title: The impact of a diabetes self-management education program provided through a telemedicine link to rural california health care clinics.
abstract: BACKGROUND
  This project investigated the impact of a DM self-management education program provided through a telemedicine link at nine rural health clinics in Northern California.
  
  
  METHODS
  Two hundred thirty nine patients were provided with a single 2-hour class on DM delivered through a live televideo connection. Patients provided pre-intervention information on: demographics and overall health, self-care behaviors, and knowledge about DM. All participants completed a post-education survey on knowledge and self-care behaviors.
  
  
  RESULTS
  There was a significant decrease in the number of patients who felt overwhelmed with their DM; pre-intervention 18.8%; post-intervention 5.4% (P < 0.0001). Patients increased the number of days they exercised; pre-intervention 3.4 days; post-intervention 3.9 days (P = 0.02). Patients increased the number of days they checked their feet; pre-intervention 4.2 days; post-intervention 5.6 days (P < 0.01). Knowledge about DM improved over the study period (P < 0.01).
  
  
  CONCLUSIONS
  A single 2-hour class on DM administered through a telemedicine link to patients in rural health clinics resulted in feeling less overwhelmed, more knowledgeable about DM, and demonstrated an increase in self-care behavior; ie, exercise and foot care.
authors.affiliation: University of California, Davis, Department of Family and Community Medicine, 4860 Y Street, Suite 2300, Sacramento, CA 95817.
authors.forename: Jim
authors.initials: J
authors.lastname: Nuovo
keywords: diabetes; education; rural; self-management; telemedicine
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