Telemedicine reportsPub Date : 2023-12-29eCollection Date: 2023-01-01DOI: 10.1089/tmr.2023.0051
Kristin L Rising, Mackenzie Kemp, Amy E Leader, Anna Marie Chang, Andrew J Monick, Amanda Guth, Tracy Esteves Camacho, Gregory Laynor, Brooke Worster
{"title":"A Prioritized Patient-Centered Research Agenda to Reduce Disparities in Telehealth Uptake: Results from a National Consensus Conference.","authors":"Kristin L Rising, Mackenzie Kemp, Amy E Leader, Anna Marie Chang, Andrew J Monick, Amanda Guth, Tracy Esteves Camacho, Gregory Laynor, Brooke Worster","doi":"10.1089/tmr.2023.0051","DOIUrl":"10.1089/tmr.2023.0051","url":null,"abstract":"<p><strong>Introduction: </strong>We hosted a national consensus conference with a diverse group of stakeholders to develop a patient-centered research agenda focused on reducing disparities in telehealth use.</p><p><strong>Methods: </strong>Attendees were purposively invited to participate in a 2-day virtual conference. The group developed a prioritized research agenda focused on reducing disparities in telehealth uptake, with discussion informed by findings from a scoping review. All work was conducted in partnership with a Steering Committee of national experts in telehealth and patient-centered care (<i>n</i> = 5) and a community-based Telehealth Advisory Board with experience with telehealth use and barriers (<i>n</i> = 8).</p><p><strong>Results: </strong>Sixty individuals participated in the conference and discussion resulted in a final list of 20 questions. Fifty-two attendees voted on the final prioritization of these questions. Results were aggregated for all voters (<i>n</i> = 52) and patient-only voters (<i>n</i> = 8). The top question identified by both groups focused on patient and family perspectives on important barriers to telehealth use. The entire group voting identified telehealth's impact on patient outcomes as the next most important questions, while the patient-only group identified trust-related considerations and cultural factors impacting telehealth use as next priorities.</p><p><strong>Conclusions: </strong>This project involved extensive patient and stakeholder engagement. While voting varied between patients only and the entire group of conference attendees, top identified priorities included patient and family perspectives on important barriers to telehealth, trust and cultural barriers and facilitators to telehealth, and assessment of telehealth's impact on patient outcomes. This research agenda can inform design of future research focused on addressing disparities in telehealth use.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"4 1","pages":"387-395"},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139089792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring Multiple Dimensions of Access to and Preferences for Telehealth Use.","authors":"Kristin Pullyblank, Melissa Scribani, Nicole Krupa, Amanda Chapman, Megan Kern, Wendy Brunner","doi":"10.1089/tmr.2023.0049","DOIUrl":"https://doi.org/10.1089/tmr.2023.0049","url":null,"abstract":"<p><strong>Introduction: </strong>During the pandemic, telehealth became critically important in care provision. Yet, research exposed the inequities facing various groups of people in terms of accessing telehealth. The purpose of this analysis was to examine the various dimensions of access that impact a person's ability to use and preference for telehealth.</p><p><strong>Methods: </strong>We used a mixed-methods approach framed by Levesque's Access to Health care model. In August, 2021, a stratified random sample of 500 patients of an integrated rural health care network was invited to participate in a survey designed to capture familiarity with, use of, and preference for digital technologies in general as well as with telehealth. In addition, key informant interviews were conducted between January 2022 and June 2022.</p><p><strong>Results: </strong>Patients' willingness to use telehealth was influenced by multiple dimensions of access, including approachability of the resource, acceptability, availability, affordability, and appropriateness. Clinician beliefs and attitudes as well as health care system policies affected how a patient perceived, sought, reached, and engaged with telehealth.</p><p><strong>Conclusions: </strong>Access is a dynamic, multifaceted concept that is influenced by individual-, organization-, and systemic-level factors. Looking beyond patient determinants and examining different dimensions of access is important to better facilitate implementation and sustainment of telehealth.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"4 1","pages":"348-358"},"PeriodicalIF":0.0,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10719637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nathan Culmer, Todd Brenton Smith, Catanya G Stager, Andrea Wright, Abigail Fickel, Jet Tan, Carlos (Trey) Clark, Hannah Meyer, Katherine Grimm
