The Effect Of Telehealth Management On Hemoglobin A1c Levels In Multi Ethnic Parents With Type Ii Diabetes

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The Effect of Telehealth Management on Hemoglobin A1C Levels in Multi-Ethnic Parents with Type II Diabetes

Author : Jeehyun Y. Lim
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (126 download)

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Book Synopsis The Effect of Telehealth Management on Hemoglobin A1C Levels in Multi-Ethnic Parents with Type II Diabetes by : Jeehyun Y. Lim

Download or read book The Effect of Telehealth Management on Hemoglobin A1C Levels in Multi-Ethnic Parents with Type II Diabetes written by Jeehyun Y. Lim and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Submitted to the School of Nursing and Health Professions of Colorado Christian University Lakewood, Colorado in partial fulfillment of the requirements for the degree of DOCTOR OF NURSING PRACTICE Abstract Background: There is a high incidence of diabetes within the multi-ethnic migrant population. Yet, this population faces many barriers related to language, culture, and income level when accessing the healthcare system. As a result, interventions to improve glycemic control must be targeted and include a culturally competent approach. Purpose: The purpose of this project was to assess how a 3-month long culturally competent telehealth intervention, focused on mutual goal-setting and frequent patient interactions to encourage self-monitoring adherence, would impact hemoglobin A1c levels (HbA1c) in medically underserved multi-ethnic migrant patients. Methods: This project included a randomized design, with a total of 42 participants. For the intervention, the telehealth manager set mutual goals and interacted with participants every other week through individual telehealth sessions. Patients self-measured blood glucose levels using a Bluetooth glucometer that transmitted data through the central telehealth system. Results: A significant reduction in HbA1c levels occurred between the control and intervention group for individuals with a baseline HbA1c level of 9.0% or higher. Although there was a significant improvement in HbA1c levels from baseline to endpoint in participants with a baseline HbA1c level of 7.0% or higher, no statistical significance was observed between groups. Frequency of blood glucose monitoring played an important role in this project, evident by a strong correlation between the number of times blood glucose levels were self-measured by patients and the reduction they achieved in HbA1c levels between baseline and endpoint. Keywords: diabetes, telehealth, telemedicine, glycemic control, hemoglobin A1c, medically underserved, multi-ethnic, culturally diverse, migrants

Evaluation of a Telehealth Intervention Combining Structured Self-monitoring of Blood Glucose and Nurse Care Coordination Among People with Type 2 Diabetes Noninsulin-treated

Download Evaluation of a Telehealth Intervention Combining Structured Self-monitoring of Blood Glucose and Nurse Care Coordination Among People with Type 2 Diabetes Noninsulin-treated PDF Online Free

Author : Deborah Ann Greenwood
Publisher :
ISBN 13 : 9781321211382
Total Pages : pages
Book Rating : 4.2/5 (113 download)

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Book Synopsis Evaluation of a Telehealth Intervention Combining Structured Self-monitoring of Blood Glucose and Nurse Care Coordination Among People with Type 2 Diabetes Noninsulin-treated by : Deborah Ann Greenwood

Download or read book Evaluation of a Telehealth Intervention Combining Structured Self-monitoring of Blood Glucose and Nurse Care Coordination Among People with Type 2 Diabetes Noninsulin-treated written by Deborah Ann Greenwood and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation evaluates the effectiveness of a telehealth remote patient monitoring (RPM) intervention that combines structured self-monitoring of blood glucose (SMBG) and nurse care coordination (NCC) to improve outcomes in persons with type 2 diabetes. The primary aims were to compare differences between glycated hemoglobin (A1C), self-management, self-efficacy, and knowledge compared to usual care after 12 weeks. A two-group randomized clinical trial comparing usual care and RPM--with structured SMBG called paired testing--enrolled 90 people with type 2 diabetes, aged 30-70 years, not taking insulin, in NCC for 12 months with A1C between 7.5%-10.9%. The RPM system includes a computer connected to the Internet to transmit glucose data. Participants received education in paired glucose testing, glucose goals, and problem-solving. Paired testing--checking glucose before and two hours after a meal or physical activity for one week--created action plans for behavioral changes. Glucose data were analyzed weekly using pattern analysis software summarized by premeal, postmeal, and change values, with feedback via electronic health record for asynchronous communication. Nurses telephoned participants monthly to discuss goal achievement. Glucose patterns not reflecting improvement after four weeks required shared decision-making medication options. Separate mixed-effects models were used to determine if intervention or control improved over time, and if intervention showed greater improvement. Data (n = 87) included mean (SD) age 55.7 ± 10.6, mean years with diabetes 8.2 ± 5.4, body mass index 34.1 ± 6.7, and mean A1C 8.3 ± 1.1. There was a significant difference in linear rate of change in A1C indicating the treatment group had on average a faster rate of decline and a faster mean rate of improvement. The treatment group showed greater improvement in summary of diabetes self-care activities subscales of carbohydrate spacing, monitoring blood glucose, and foot care. Neither group improved knowledge or self-efficacy. This intervention shows promise for implementing a complete feedback loop to engage participants in gathering actionable data, using RPM to transmit and analyze structured data, and providing a mechanism for clinicians to virtually communicate to support timely behavior and treatment changes.

