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An evaluation of the telehealth facilitation of diabetes and cardiovascular care in remote Australian Indigenous communities: - protocol for the telehealth eye and associated medical services network [TEAMSnet] project, a pre-post study design.
- Source :
- BMC Health Services Research; 1/5/2017, Vol. 17, p1-12, 12p, 5 Diagrams, 3 Charts
- Publication Year :
- 2017
-
Abstract
- <bold>Background: </bold>Despite substantial investment in detection, early intervention and evidence-based treatments, current management strategies for diabetes-associated retinopathy and cardiovascular disease are largely based on real-time and face-to-face approaches. There are limited data re telehealth facilitation in type 2 diabetes management. Therefore, we aim to investigate efficacy of telehealth facilitation of diabetes and cardiovascular disease care in high-risk vulnerable Aboriginal and Torres Strait Islanders in remote/very remote Australia.<bold>Methods: </bold>Using a pre-post intervention design, 600 Indigenous Australians with type 2 diabetes will be recruited from three primary-care health-services in the Northern Territory. Diabetes status will be based on clinical records. There will be four technological interventions: 1. Baseline retinal imaging [as a real-time patient education/engagement tool and telehealth screening strategy]. 2. A lifestyle survey tool administered at ≈ 6-months. 3. At ≈ 6- and 18-months, an electronic cardiovascular disease and diabetes decision-support tool based on current guidelines in the Standard Treatment Manual of the Central Australian Rural Practitioner's Association to generate clinical recommendations. 4. Mobile tablet technology developed to enhance participant engagement in self-management. Data will include: Pre-intervention clinical and encounter-history data, baseline retinopathy status, decision-support and survey data/opportunistic mobile tablet encounter data. The primary outcome is increased participant adherence to clinical appointments, a marker of engagement and self-management. A cost-benefit analysis will be performed.<bold>Discussion: </bold>Remoteness is a major barrier to provision and uptake of best-practice chronic disease management. Telehealth, beyond videoconferencing of consultations, could facilitate evidence-based management of diabetes and cardiovascular disease in Indigenous Australians and serve as a model for other conditions.<bold>Trial Registration: </bold>Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN 12616000370404 was retrospectively registered on 22/03/2016. [ABSTRACT FROM AUTHOR]
- Subjects :
- TELEMEDICINE
TREATMENT of diabetes
CARDIOVASCULAR disease treatment
INDIGENOUS Australians
MEDICAL care of indigenous peoples
DIABETIC retinopathy
KIDNEY disease treatments
DECISION support systems
PATIENTS
TYPE 2 diabetes treatment
CARDIOVASCULAR diseases
CHRONIC diseases
CLINICAL trials
COMPARATIVE studies
COST effectiveness
EXPERIMENTAL design
RESEARCH methodology
MEDICAL cooperation
TYPE 2 diabetes
PRIMARY health care
RESEARCH
RURAL health
HEALTH self-care
VIDEOCONFERENCING
SOCIAL support
EVALUATION research
EVALUATION of human services programs
STANDARDS
Subjects
Details
- Language :
- English
- ISSN :
- 14726963
- Volume :
- 17
- Database :
- Complementary Index
- Journal :
- BMC Health Services Research
- Publication Type :
- Academic Journal
- Accession number :
- 120611358
- Full Text :
- https://doi.org/10.1186/s12913-016-1967-4