{"title":"Asynchronous Telemedicine: A Systematic Literature Review","authors":"Nathan Culmer, Todd Brenton Smith, Catanya G Stager, Andrea Wright, Abigail Fickel, Jet Tan, Carlos (Trey) Clark, Hannah Meyer, Katherine Grimm","doi":"10.1089/tmr.2023.0052","DOIUrl":"https://doi.org/10.1089/tmr.2023.0052","url":null,"abstract":"Background: Asynchronous telemedicine (ATM), which describes telemedical interaction between a patient and provider where neither party communicates simultaneously, is an important telemedicine modality that is seeing increased use. In this article, we summarize the published peer-reviewed literature specifically related to ATM to (1) identify terms or phrases that are used to describe ATM, (2) ascertain how this research has thus far addressed the various aspects of the quadruple aim of medicine, and (3) assess the methodological rigor of research on ATM. We also divided the literature into pre- and post-COVID-19 onset periods to identify potential variations in the literature between these two periods. Methods: This systematic literature review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The literature search, utilizing multiple databases and applying inclusion and exclusion criteria, initially produced 2624 abstracts for review. De-duplication and screening ultimately yielded 104 articles for data extraction. Results: “Store-and-forward” and variations of “e-visit” were the most frequently used alternative terms for ATM. Care quality was the most frequently addressed aspect of the Quadruple Aim of Medicine—more than double any other category—followed by patient satisfaction. We separated cost of care into two categories: patients' cost of care and providers' cost to provide care. Patient cost of care was the third most addressed aspect of the Quadruple Aim of Medicine followed by provider well-being and provider's cost to provide care. Methodological rigor of the studies was also addressed, with only 2 quantitative studies ranked “Strong,” 5 ranked “Moderate,” and 97 ranked “Weak.” Qualitative studies were generally acceptable but struggled methodologically with accounting for all participants and articulation of results. Conclusions: Although “store-and-forward” is somewhat more frequently used in the studies included in this review, variants of “e-visit,” are growing in recent usage. Given the relative newness of modality, it is not surprising that quality of care is the most researched aspect of the Quadruple Aim of Medicine in ATM research. We anticipate more balance between these areas as research in this field matures. Primary areas of research need currently relate to practitioners—specifically their costs of providing care and well-being. Finally, future ATM research needs to address research challenges of selection bias and blinding in quantitative studies and improved participant tracking and articulation of both study design and results in qualitative studies.","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"90 3","pages":"366 - 386"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139025866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Telemedication for Opioid Use Disorder: A New Approach for Treatment","authors":"Rebecca A. Georgiadis, Paige Sable, Daniel Rosen","doi":"10.1089/tmr.2023.0036","DOIUrl":"https://doi.org/10.1089/tmr.2023.0036","url":null,"abstract":"Objective: This study aimed to determine the effect that the transition to incorporating remote care had on patients in medication for opioid use disorder (MOUD) treatment and to identify benefits and gaps in services due to this transition. Materials and Methods: Treatment data on patients receiving buprenorphine through the MOUD program were collected using electronic medical records. A 28-month window was created and encompassed three time periods: in-person MOUD prepandemic, fully remote/telehealth for MOUD (tele-MOUD), and hybrid services (combination of tele-MOUD and in-person care). Results: Rates of reported illicit drug use were consistent across all three time periods, with no statistically significant