Psychosocial Care for People with Diabetes

Author : Deborah Young-Hyman
Publisher : American Diabetes Association
ISBN 13 : 1580404391
Total Pages : 330 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Psychosocial Care for People with Diabetes by : Deborah Young-Hyman

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

The Ecology of Stress

Author : Stevan E. Hobfoll
Publisher : Taylor & Francis
ISBN 13 : 9780891168454
Total Pages : 388 pages
Book Rating : 4.1/5 (684 download)

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Book Synopsis The Ecology of Stress by : Stevan E. Hobfoll

Download or read book The Ecology of Stress written by Stevan E. Hobfoll and published by Taylor & Francis. This book was released on 1988 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medical Management of Type 2 Diabetes

Author : Charles F. Burant
Publisher : American Diabetes Association
ISBN 13 : 158040491X
Total Pages : 185 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Medical Management of Type 2 Diabetes by : Charles F. Burant

Download or read book Medical Management of Type 2 Diabetes written by Charles F. Burant and published by American Diabetes Association. This book was released on 2012-06-05 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: As type 2 diabetes continues its rise in prevalence worldwide, there is an increasing need to study it and describe successful treatments. There are several options for treatment, including oral medications, diet and lifestyle modification, and insulin therapy. Knowing which method to select and how to apply it relies on several clinical guidelines that are updated every year by the American Diabetes Association. This new edition of Medical Management of Type 2 Diabetes provides care providers with the answers to their questions about implementing care. All of the contributors are experts in their fields, and they define the disease, including the progressive nature of type 2 diabetes; cardiovascular, microvascular, and neurological complications; care methodologies for special situations; and behavior change. All guidelines and standards have been updated with the latest developments in research, advances in medications and medical devices, and new understandings of how to effectively work with the patient.

ADA The Complete Nurse's Guide to Diabetes, Second Edition

Author : Belinda Childs
Publisher : American Diabetes Association
ISBN 13 :
Total Pages : 596 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis ADA The Complete Nurse's Guide to Diabetes, Second Edition by : Belinda Childs

Download or read book ADA The Complete Nurse's Guide to Diabetes, Second Edition written by Belinda Childs and published by American Diabetes Association. This book was released on 2009-05-27 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: What every nurse must know about diabetes Complete Nurse’s Guide to Diabetes Care is a comprehensive resource for all nurses who work with diabetes patients. Extensively revised, it offers expert advice on the fundamentals of diabetes care and related nursing issues.

Diabetes Digital Health

Author : David C. Klonoff
Publisher : Elsevier
ISBN 13 : 0128174862
Total Pages : 311 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Diabetes Digital Health by : David C. Klonoff

Download or read book Diabetes Digital Health written by David C. Klonoff and published by Elsevier. This book was released on 2020-04-04 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes Digital Health brings together the multifaceted information surrounding the science of digital health from an academic, regulatory, industrial, investment and cybersecurity perspective. Clinicians and researchers who are developing and evaluating mobile apps for diabetes patients will find this essential reading, as will industry people whose companies are developing mobile apps and sensors. - Provides valuable information for clinicians, researchers and industry about the design and evaluation of patient-facing diabetes adherence technologies - Highlights cutting-edge topics that are presented and discussed at the Digital Diabetes Congress

The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook

Author : Anne L. Peters
Publisher : American Diabetes Association
ISBN 13 : 1580405061
Total Pages : 729 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook by : Anne L. Peters

Download or read book The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook written by Anne L. Peters and published by American Diabetes Association. This book was released on 2013-03-29 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American Diabetes Association/JDRF Type 1 Diabetes Sourcebook serves as both an evidence-based reference work and consensus report outlining the most critical components of care for individuals with type 1 diabetes throughout their lifespan. The volume serves not only as a comprehensive guide for clinicians, but also reviews the evidence supporting these components of care and provides a perspective on the critical areas of research that are needed to improve our understanding of type 1 diabetes diagnosis and treatment. The volume focuses specifically on the needs of patients with type 1 diabetes and provides clear and detailed guidance on the current standards for the optimal treatment of type 1 diabetes from early childhood to later life. To accomplish the book’s editorial goals, Editors-in-Chief, Drs. Anne Peters and Lori Laffel, assembled an editorial steering committee of prominent research physicians, clinicians, and educators to develop the topical coverage. In addition, a Managing Editor was brought on to help the authors write and focus their chapters.

