Please use this identifier to cite or link to this item: https://doi.org/10.1186/s13063-021-05240-6
Title: Evaluating the effectiveness and utility of a novel culturally-adapted telemonitoring system in improving the glycaemic control of Asians with type-2 diabetes mellitus: a mixed method study protocol
Authors: Goh, Kuan Liang Shawn
Lee, Cia Sin 
Koh, Choon Huat Gerald 
Ling, Ng Ling
Ang, Seng Bin 
Oh, Christina
Lin, Yongqing
Yuan, Wei 
Zheng, Qishi Charles
Tan, Ngiap Chuan 
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, Research & Experimental
Research & Experimental Medicine
Diabetes
Diabetes mellitus
Telehealth
Telemedicine
Tele-monitoring
Tele-management
Primary care
Culturally adapted
Randomised controlled trial
CARE
Issue Date: 26-Apr-2021
Publisher: BMC
Citation: Goh, Kuan Liang Shawn, Lee, Cia Sin, Koh, Choon Huat Gerald, Ling, Ng Ling, Ang, Seng Bin, Oh, Christina, Lin, Yongqing, Yuan, Wei, Zheng, Qishi Charles, Tan, Ngiap Chuan (2021-04-26). Evaluating the effectiveness and utility of a novel culturally-adapted telemonitoring system in improving the glycaemic control of Asians with type-2 diabetes mellitus: a mixed method study protocol. TRIALS 22 (1). ScholarBank@NUS Repository. https://doi.org/10.1186/s13063-021-05240-6
Abstract: Background: Regular supervision of patients with type-2 diabetes mellitus (T2DM) by healthcare providers is essential to optimise their glycaemic control but is challenging to achieve in current care models. Telemonitoring is postulated to bridge this gap by leveraging on internet-of-things and mobile-health technology. This study aims to determine the effectiveness of a novel telemonitoring system (OPTIMUM) in improving the glycaemic control of patients with T2DM compared with standard of care alone. Methods: This mixed-method study comprises an initial randomised controlled trial involving 330 Asian adults with T2DM, aged 26–65 years old with an HbA1c of 7.5–10%, with 115 in the intervention and control arms each. Those in the intervention arm will use standardised Bluetooth-enabled devices to transmit their capillary glucose, blood pressure and weight measurements to the OPTIMUM system. Primary care physicians and nurses will remotely supervise them according to an embedded management algorithm for 6 months, including tele-education via weekly videos over 8 weeks and asynchronous tele-consultation if abnormal or absent parameters are detected. Patients in both arms will be assessed at baseline, 6, 12 and 24 months post-recruitment. The primary outcome will be their HbA1c difference between both arms at baseline and 6 months. Blood pressure and weight control; quality of life, medication adherence, confidence in self-management, diabetic literacy and related distress and healthcare utilisation using validated questionnaires; and incident retinal, renal, cardiac and cerebrovascular complications will be compared between the two arms as secondary outcomes at stipulated time-points. Intervention arm patients will be interviewed using qualitative research methods to understand their experience, acceptance and perceived usefulness of the OPTIMUM system. Discussion: Overall, this study seeks to evaluate the effectiveness of cultural-adapted telemonitoring system in improving glycaemic control of Asians with type-2 diabetes mellitus compared to standard of care. The results of this trial will better inform policy makers in adopting telemedicine for population health management. Trial registration: ClinicalTrials.gov NCT04306770. Registered on March 13, 2020.
Source Title: TRIALS
URI: https://scholarbank.nus.edu.sg/handle/10635/228176
ISSN: 1745-6215
DOI: 10.1186/s13063-021-05240-6
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