title: [The effect of videophone system for diabetic homecare patients on glycemic control].
abstract: It is imperative to develop a novel care approach and low-cost health care system for diabetic patients.Therefore, we conducted an intervention study to clarify how effectively a videophone system could be used in the life style guidance focusing on diet for the diabetic patients cared at home.For the period of 3 months, diabetic patients were communicated with a medical professional staff bi-directionally through a videophone-based communication system for 30 minutes once a week.During the 30-minute intervention, the medical staff checked the list with the change in weight, drug adherence and an exercise habit.We encouraged a diabetic patient to eat properly based on the diet record.The 3-month intervention program resulted in a significant decrease in BW(p<0.001 ), BMI(p<0.001 ), and the average HbA1c level(p<0.005 ).In conclusion, we showed a 3-month intensive communication result using a multimodal videophone system, which revealed a significant decrease in the body weight, BMI and the average HbA1c level.This once a week ICT communication might be useful as an auxiliary therapy to help change a bad daily habit to a good daily habit for a diabetic homecare patient.
authors.affiliation: Dept. of Human Health Sciences, Graduate School of Medicine, Kyoto University.
authors.forename: Masakazu
authors.initials: M
authors.lastname: Kubota
authors.forename: Kiminori
authors.initials: K
authors.lastname: Hosoda
authors.forename: Kyoko
authors.initials: K
authors.lastname: Eguchi
authors.forename: Ayana
authors.initials: A
authors.lastname: Furuya
authors.forename: Yuki
authors.initials: Y
authors.lastname: Nishijima
authors.forename: Kazuwa
authors.initials: K
authors.lastname: Nakao
authors.forename: Ayae
authors.initials: A
authors.lastname: Kinoshita
mesh_terms: D001786:Blood Glucose / Q000378:metabolism; D001835:Body Weight; D003195:Computer Communication Networks; D003376:Counseling; D003920:Diabetes Mellitus / Q000097:blood / Q000628:therapy*; D005081:Exercise Therapy; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D013997:Time Factors
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human