title: Using mHealth Tools to Improve Rural Diabetes Care Guided by the Chronic Care Model.
abstract: OBJECTIVE
  Used as an integrated tool, mHealth may improve the ability of healthcare providers in rural areas to provide care, improve access to care for underserved populations, and improve biophysical outcomes of care for persons with diabetes in rural, underserved populations. Our objective in this paper is to present an integrated review of the impact of mHealth interventions for community dwelling individuals with type two diabetes.
  
  
  METHODS
  A literature search was performed using keywords in PubMed to identify research studies which mHealth technology was used as the intervention.
  
  
  CONCLUSIONS
  Interventions using mHealth have been found to improve outcomes, be cost effective, and culturally relevant. mHealth technology that has been used to improve outcomes include: seeking out health information via the web, access to appointment scheduling and medication refills, secure messaging, computerized interventions to manage a chronic condition, use of a personal health record, use of remote monitoring devices, and seeking support from others with similar health concerns through social networks.
  
  
  CONCLUSIONS
  Using the validated Chronic Care Model to translate what is known about mHealth technology to clinical practice has the potential to improve the ability of healthcare providers in rural areas to provide care, improve access to care for underserved populations, and improve biophysical outcomes of care for persons with diabetes in rural underserved populations. While these approaches were effective in improving some outcomes, they have not resulted in the establishment of the necessary electronic infrastructure for a sustainable mobile healthcare delivery model.
authors.affiliation: West Virginia University School of Nursing, jamallow@hsc.wvu.edu.
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Mallow
authors.affiliation: West Virginia University School of Nursing, ltheeke@hsc.wvu.edu.
authors.forename: Laurie A
authors.initials: LA
authors.lastname: Theeke
authors.affiliation: West Virginia University School of Pharmacy, ebarnes@hsc.wvu.edu.
authors.forename: Emily R
authors.initials: ER
authors.lastname: Barnes
authors.affiliation: West Virginia University School of Nursing, twhetsel@hsc.wvu.edu.
authors.forename: Tara
authors.initials: T
authors.lastname: Whetsel
authors.affiliation: Sovern Run LLC, bkmallow@gmail.com.
authors.forename: Brian K
authors.initials: BK
authors.lastname: Mallow
keywords: Chronic Care model; Diabetes; Rural; mHealth