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Home Telehealth Interventions for Older Adults With Diabetes

Walker, Cassondra L. BSN, RN-BC; Kopp, Mary BSN, RN; Binford, Roxanne M. BSN, RN, CHPC; Bowers, Cynthia J. DNP, RN, CNE

doi: 10.1097/NHH.0000000000000522
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The purpose of this literature review was to explore home telemedicine interventions for the treatment of older adults with diabetes. Eight databases were searched for articles published between 2011 and 2016, in the English language, and in peer-reviewed journals, resulting in 1,274 relevant articles. Following review against inclusion and exclusion criteria, six articles were retained. Studies included participants with a mean age from 68 to 76.8 years and from three different countries, with either Type 1 or Type 2 Diabetes Mellitus. The articles reviewed suggest that case management, education, closed-loop feedback and communication, home telemonitoring devices or units, and motivational interviewing or coaching can effectively decrease admissions, costs per person per year, mortality, and cognitive decline in older adults with diabetes. The scarcity of high-quality studies is consistent with findings from previous systematic reviews, and highlights the need for additional investigation before applying the results in practice.

Cassondra L. Walker, BSN, RN-BC, is a Clinical Analyst, Information Services, Indiana University Health, MSN Nursing and Health Systems Leadership Student, University of Indianapolis, Indianapolis, IN.

Mary Kopp, BSN, RN, is Director, Cardiovascular Statewide Strategy, Indiana University Health, MSN Nursing and Health Systems Leadership Student, University of Indianapolis, Indianapolis, Indiana.

Roxanne M. Binford, BSN, RN, CHPC, is Program Director, Corporate Compliance, Indiana University Health, MSN Nursing and Health Systems Leadership Student, University of Indianapolis, Indianapolis, Indiana.

Cynthia J. Bowers, DNP, RN, CNE, is an Assistant Professor, School of Nursing, University of Indianapolis, Indianapolis, Indiana.

The authors declare no conflicts of interest.

Address for correspondence: Cassondra L. Walker, BSN, RN-BC, Information Services, Indiana University Health, 1515 N. Senate Ave., 1056, Indianapolis, IN 46202 (cwalker10@iuhealth.org).

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