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Qualitative study of telemonitoring of blood glucose and blood pressure in type 2 diabetes.

Hanley, Janet; Fairbrother, Peter; McCloughan, Lucy; Pagliari, Claudia; Paterson, Mary; Pinnock, Hilary; Sheikh, Aziz; Wild, Sarah; McKinstry, Brian

Authors

Peter Fairbrother

Lucy McCloughan

Claudia Pagliari

Mary Paterson

Hilary Pinnock

Aziz Sheikh

Sarah Wild

Brian McKinstry



Abstract

Objectives 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.
Design Qualitative study adopting an interpretive descriptive approach.
Participants 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.
Setting 12 primary care practices in Scotland and England.
Method 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.

Citation

Hanley, J., Fairbrother, P., McCloughan, L., Pagliari, C., Paterson, M., Pinnock, H., …McKinstry, B. (2015). Qualitative study of telemonitoring of blood glucose and blood pressure in type 2 diabetes. BMJ Open, 5(12), https://doi.org/10.1136/bmjopen-2015-008896

Journal Article Type Article
Acceptance Date Oct 5, 2015
Online Publication Date Dec 23, 2015
Publication Date Dec 23, 2015
Deposit Date Aug 5, 2016
Publicly Available Date Aug 10, 2016
Journal BMJ Open
Print ISSN 2044-6055
Electronic ISSN 2044-6055
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 5
Issue 12
DOI https://doi.org/10.1136/bmjopen-2015-008896
Keywords Blood glucose, blood pressure (BP), weight telemonitoring, type 2 diabetes,
Public URL http://researchrepository.napier.ac.uk/Output/329179

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Publisher Licence URL
http://creativecommons.org/licenses/by-nc/4.0/

Copyright Statement
This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license which permits others to distribute, remix,adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/






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