differences. Attendance at MOUD appointments and urine drug screen completion trended downward during fully remote care but approached prepandemic levels during hybrid services. Discussion: Tele-MOUD presents opportunities for improving treatment of patients with opioid use disorder, and hybrid models should continue to be adopted, evaluated, and reimbursed by insurances.","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"12 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135565765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"<i>Correction to :</i> “Telehealth Use to Address Cardiovascular Disease and Hypertension in the United States: A Systematic Review and Meta-Analysis, 2011–2021,” by Jackson et al. Telemed Report 2023;4(1):67–86; doi: 10.1089/tmr.2023.0011","authors":"","doi":"10.1089/tmr.2023.0011.correx","DOIUrl":"https://doi.org/10.1089/tmr.2023.0011.correx","url":null,"abstract":"Telemedicine ReportsVol. 4, No. 1 CorrectionOpen AccessCorrection to : “Telehealth Use to Address Cardiovascular Disease and Hypertension in the United States: A Systematic Review and Meta-Analysis, 2011–2021,” by Jackson et al. Telemed Report 2023;4(1):67–86; doi: 10.1089/tmr.2023.0011is erratum ofTelehealth Use to Address Cardiovascular Disease and Hypertension in the United States: A Systematic Review and Meta-Analysis, 2011–2021Published Online:8 Nov 2023https://doi.org/10.1089/tmr.2023.0011.correxAboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail In the 2023 issue of Telemedicine Reports (vol. 4, no. 1; 67–86), the article “Telehealth use to address cardiovascular disease and hypertension in the United States: A systematic review and meta-analysis, 2011–2021,” by Jackson et al. requires correction.In the original article, the reference 59 was listed as: 59. Clark HR, Goyder E, Bissell P, et al. How do parents' child-feeding behaviours influence child weight? Implications for childhood obesity policy. J Public Health 2007;29(2):132–141; doi: 10.1093/pubmed/fdm012.It should have appeared as: 59. Clark III D, Woods J, Zhang Y et al. Home blood pressure telemonitoring with remote hypertension management in a rural and low-income population. Hypertension 2021;78(6):1927-1929. doi: 10.1161/HYPERTENSIONAHA.121.18153.The online version has been corrected to reflect this. The authors apologize for this error.FiguresReferencesRelatedDetailsRelated articlesTelehealth Use to Address Cardiovascular Disease and Hypertension in the United States: A Systematic Review and Meta-Analysis, 2011–202115 May 2023Telemedicine Reports Volume 4Issue 1Nov 2023 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Correction to : “Telehealth Use to Address Cardiovascular Disease and Hypertension in the United States: A Systematic Review and Meta-Analysis, 2011–2021,” by Jackson et al. Telemed Report 2023;4(1):67–86; doi: 10.1089/tmr.2023.0011.Telemedicine Reports.Nov 2023.343-343.http://doi.org/10.1089/tmr.2023.0011.correxcreative commons licensePublished in Volume: 4 Issue 1: November 8, 2023PDF download","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135566372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Telemedicine reportsPub Date : 2023-10-26eCollection Date: 2023-01-01DOI: 10.1089/tmr.2023.0026
Maikel Immens, Esther Verstraete, Gerdy Klein Bleumink, Ron Pisters
{"title":"Outpatient Check-In Using an Online Portal.","authors":"Maikel Immens, Esther Verstraete, Gerdy Klein Bleumink, Ron Pisters","doi":"10.1089/tmr.2023.0026","DOIUrl":"https://doi.org/10.1089/tmr.2023.0026","url":null,"abstract":"<p><strong>Background: </strong>Despite ongoing digital and technological developments, incorporation of new developments in outpatient care tends to be slow. Regarding an increasing demand for outpatient care, digitalization of health care carries the potential of a much needed more efficient and patient-oriented system.</p><p><strong>Objective: </strong>To optimize classic face-to-face outpatient clinic follow-up consultations and evaluate the added value of an upfront digital consult preparation (DCP).</p><p><strong>Methods: </strong>A cross-sectional observational study was conducted at Rijnstate Hospital (Arnhem, the Netherlands) among all consecutive patients, 18 years or older, who visited the Cardiology (in June 2021) or Neurology (in September 2021) outpatient clinic. All received a DCP survey before their scheduled outpatient clinic appointment, containing three questions regarding their upcoming visit. In addition, the involved health care providers were approached by using a questionnaire to share their experience regarding the DCP. Data concerning the experience of patients and health care providers was anonymous and gathered using Qualtrics.com.