Diabetes Self-Management Education Support Healthy Teaching Kitchen Cooking Classes Delivered Using a Telehealth Technology,The Science of Diabetes Self-Management and Care

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Diabetes Self-Management Education Support Healthy Teaching Kitchen Cooking Classes Delivered Using a Telehealth Technology
The Science of Diabetes Self-Management and Care ( IF 3.9 ) Pub Date : 2021-04-15 , DOI: 10.1177/26350106211004887
Samantha Cross _{1,

2} , Neal Kurmas ₁ , Cally Byrne ₁ , Mary Julius ₁ , Christopher Burant ₃ , Anne Utech _{4,

5} , Arianna Aoun ₁

Affiliation

Purpose

The purpose of the study was to evaluate the effectiveness of diabetes self-management education and support (DSMES) among veterans with diabetes using the Healthy Teaching Kitchen (HTK) by means of telehealth communication.

Methods

A retrospective chart review collected data from veterans with type 2 diabetes (T2DM) that participated in the DSMES-HTK program at 2 Veterans Affairs Northeast Ohio Healthcare System facilities between February 2013 and December 2018. A factorial design was used to compare A1C data and use of clinical video telehealth from main hub to satellite site. Statistical analyses were performed using SPSS (Version 25). Repeated measures analysis of variance (RMANOVA) were performed to compare mean A1C in veterans that attended HTK at the main site versus a telehealth site. RMANOVA was also used to compare mean A1C in veterans that attended at least 1 hands-on class versus those that attended at least 1 demonstration class.

Results

A1C values of all groups improved over time and were sustained regardless of DSMES-HTK delivery method or location.

Conclusions

Sustained improvement in A1C was observed in patients that participated in both DSMES-HTK in person and via clinical video telehealth classes conducted by hub site facilitator with RDN, CDCES credential. The use of a clinical video telehealth strategy for DSMES-HTK capitalizes on limited, highly skilled, credentialed instructional team members.

中文翻译：

糖尿病自我管理教育支持使用远程医疗技术提供的健康教学厨房烹饪课程

目的

该研究的目的是通过远程医疗通信，使用健康教学厨房 (HTK) 评估糖尿病退伍军人糖尿病自我管理教育和支持 (DSMES) 的有效性。

方法

一项回顾性图表审查收集了 2013 年 2 月至 2018 年 12 月期间在俄亥俄州东北部退伍军人事务部 2 家医疗保健系统设施中参加 DSMES-HTK 计划的 2 型糖尿病 (T2DM) 退伍军人的数据。使用析因设计来比较 A1C 数据和使用从主枢纽到卫星站点的临床视频远程医疗。使用 SPSS（第 25 版）进行统计分析。执行重复测量方差分析 (RMANOVA) 以比较在主要站点与远程医疗站点参加 HTK 的退伍军人的平均 A1C。RMANOVA 还用于比较参加至少 1 次实践课程的退伍军人与参加至少 1 次示范课程的退伍军人的平均 A1C。