ARTICLE IN PRESS

PCD-402; No. of Pages 8

p r i m a r y c a r e d i a b e t e s x x x ( 2 0 1 4 ) xxx–xxx

Contents lists available at ScienceDirect

Primary Care Diabetes journal homepage: http://www.elsevier.com/locate/pcd

Original research

Improvements in illness self-management and psychological distress associated with telemonitoring support for adults with diabetes James E. Aikens a,∗ , Ann-Marie Rosland b,c , John D. Piette c,d a

Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA Division of General Internal Medicine, University of Michigan, Ann Arbor, MI, USA c VA Ann Arbor Center for Clinical Management Research, Ann Arbor, MI, USA d Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA b

a r t i c l e

i n f o

a b s t r a c t

Article history:

Objective: The objective of this observational open label trial was to characterize changes

Received 29 March 2014

in diabetes self-management and psychological distress associated with a mobile health

Received in revised form

(mHealth) interactive voice response (IVR) self-management support program.

20 June 2014

Methods: For 3–6 months, 301 patients with diabetes received weekly IVR calls assessing

Accepted 24 June 2014

health status and self-care and providing tailored pre-recorded self-management support

Available online xxx

messages. Patients could participate together with an informal caregiver who received suggestions on self-management support, and patients’ clinicians were notified automatically

Keywords:

when patients reported significant problems.

Diabetes

Results: Patients completed 84% of weekly calls, providing 5682 patient-weeks of data. Thirty-

mHealth

nine percent participated with an informal caregiver. Outcome analyses adjusted for study

Primary care

design factors and sociodemographics indicated significant pre–post improvement in medi-

Care management

cation adherence, physical functioning, depressive symptoms, and diabetes-related distress (all p values

Improvements in illness self-management and psychological distress associated with telemonitoring support for adults with diabetes.

The objective of this observational open label trial was to characterize changes in diabetes self-management and psychological distress associated wit...
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