</p><p><strong>Results: </strong>All 25 involved health care providers (12 cardiologists, 13 neurologists) provided feedback. According to the health care providers DCP decreased the workload and improved theirs and patients' preparation. In total, 785 of 1626 (48.3%) patients filled-in the DCP before their appointment within a predetermined period. Only 4% of the patients wanted to change or cancel the consultation. A total of 122 of the 300 (40.1%) patients approached, filled-in a questionnaire to reflect on the DCP. Patients experienced DCP as an improvement of consultation, more time-efficient, increasing patients' and health care providers' preparation, increasing a feeling of acknowledgement and improving co-decision on type of consultation. The DCP did not attribute to co-deciding on treatment.</p><p><strong>Conclusion: </strong>DCP was perceived as an improvement of the standard outpatient care by both health care providers and patients with automated integration into the electronic patient record being of key importance.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"4 1","pages":"336-342"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Telemedicine reportsPub Date : 2023-10-26eCollection Date: 2023-01-01DOI: 10.1089/tmr.2023.0041
Joao F Mota, Lorena C C Lopes, Claire F Trottier, Steve T Johnson, Jessica Lieffers, Carla M Prado
{"title":"A Randomized Controlled Trial of the Effects of a Web-Based Intervention on Perceived Stress and Diet Quality Among First-Year University Students.","authors":"Joao F Mota, Lorena C C Lopes, Claire F Trottier, Steve T Johnson, Jessica Lieffers, Carla M Prado","doi":"10.1089/tmr.2023.0041","DOIUrl":"https://doi.org/10.1089/tmr.2023.0041","url":null,"abstract":"<p><strong>Background: </strong>e-Health interventions can potentially improve health care. My Viva Plan<sup>®</sup> (MVP) is a web-based program that focuses on mindfulness, nutrition, and physical fitness. The aim of this study was to evaluate the effects of this platform on stress indicators and diet quality among first-year university students.</p><p><strong>Methods: </strong>Ninety-seven university students were enrolled in a randomized, controlled clinical trial. Participants were randomized into control (<i>n</i> = 49) and MVP (<i>n</i> = 48) groups. Perceived stress was measured using the self-report Stress Indicator Questionnaire. Diet quality was assessed by the nutrient-rich foods index, and body composition was assessed by a hand-to-foot, multifrequency, bioelectrical impedance analysis.</p><p><strong>Results: </strong>There were no differences in physical, sleep, behavioral, emotional, and personal habit indicators between groups. Diet quality and body composition were similar between groups, except among women in the MVP group with decreased body fat (-1.2 ± 2.6 kg, <i>p</i> < 0.05). Participant engagement was low: 50% of the MVP group did not access the platform.</p><p><strong>Conclusions: </strong>The MVP web-based intervention was not associated with improvements in stress indicators, diet quality, and body composition, likely due to the characteristics of our cohort of healthy young individuals. Future studies should focus on enhancing motivational approaches to explore the potential of e-health interventions that improve health behavior.</p><p><p>Clinical Trial Registration number: NCT03579264A.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"4 1","pages":"327-335"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Telemedicine reportsPub Date : 2023-10-20eCollection Date: 2023-01-01DOI: 10.1089/tmr.2023.0045
Christian Pelayo, Johnson Hoang, Maria Mora Pinzón, Loren J Lock, Christiana Fowlkes, Chloe L Stevens, Nora A Jacobson, Roomasa Channa, Yao Liu