Vital Signs

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309324963
Total Pages : 245 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Vital Signs by : Institute of Medicine

Download or read book Vital Signs written by Institute of Medicine and published by National Academies Press. This book was released on 2015-08-26 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thousands of measures are in use today to assess health and health care in the United States. Although many of these measures provide useful information, their usefulness in either gauging or guiding performance improvement in health and health care is seriously limited by their sheer number, as well as their lack of consistency, compatibility, reliability, focus, and organization. To achieve better health at lower cost, all stakeholders - including health professionals, payers, policy makers, and members of the public - must be alert to what matters most. What are the core measures that will yield the clearest understanding and focus on better health and well-being for Americans? Vital Signs explores the most important issues - healthier people, better quality care, affordable care, and engaged individuals and communities - and specifies a streamlined set of 15 core measures. These measures, if standardized and applied at national, state, local, and institutional levels across the country, will transform the effectiveness, efficiency, and burden of health measurement and help accelerate focus and progress on our highest health priorities. Vital Signs also describes the leadership and activities necessary to refine, apply, maintain, and revise the measures over time, as well as how they can improve the focus and utility of measures outside the core set. If health care is to become more effective and more efficient, sharper attention is required on the elements most important to health and health care. Vital Signs lays the groundwork for the adoption of core measures that, if systematically applied, will yield better health at a lower cost for all Americans.

Closing the Quality Gap

Author : Kaveh G. Shojania
Publisher :
ISBN 13 : 9781587632594
Total Pages : 7 pages
Book Rating : 4.6/5 (325 download)

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Book Synopsis Closing the Quality Gap by : Kaveh G. Shojania

Download or read book Closing the Quality Gap written by Kaveh G. Shojania and published by . This book was released on 2004 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Decision Making in Medicine

Author : Stuart B. Mushlin
Publisher : Elsevier Health Sciences
ISBN 13 : 0323041078
Total Pages : 754 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Decision Making in Medicine by : Stuart B. Mushlin

Download or read book Decision Making in Medicine written by Stuart B. Mushlin and published by Elsevier Health Sciences. This book was released on 2009-10-27 with total page 754 pages. Available in PDF, EPUB and Kindle. Book excerpt: This popular reference facilitates diagnostic and therapeutic decision making for a wide range of common and often complex problems faced in outpatient and inpatient medicine. Comprehensive algorithmic decision trees guide you through more than 245 disorders organized by sign, symptom, problem, or laboratory abnormality. The brief text accompanying each algorithm explains the key steps of the decision making process, giving you the clear, clinical guidelines you need to successfully manage even your toughest cases. An algorithmic format makes it easy to apply the practical, decision-making approaches used by seasoned clinicians in daily practice. Comprehensive coverage of general and internal medicine helps you successfully diagnose and manage a full range of diseases and disorders related to women's health, emergency medicine, urology, behavioral medicine, pharmacology, and much more. A Table of Contents arranged by organ system helps you to quickly and easily zero in on the information you need. More than a dozen new topics focus on the key diseases and disorders encountered in daily practice. Fully updated decision trees guide you through the latest diagnostic and management guidelines.

Adherence and Self-Management in Pediatric Populations

Author : Avani C. Modi
Publisher : Academic Press
ISBN 13 : 0128160012
Total Pages : 456 pages
Book Rating : 4.1/5 (281 download)

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Book Synopsis Adherence and Self-Management in Pediatric Populations by : Avani C. Modi

Download or read book Adherence and Self-Management in Pediatric Populations written by Avani C. Modi and published by Academic Press. This book was released on 2020-01-06 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adherence and Self-Management in Pediatric Populations addresses the contemporary theories, evidence-based assessments, and intervention approaches for common pediatric chronic illnesses. An introductory chapter summarizes the state of the field and provides a general foundation in adherence and self-management. Subsequent chapters focus on specific diseases, ensuring that the scope of knowledge contained therein is current and thorough, especially as the assessments and interventions can be specific to each disease. Case examples are included within each chapter to illustrate the application of these approaches. The book ends with an emerging areas chapter to illuminate the future of adherence science and clinical work. This book will be extremely helpful to professionals beginning to treat youth with suboptimal adherence or for those who conduct adherence research. Experts in the field will benefit from the synthesized literature to aid in clinical decision-making and advancing adherence science. Organized by disease for quick reference Provides case examples to illustrate concepts Incorporates technology-focused measurement and intervention approaches (mobile and electronic health) throughout

Fundamentals of Clinical Data Science

Author : Pieter Kubben
Publisher : Springer
ISBN 13 : 3319997130
Total Pages : 219 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Fundamentals of Clinical Data Science by : Pieter Kubben

Download or read book Fundamentals of Clinical Data Science written by Pieter Kubben and published by Springer. This book was released on 2018-12-21 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience.

