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：

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糖尿病自我管理教育支持使用远程医疗技术开展健康教学厨房烹饪课程

目的

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

方法

回顾性图表审查收集了2013年2月至2018年12月间在俄亥俄州俄亥俄州东北部医疗系统2个退伍军人事务部参加DSMES-HTK计划的2型糖尿病退伍军人的数据。采用析因设计比较了A1C数据和使用情况从主要枢纽到卫星站点的临床视频远程医疗服务。使用SPSS（版本25）进行统计分析。进行了重复测量方差分析（RMANOVA），以比较在主站点和远程医疗站点参加过HTK的退伍军人的平均A1C。RMANOVA还用于比较参加至少1次动手课程的退伍军人与至少参加过1次示范课的退伍军人的平均A1C。

结果

所有组的A1C值都随着时间的推移而改善，并且无论DSMES-HTK的递送方法或位置如何，其A1C值均得以维持。

结论

亲自参加DSMES-HTK并通过中心站点主持人与RDN，CDCES凭证进行的临床视频远程医疗课程的患者均观察到A1C的持续改善。DSMES-HTK的临床视频远程医疗策略的使用可利用有限的，高技能的，有资格的教学团队成员。