{"title":"Perspectives of Latinx Patients with Diabetes on Teleophthalmology, Artificial Intelligence-Based Image Interpretation, and Virtual Care: A Qualitative Study.","authors":"Christian Pelayo, Johnson Hoang, Maria Mora Pinzón, Loren J Lock, Christiana Fowlkes, Chloe L Stevens, Nora A Jacobson, Roomasa Channa, Yao Liu","doi":"10.1089/tmr.2023.0045","DOIUrl":"10.1089/tmr.2023.0045","url":null,"abstract":"<p><strong>Background: </strong>Latinx populations in the United States bear a disproportionate burden of diabetic eye disease. Teleophthalmology with and without artificial intelligence (AI)-based image interpretation are validated methods for diabetic eye screening, but limited literature exists on patient perspectives. This study aimed at understanding the perspectives of Latinx patients with diabetes on teleophthalmology, AI-based image interpretation, and general virtual care to prevent avoidable blindness in this population.</p><p><strong>Methods: </strong>We conducted semi-structured, individual interviews with 20 Latinx patients with diabetes at an urban, federally qualified health center in Madison, WI. Interviews were transcribed verbatim, professionally translated from Spanish to English, and analyzed using both inductive open coding and deductive coding.</p><p><strong>Results: </strong>Most participants had no prior experience with teleophthalmology but did have experience with virtual care. Participants expressed a preference for teleophthalmology compared with traditional in-person dilated eye exams but were willing to obtain whichever method of screening was recommended by their primary care clinician. They also strongly preferred having human physician oversight in image review compared with having images interpreted solely using AI. Many participants preferred in-person clinic visits to virtual health care due to the ability to have a more thorough physical exam, as well as for improved non-verbal communication with their clinician.</p><p><strong>Discussion: </strong>Leveraging primary care providers' recommendations, human oversight of AI-based image interpretation, and improving communication may enhance acceptance and utilization of teleophthalmology, AI, and virtual care by Latinx patients.</p><p><strong>Conclusions: </strong>Understanding Latinx patient perspectives may contribute toward the development of more effective telemedicine interventions to enhance health equity in Latinx communities.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"4 1","pages":"317-326"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Telemedicine reportsPub Date : 2023-10-12eCollection Date: 2023-01-01DOI: 10.1089/tmr.2023.0033
Rebecca D Jones, Cheng Peng, Lettie Odom, Heather Moody, Hari Eswaran
{"title":"Use of Cellular-Enabled Glucometer for Diabetes Management in High-Risk Pregnancy.","authors":"Rebecca D Jones, Cheng Peng, Lettie Odom, Heather Moody, Hari Eswaran","doi":"10.1089/tmr.2023.0033","DOIUrl":"https://doi.org/10.1089/tmr.2023.0033","url":null,"abstract":"<p><strong>Background: </strong>Type 1 and type 2 diabetes during pregnancy requires intensive glucose monitoring to ensure optimal health outcomes for mothers and infants. Standard practice includes patients monitoring their glucose four to six times a day using a standard glucometer and paper diary. Remote patient monitoring (RPM) offers an alternative method for diabetes management. This study aimed at measuring the patient's satisfaction with and feasibility of using a cellular-enabled RPM device for glucose management in pregnancies complicated by type 1 or type 2 diabetes.</p><p><strong>Methods: </strong>In a mixed-methods pilot study, 59 pregnant women with type 1 or type 2 diabetes were given a cellular-enabled iGlucose glucometer. Participants completed a pre-survey, used the device for 30 days, and then completed a post-survey and semi-structured interview.</p><p><strong>Results: </strong>Participants were divided into two groups based on duration of device use: high-use >50 days and low-use ≤50 days. A significant difference (<i>p</i> < 0.0001) in Appraisal of Diabetes scores was seen between the pre- and post-survey for both groups, which indicates that the use of iGlucose glucometer significantly improved participants' appraisal of their diabetes. There was a significant difference (<i>p</i> = 0.0409) in pre-post General Life Satisfaction in the high-use group, which indicates that iGlucose glucometer significantly improved participants' life satisfaction when used for an extended amount of time. Participants scored high on system usability for all groups and reported positive associations with iGlucose use.</p><p><strong>Conclusion: </strong>The use of cellular-enabled RPM glucometers is a valuable tool for the management of type 1 diabetes mellitus and type 2 diabetes mellitus during pregnancy.</p>","PeriodicalId":94218,"journal":{"name":"Telemedicine reports","volume":"4 1","pages":"307-316"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10615046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}