Videophone-based multimodal home telecare support system for patients with diabetes

我们进行了一项干预研究，以阐明使用多功能可视电话的远程医疗系统如何有效地用于生活方式指导，并特别关注在家护理的糖尿病患者的饮食。患者被分为为期3个月的干预组和常规护理组。在干预组中，患者和医疗专业人员通过基于可视电话的交流系统进行双向交流，每次30分钟，每周一次。主观内比较，干预3个月后，与干预前相比，体重（BW）显著下降（p<0.0005），平均HbA1C水平显著下降（p<0.005）。在常规护理组，平均HbA1C水平在6个月内无显著变化。这种新型的双向通信有助于改善家庭护理糖尿病患者的糖尿病、体重和高血糖状况，从而降低心血管风险。

We conducted an intervention study to clarify how effectively telemedicine system using multi-functional videophone could be used in lifestyle guidance, with a special focus on diet for diabetic patients cared for at home. Patients were assigned to a 3-month intervention group or to a usual care group. In the intervention group, patients and a medical professional communicated bi-directionally through a videophone-based communication system for 30 minutes, once a week. Intra-subjective comparison, the 3-month intervention program resulted in a significant decrease in the Body Weight (BW) (p<0.0005), and the average HbA1C level (p<0.005) compared to before intervention program. In usual care group, the average HbA1C level did not change significantly for six months. This novel bi-directional communication is useful for improving conditions of diabetes, BW, and hyperglycemia of homecare diabetes patients, thus, -reducing cardiovascular risk.