An International Comparison of Prevalence and Clinical Efficacy of Using Telehealth to Support Diabetic Self-Management by Patients With Both Cardiac Disease and Diabetes

2.50
Hdl Handle:
http://hdl.handle.net/10755/335514
Category:
Abstract
Type:
Presentation
Title:
An International Comparison of Prevalence and Clinical Efficacy of Using Telehealth to Support Diabetic Self-Management by Patients With Both Cardiac Disease and Diabetes
Author(s):
Wu, Chiung-Jung (Jo); Sung, Huei Chuan; Courtney, Mary; Kostner, Karam; Chang, Anne M.; Atherton, John
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Chiung-Jung (Jo) Wu, RN, BN, MN (Intensive Care), DrHlthSc, FACN, chiungjowu@hotmail.com; Huei Chuan Sung, PhD, MSN, RN; Mary Courtney, PhD, MHP, BAdmin (Acc), RN; Karam Kostner, PhD, MD; Anne M. Chang, PhD, RN; John Atherton, PhD, MD
Abstract:
Session presented on Friday, July 25, 2014: Purpose: To evaluate a cardiac-diabetes self-management program with telephone and text-message follow-up (T-CDSMP) in patients admitted with cardiac disease and comorbid diabetes across Australia and Taiwan. Background:  As cardiac disease and type 2 diabetes are global health problems of increasing incidence it is expected that management of patients with both of these chronic conditions will have a significant impact on global healthcare systems. There is evidence of comparable prevalence of cardiovascular disease combined with diabetes between Australia and Taiwan with these at-risk patients having higher readmission rates compared to those cardiac patients without diabetes. Many studies have aimed at improving patient self management of their conditions, but have not been tested across different cultural backgrounds. Our previous studies within one population have shown effectiveness in using telephone and text-messaging to assist patients with better self-management of their dual conditions to improve outcomes of self-management behaviour, self-efficacy, condition knowledge and health-related quality of life. However, this strategy has not been tested and compared across different cultures. Methods: An international collaborative project using a randomised block design was used to address the heterogeneity of patients from two different cultural contexts. For 90% power to detect the main effects of intervention, and with location (country) being the block variable, 90 patients (a total sample of 180 patients) were required from each country. Results: Preliminary results showed patients with dual diagnoses of cardiac disease and type 2 diabetes in Taiwan have approximately a 21% readmission rate, compared to 22.6% in Australia (within 28 days). Initial analysis also suggests patients in the intervention group have significantly improved self-efficacy level. Conclusion: Whilst we demonstrated similar readmission rates in patients with dual diagnoses of cardiac disease and diabetes in two high-income countries, further studies will determine whether T-CDSMP can be culturally adapted to allow similar treatment effects.
Keywords:
international; cultural; telehealth
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleAn International Comparison of Prevalence and Clinical Efficacy of Using Telehealth to Support Diabetic Self-Management by Patients With Both Cardiac Disease and Diabetesen_GB
dc.contributor.authorWu, Chiung-Jung (Jo)en_GB
dc.contributor.authorSung, Huei Chuanen_GB
dc.contributor.authorCourtney, Maryen_GB
dc.contributor.authorKostner, Karamen_GB
dc.contributor.authorChang, Anne M.en_GB
dc.contributor.authorAtherton, Johnen_GB
dc.contributor.departmentLambda Beta-at-Largeen_GB
dc.author.detailsChiung-Jung (Jo) Wu, RN, BN, MN (Intensive Care), DrHlthSc, FACN, chiungjowu@hotmail.com; Huei Chuan Sung, PhD, MSN, RN; Mary Courtney, PhD, MHP, BAdmin (Acc), RN; Karam Kostner, PhD, MD; Anne M. Chang, PhD, RN; John Atherton, PhD, MDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335514-
dc.description.abstractSession presented on Friday, July 25, 2014: Purpose: To evaluate a cardiac-diabetes self-management program with telephone and text-message follow-up (T-CDSMP) in patients admitted with cardiac disease and comorbid diabetes across Australia and Taiwan. Background:  As cardiac disease and type 2 diabetes are global health problems of increasing incidence it is expected that management of patients with both of these chronic conditions will have a significant impact on global healthcare systems. There is evidence of comparable prevalence of cardiovascular disease combined with diabetes between Australia and Taiwan with these at-risk patients having higher readmission rates compared to those cardiac patients without diabetes. Many studies have aimed at improving patient self management of their conditions, but have not been tested across different cultural backgrounds. Our previous studies within one population have shown effectiveness in using telephone and text-messaging to assist patients with better self-management of their dual conditions to improve outcomes of self-management behaviour, self-efficacy, condition knowledge and health-related quality of life. However, this strategy has not been tested and compared across different cultures. Methods: An international collaborative project using a randomised block design was used to address the heterogeneity of patients from two different cultural contexts. For 90% power to detect the main effects of intervention, and with location (country) being the block variable, 90 patients (a total sample of 180 patients) were required from each country. Results: Preliminary results showed patients with dual diagnoses of cardiac disease and type 2 diabetes in Taiwan have approximately a 21% readmission rate, compared to 22.6% in Australia (within 28 days). Initial analysis also suggests patients in the intervention group have significantly improved self-efficacy level. Conclusion: Whilst we demonstrated similar readmission rates in patients with dual diagnoses of cardiac disease and diabetes in two high-income countries, further studies will determine whether T-CDSMP can be culturally adapted to allow similar treatment effects.en_GB
dc.subjectinternationalen_GB
dc.subjectculturalen_GB
dc.subjecttelehealthen_GB
dc.date.available2014-11-17T13:54:10Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:54:10Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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