29. EFFECTIVENESS OF TELEHEALTH INTERVENTION IN OUTPATIENT TREATMENT MANAGEMENT OF PATIENTS WITH TYPE 2 DIABETES MELLITUS AT LIEN CHIEU DISTRICT MEDICAL CENTER, DA NANG CITY: A LONGITUDINAL ANALYSIS
Main Article Content
Abstract
Objective: This study aimed to evaluate the effectiveness of a telehealth intervention (via the YouMed application) in controlling HbA1c and plasma glucose levels among outpatients with type 2 diabetes mellitus at Lien Chieu district Medical Center, Da Nang city, through longitudinal analysis using a generalized estimating equations regression model.
Methods: A quasi-experimental study with a non-randomized controlled design was conducted. A total of 230 patients (intervention group and control group in a 1:1 ratio) were monitored at three time points: before the intervention, after 3 months, and after 6 months. Logistic generalized estimating equations regression models were used to analyze the probability of achieving HbA1c < 7% and glucose < 7.2 mmol/L after adjusting for confounding factors.
Results: Patients in the intervention group were nearly twice as likely to achieve HbA1c < 7% compared to those in the control group (OR = 1.998; 95% CI: 1.171-3.408; p = 0.011). There was no statistically significant difference between the two groups regarding the probability of achieving the target plasma glucose level (p = 0.318).
Conlusion: Telehealth intervention significantly improved HbA1c control and represents a promising approach for managing chronic diseases at the primary healthcare level.
Article Details
Keywords
Type 2 diabetes, outpatient, telehealth, generalized estimating equations, longitudinal analysis.
References
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