Health Informatics: Practical Guide for Healthcare and Information Technology Professionals (Sixth Edition)

Author : Robert E. Hoyt
Publisher : Lulu.com
ISBN 13 : 1304791106
Total Pages : 535 pages
Book Rating : 4.3/5 (47 download)

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Book Synopsis Health Informatics: Practical Guide for Healthcare and Information Technology Professionals (Sixth Edition) by : Robert E. Hoyt

Download or read book Health Informatics: Practical Guide for Healthcare and Information Technology Professionals (Sixth Edition) written by Robert E. Hoyt and published by Lulu.com. This book was released on 2014 with total page 535 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Informatics (HI) focuses on the application of Information Technology (IT) to the field of medicine to improve individual and population healthcare delivery, education and research. This extensively updated fifth edition reflects the current knowledge in Health Informatics and provides learning objectives, key points, case studies and references.

Qualitative Methods in Public Health

Author : Elizabeth E. Tolley
Publisher : John Wiley & Sons
ISBN 13 : 1118834674
Total Pages : 484 pages
Book Rating : 4.1/5 (188 download)

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Book Synopsis Qualitative Methods in Public Health by : Elizabeth E. Tolley

Download or read book Qualitative Methods in Public Health written by Elizabeth E. Tolley and published by John Wiley & Sons. This book was released on 2016-03-24 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt: Qualitative Methods in Public Health: A Field Guide for Applied Research, 2nd Edition provides a practical orientation to conducting effective qualitative research in the public health sphere. With thorough examination and simple explanations, this book guides you through the logic and workflow of qualitative approaches, with step-by-step guidance on every phase of the research. Students learn how to identify and make use of theoretical frameworks to guide your study, design the study to answer specific questions, and achieve their research goals. Data collection, analysis, and interpretation are given close attention as the backbone of a successful study, and expert insight on reporting and dissemination helps you get your work noticed. This second edition features new examples from global health, including case studies specifically illustrating study design, web and mobile technologies, mixed methods, and new innovations in information dissemination. Pedagogical tools have been added to help enhance your understanding of research design and implementation, and extensive appendices show you how these concepts work in practice. Qualitative research is a powerful tool for public health, but it's very easy to get it wrong. Careful study design and data management are critical, and it's important to resist drawing conclusions that the data cannot support. This book shows you how to conduct high-quality qualitative research that stands up to review.

Costs and Benefits of Health Information Technology

Author : Paul G. Shekelle
Publisher :
ISBN 13 : 9781906461089
Total Pages : 60 pages
Book Rating : 4.4/5 (61 download)

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Book Synopsis Costs and Benefits of Health Information Technology by : Paul G. Shekelle

Download or read book Costs and Benefits of Health Information Technology written by Paul G. Shekelle and published by . This book was released on 2009 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report aims to gather the lessons learnt on the effects of HIT to costs and benefits that might be of use to organisations looking to develop and implement HIT programmes. This is a difficult exercise considering the multiple factors affecting implementation of an HIT programme. Factors include organisational characteristics, the kinds of changes being put in place and how they are managed, and the type of HIT system. The report finds that barriers to HIT implementation are still substantial but that some progress has been made on reporting the organisational factors crucial for the adoption of HIT. However, there is a challenge to adapt the studies and publications from HIT leaders (early implementers and people using HIT to best effect) to offer lessons beyond their local circumstances. The report also finds limited data on the cost-effectiveness of HIT.

National Prevention Strategy: America’s Plan for Better Health and Wellness

Author : Regina M. Benjamin
Publisher : DIANE Publishing
ISBN 13 : 1437987621
Total Pages : 125 pages
Book Rating : 4.4/5 (379 download)

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Book Synopsis National Prevention Strategy: America’s Plan for Better Health and Wellness by : Regina M. Benjamin

Download or read book National Prevention Strategy: America’s Plan for Better Health and Wellness written by Regina M. Benjamin and published by DIANE Publishing. This book was released on 2011 with total page 125 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Affordable Care Act, landmark health legislation passed in 2010, called for the development of the National Prevention Strategy to realize the benefits of prevention for all Americans¿ health. This Strategy builds on the law¿s efforts to lower health care costs, improve the quality of care, and provide coverage options for the uninsured. Contents: Nat. Leadership; Partners in Prevention; Healthy and Safe Community Environ.; Clinical and Community Preventive Services; Elimination of Health Disparities; Priorities: Tobacco Free Living; Preventing Drug Abuse and Excessive Alcohol Use; Healthy Eating; Active Living; Injury and Violence Free Living; Reproductive and Sexual Health; Mental and Emotional Well-being. Illus. A print on demand report.