title: Diabetes management assisted by telemedicine: patient perspectives.
abstract: This qualitative research focuses on understanding the experiences of elderly patients with diabetes who participated in a telemedicine case management intervention, to better understand the barriers to success of telemedicine with the elderly. Telephone interviews were conducted with elderly patients with diabetes prior to and 6 and 12 months after participating in a case management intervention delivered via a computer that allowed them to teleconference with a nurse and dietitian, upload blood glucose and blood pressure data, and access educational materials. Qualitative analyses revealed that patients enrolled primarily because healthcare providers encouraged them. Their goals were to improve diabetes control, with few expectations of an effect on emotional health or family relationships. After involvement, they particularly valued the emphasis on monitoring of health outcomes and supportive contact with diabetes staff to encourage, remind, and answer questions. Findings illustrate the potential value of telemedicine with elderly patients with diabetes, if supported by primary care providers and including consistent, supportive interactions with knowledgeable diabetes healthcare providers.
authors.affiliation: Department of Psychiatry, SUNY Upstate Medical University, Syracuse, New York 13210, USA. triefp@upstate.edu
authors.forename: Paula M
authors.initials: PM
authors.lastname: Trief
authors.forename: Jonathan
authors.initials: J
authors.lastname: Sandberg
authors.forename: Roberto
authors.initials: R
authors.lastname: Izquierdo
authors.forename: Philip C
authors.initials: PC
authors.lastname: Morin
authors.forename: Steven
authors.initials: S
authors.lastname: Shea
authors.forename: Rebecca
authors.initials: R
authors.lastname: Brittain
authors.forename: Elizabeth Banks
authors.initials: EB
authors.lastname: Feldhousen
authors.forename: Ruth S
authors.initials: RS
authors.lastname: Weinstock
mesh_terms: D000368:Aged; D003920:Diabetes Mellitus; D019468:Disease Management; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D036301:Qualitative Research; D017216:Telemedicine / Q000379:methods / Q000458:organization & administration*; D014481:United States