title: Qualitative study of telemonitoring of blood glucose and blood pressure in type 2 diabetes.
abstract: OBJECTIVE
  To explore the experiences of patients and professionals taking part in a randomised controlled trial (RCT) of blood glucose, blood pressure (BP) and weight telemonitoring in type 2 diabetes supported by primary care, and identify factors facilitating or hindering the effectiveness of the intervention and those likely to influence its potential translation to routine practice.
  
  
  METHODS
  Qualitative study adopting an interpretive descriptive approach.
  
  
  METHODS
  23 patients, 6 nurses and 4 doctors who were participating in a RCT of blood glucose and BP telemonitoring. A maximum variation sample of patients from within the trial based on age, sex and deprivation status of the practice was sought.
  
  
  METHODS
  12 primary care practices in Scotland and England.
  
  
  METHODS
  Data were collected via recorded semistructured interviews. Analysis was inductive with themes presented within an overarching thematic framework. Multiple strategies were employed to ensure that the analysis was credible and trustworthy.
  
  
  RESULTS
  Telemonitoring of blood glucose, BP and weight by people with type 2 diabetes was feasible. The data generated by telemonitoring supported self-care decisions and medical treatment decisions. Motivation to self-manage diet was increased by telemonitoring of blood glucose, and the 'benign policing' aspect of telemonitoring was considered by patients to be important. The convenience of home monitoring was very acceptable to patients although professionals had some concerns about telemonitoring increasing workload and costs.
  
  
  CONCLUSIONS
  Telemonitoring of blood glucose, BP and weight in primary care is a promising way of improving diabetes management which would be highly acceptable to the type of patients who volunteered for this study.
  
  
  BACKGROUND
  ISRCTN71674628; Pre-results.
authors.affiliation: Department of Nursing Midwifer and Social Care, Edinburgh Napier University, Edinburgh, UK Edinburgh Health Services Research Unit, Edinburgh, UK.
authors.forename: Janet
authors.initials: J
authors.lastname: Hanley
authors.affiliation: Department of Public Health, NHS Lothian, Edinburgh, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Fairbrother
authors.affiliation: Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
authors.forename: Lucy
authors.identifier: http://orcid.org/0000-0003-4099-6183
authors.initials: L
authors.lastname: McCloughan
authors.affiliation: Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
authors.forename: Claudia
authors.initials: C
authors.lastname: Pagliari
authors.affiliation: Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
authors.forename: Mary
authors.initials: M
authors.lastname: Paterson
authors.affiliation: Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
authors.forename: Hilary
authors.initials: H
authors.lastname: Pinnock
authors.affiliation: Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
authors.forename: Aziz
authors.initials: A
authors.lastname: Sheikh
authors.affiliation: Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK Department of Public Health Sciences, University of Edinburgh, Edinburgh, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Wild
authors.affiliation: Edinburgh Health Services Research Unit, Edinburgh, UK Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
authors.forename: Brian
authors.initials: B
authors.lastname: McKinstry
mesh_terms: D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000378:metabolism*; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods*; D001835:Body Weight; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000503:physiopathology / Q000628:therapy*; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods*; D036301:Qualitative Research; D012606:Scotland; D012648:Self Care / Q000379:methods*; D017216:Telemedicine / Q000379:methods*
chemical_list: D015415:Biomarkers; D001786:Blood Glucose
keywords: PRIMARY CARE; QUALITATIVE RESEARCH