The Effect of Telehealth Management on Hemoglobin A1C Levels in Multi-Ethnic Parents with Type II Diabetes
Author:
Publisher:
Colorado Christian University
Pub. Date:
2021
Language:
English
Description
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
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Grouping Information
Grouped Work ID | cce7a1e6-2395-b08f-9c66-442e64d05972 |
---|---|
Grouping Title | effect of telehealth management on hemoglobin a1c levels in multi ethnic parents with type ii diabetes |
Grouping Author | jeehyun y lim |
Grouping Category | book |
Grouping Language | English (eng) |
Last Grouping Update | 2024-03-22 19:53:02PM |
Last Indexed | 2024-05-09 01:55:45AM |
Solr Fields
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0
accelerated_reader_reading_level
0
author
Lim, Jeehyun Y.
author_display
Lim, Jeehyun Y.
available_at_ccu
CCU Electronic Resources
detailed_location_ccu
CCU Electronic Resources
display_description
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
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eBook
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eBook
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cce7a1e6-2395-b08f-9c66-442e64d05972
itype_ccu
E-book
last_indexed
2024-05-09T07:55:45.494Z
lexile_score
-1
literary_form
Unknown
literary_form_full
Unknown
owning_library_ccu
Colorado Christian University Online
owning_location_ccu
CCU Electronic Resources
publishDate
2021
publisher
Colorado Christian University
recordtype
grouped_work
series
CCU Doctor of Nursing Practice Project Report
series_with_volume
CCU Doctor of Nursing Practice Project Report|
subject_facet
Diabetes -- United States
Medical telematics
Minorities -- Diseases -- United States
Telecommunication in medicine
Medical telematics
Minorities -- Diseases -- United States
Telecommunication in medicine
title_display
The Effect of Telehealth Management on Hemoglobin A1C Levels in Multi-Ethnic Parents with Type II Diabetes
title_full
The Effect of Telehealth Management on Hemoglobin A1C Levels in Multi-Ethnic Parents with Type II Diabetes / Jeehyun Y. Lim
title_short
The Effect of Telehealth Management on Hemoglobin A1C Levels in Multi-Ethnic Parents with Type II Diabetes
topic_facet
Diabetes
Diseases
Medical telematics
Minorities
Telecommunication in medicine
Diseases
Medical telematics
Minorities
Telecommunication in medicine
Solr Details Tables
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record_details
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external_econtent:ils:.b64142954 | eBook | eBook | English | Colorado Christian University | 2021 | 1 online resource (manuscript). |
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