title: Telehealth technologies: changing the way we deliver efficacious and cost-effective diabetes self-management education.
abstract: Nearly 26 million people diagnosed with diabetes mellitus in the U.S. must actively engage in self-management of the disease. Telehealth is a population-based approach with the potential to optimize resources and increase access to diabetes self-management education/training (DSME/T). We conducted a systematic literature review on diabetes education and telehealth (2009–April 2014) to determine whether remote DSME/T sufficiently improves behavioral, clinical, and economic outcomes and access. Twenty-five out of 213 identified systematic literature reviews or meta-analyses (two on mobile health were identified via a Google search) met our criteria and were fully reviewed; 22 additional studies and reports of diabetes-related technologies and interventions were also identified. Telemedicine has the potential to offer great utility, but guidelines for high research standards must be introduced, adopted, and proactively refined to determine the strengths of this technology for DSME/T, behavioral change, cost-effective care, and improved access in chronic disease self-management.
authors.forename: Karen K
authors.initials: KK
authors.lastname: Fitzner
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Heckinger
authors.forename: Katrina M
authors.initials: KM
authors.lastname: Tulas
authors.forename: James
authors.initials: J
authors.lastname: Specker
authors.forename: June
authors.initials: J
authors.lastname: McKoy
mesh_terms: D003362:Cost-Benefit Analysis; D003920:Diabetes Mellitus / Q000191:economics / Q000628:therapy*; D006801:Humans; D012648:Self Care / Q000191:economics / Q000379:methods*; D017216:Telemedicine / Q000379:methods*; D014481:United States