Diabetes Management Through Remote Patient Monitoring: The Importance of Patient Activation and Engagement with the Technology

Dejun Su, Tzeyu L. Michaud, Paul Estabrooks, Robert J. Schwab, Leslie A. Eiland, Geri Hansen, Mary Devany, Donglan Zhang, Yan Li, José A. Pagán, Mohammad Siahpush

Research output: Contribution to journalArticle

Abstract

Background: The documented efficacy and promise of telemedicine in diabetes management does not necessarily mean that it can be easily translated into clinical practice. An important barrier concerns patient activation and engagement with telemedicine technology. Objective: To assess the importance of patient activation and engagement with remote patient monitoring technology in diabetes management among patients with type 2 diabetes. Methods: Ordinary least squares and logistic regression analyses were used to examine how patient activation and engagement with remote patient monitoring technology were related to changes in hemoglobin A1c (HbA1c) for 1,354 patients with type 2 diabetes monitored remotely for 3 months between 2015 and 2017. Results: Patients with more frequent and regular participation in remote monitoring had lower HbA1c levels at the end of the program. Compared to patients who uploaded their biometric data every 2 days or less frequently, patients who maintained an average frequency of one upload per day were less likely to have a postmonitoring HbA1c > 9% after adjusting for selected covariates on baseline demographics and health conditions. Conclusions: Higher levels of patient activation and engagement with remote patient monitoring technology were associated with better glycemic control outcomes. Developing targeted interventions for different groups of patients to promote their activation and engagement levels would be important to improve the effectiveness of remote patient monitoring in diabetes management.

Original languageEnglish (US)
Pages (from-to)952-959
Number of pages8
JournalTelemedicine and e-Health
Volume25
Issue number10
DOIs
StatePublished - Oct 2019

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Patient Participation
Physiologic Monitoring
Technology
Hemoglobins
Telemedicine
Type 2 Diabetes Mellitus
Least-Squares Analysis
Logistic Models
Regression Analysis
Demography
Health

Keywords

  • glycemic control
  • patient activation
  • patient engagement
  • remote patient monitoring technology
  • telemedicine

ASJC Scopus subject areas

  • Health Informatics
  • Health Information Management

Cite this

Diabetes Management Through Remote Patient Monitoring : The Importance of Patient Activation and Engagement with the Technology. / Su, Dejun; Michaud, Tzeyu L.; Estabrooks, Paul; Schwab, Robert J.; Eiland, Leslie A.; Hansen, Geri; Devany, Mary; Zhang, Donglan; Li, Yan; Pagán, José A.; Siahpush, Mohammad.

In: Telemedicine and e-Health, Vol. 25, No. 10, 10.2019, p. 952-959.

Research output: Contribution to journalArticle

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