient travel time and cost to society. Telemedicine consultation through videoconference is one such modality. Here, we compared patient-reported health outcomes and satisfaction between video-assisted remote and standard face-to...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,随机对照试验
doi：10.1177/1357633X18783921
更新日期：2019-09-01 00:00:00
abstract：:People with serious mental illness suffer from substantially higher rates of cardiometabolic morbidity and mortality than the general population. We have evaluated the efficacy of telemedicine for providing cardiometabolic risk management services compared to in-person care. A retrospective chart review was conducted ...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X14555617
更新日期：2014-12-01 00:00:00
abstract：:Telemedicine demonstration projects in the Western Pacific are attempting to provide distance medical consulting and distance medical education for the isolated health-care workforce of the region. The Picasso Phone system is a low-cost telemedicine system which requires only the standard telephone network for its ope...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633971930328
更新日期：1997-01-01 00:00:00
abstract：:A non-supervised call centre was used to allow oncology patients to contact their personal doctors 24 hours a day. Incoming patient calls to the centre were automatically routed to the doctor's mobile phone or office telephone. Over four years, an average of 407 calls were made each year, by an average of 274 oncology...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763302320939211
更新日期：2002-01-01 00:00:00
abstract：:The evidence base for lifestyle monitoring is relatively weak, even though there are significant numbers of commercial installations around the world. We conducted a literature review to summarize the current position with regard to lifestyle monitoring based on sensors in the home. In total, 74 papers met the inclusi...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,评审
doi：10.1258/jtt.2010.100803
更新日期：2011-01-01 00:00:00
abstract：:The Medical College of Georgia (MCG) Sickle Cell Center in Augusta, Georgia, USA, provides consultation and (in some cases) primary-care services to more than 1000 patients with sickle cell disease (SCD). Three SCD telemedicine clinic sites were established in rural areas of middle and southern Georgia, based on clini...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633001935923
更新日期：2000-01-01 00:00:00
abstract：:Objective We evaluated the impact of telemedicine-delivered behaviour activation treatment (BAT) on glycemic control in a subgroup of older adults with diabetes who participated in a randomized controlled trial for depression. Research design and methods We randomized older adults with major depression to same-room or...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,随机对照试验
doi：10.1177/1357633X17730419
更新日期：2018-10-01 00:00:00
abstract：:Introduction Despite the increased interest in telerehabilitation (TR), virtual reality (VR) and outcome measures for stroke rehabilitation, surprisingly little research has been done to map and identify the most common outcome measures used in TR. For this review, we conducted a systematic search of the literature th...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,评审
doi：10.1177/1357633X16656235
更新日期：2017-07-01 00:00:00
abstract：:The current health-care infrastructure is generally considered to be inadequate to meet the needs of an increasingly older population. We have investigated the feasibility of a passive in-home monitoring system based on wireless accessible sensor populations (WASP). In an EU-funded project we have identified the syste...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/jtt.2008.003010
更新日期：2008-01-01 00:00:00
abstract：:We studied the feasibility, acceptability and cost-effectiveness of using telemedicine to provide geriatric services to residents of nursing homes. A local 200-bed nursing home supported by the community geriatric assessment team (CGAT) participated in a one-year study, during which videoconferencing was used to repla...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/13576330260440808
更新日期：2002-12-01 00:00:00
