Principal Findings
The aims of this study were to determine how diabetic patients use online applications, determine the impact of the telehealthcare program on the patients’ 7 self-care behaviors, and examine HbA1c level changes during the course of participation in such a program. Through the use of the online diabetes self-management system and the teleconsultant service, the diabetic patients managed complex information about their diseases and obtained support from their care providers. Patients were reminded to perform SMBG, and their self-care behaviors were reinforced. In all, 90% of the patients used the online diabetes self-management system, and 98% performed SMBG. On average, patients logged in every week and performed the SMBG daily. Patients who maintain insulin records are also likely to maintain dietary records, which are related to the effects of insulin injections on food intake. In this study, the use of an image uploading application did not cause more patients to maintain dietary records. One explanation for this finding is that there were more elderly patients in this program and these patients do not often use smartphones or carry a camera with them.
Principal Findings
The aims of this study were to determine how diabetic patients use online applications, determine the impact of the telehealthcare program on the patients’ 7 self-care behaviors, and examine HbA1c level changes during the course of participation in such a program. Through the use of the online diabetes self-management system and the teleconsultant service, the diabetic patients managed complex information about their diseases and obtained support from their care providers. Patients were reminded to perform SMBG, and their self-care behaviors were reinforced. In all, 90% of the patients used the online diabetes self-management system, and 98% performed SMBG. On average, patients logged in every week and performed the SMBG daily. Patients who maintain insulin records are also likely to maintain dietary records, which are related to the effects of insulin injections on food intake. In this study, the use of an image uploading application did not cause more patients to maintain dietary records. One explanation for this finding is that there were more elderly patients in this program and these patients do not often use smartphones or carry a camera with them.
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