title: Randomised controlled trial of an in-home monitoring intervention to improve health outcomes for type 2 diabetes: study protocol.
abstract: Type 2 diabetes is a leading cause of death and morbidity and is a health priority in Australia. This randomised controlled trial will explore whether remote access to clinical care, supported by telehealth technologies over high speed broadband, leads to improved diabetes control in a way that benefits patients, carers and clinicians and improves the overall health system. People in the intervention arm of the trial will receive additional diabetes care from a care coordinator nurse via an in-home broadband communication device that can capture clinical measures, provide regular health assessments and videoconference with other health professionals when required. Patients in the control arm of the trial will receive usual care from their GP and participate in the clinical measurement and quality of life components of the evaluation. The trial evaluation will include biomedical, psychological, self-management and quality of life measures. Data on utilisation rates and satisfaction with the technology will be collected and cost -effectiveness analyses undertaken. The role of this technology in health care reform will be explored.
authors.affiliation: Townsville-Mackay Medicare Loca, Queensland, Australia. kcarlisle@tmml.com.au
authors.forename: Karen
authors.initials: K
authors.lastname: Carlisle
authors.forename: Robin
authors.initials: R
authors.lastname: Warren
authors.forename: Paul
authors.initials: P
authors.lastname: Scuffham
authors.forename: Tracy
authors.initials: T
authors.lastname: Cheffins
mesh_terms: D001315:Australia; D015190:Blood Glucose Self-Monitoring; D001794:Blood Pressure; D003362:Cost-Benefit Analysis; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000191:economics / Q000628:therapy*; D006699:Home Care Services / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D018670:Monitoring, Ambulatory / Q000191:economics / Q000379:methods*; D010353:Patient Education as Topic / Q000458:organization & administration; D017060:Patient Satisfaction; D011788:Quality of Life; D012424:Rural Population; D012648:Self Care / Q000191:economics / Q000379:methods; D017216:Telemedicine / Q000191:economics / Q000379:methods*; D049269:Videoconferencing / Q000458:organization & administration