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Health Services Insights

The Impact of a Diabetes Self-Management Education Program Provided Through a Telemedicine Link to Rural California Health Care Clinics

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Health Services Insights 2013:6 1-7

Original Research

Published on 31 Jan 2013

DOI: 10.4137/HSI.S10924


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Abstract

Background: This project investigated the impact of a DM self-management education program provided through a telemedicine link at nine rural health clinics in Northern California.

Methods: Two hundred thirty nine patients were provided with a single 2-hour class on DM delivered through a live televideo connection. Patients provided pre-intervention information on: demographics and overall health, self-care behaviors, and knowledge about DM. All participants completed a post-education survey on knowledge and self-care behaviors.

Results: There was a significant decrease in the number of patients who felt overwhelmed with their DM; pre-intervention 18.8%; post-intervention 5.4% (P , 0.0001). Patients increased the number of days they exercised; pre-intervention 3.4 days; post-intervention 3.9 days (P = 0.02). Patients increased the number of days they checked their feet; pre-intervention 4.2 days; post-intervention 5.6 days (P , 0.01). Knowledge about DM improved over the study period (P , 0.01).

Conclusions: A single 2-hour class on DM administered through a telemedicine link to patients in rural health clinics resulted in feeling less overwhelmed, more knowledgeable about DM, and demonstrated an increase in self-care behavior; ie, exercise and foot care.



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