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1) Describe rationale for patient self-monitoring for chronic conditions.
2) Recognize benefits and barriers in use of technology and education for patients age 50+ with chronic conditions.
3) Understand Central/Eastern KY seniors age 50+ perceived self-efficacy for self-managing chronic conditions through technology.
Study Design : Prospective Observational design with convenience sample, age 50+ patients of KentuckyOne Health Central/East hospitals; primary care clinics; Diabetes & Nutrition Care; Cardio-Pulmonary Rehab; Physical Therapy; Wellness Center, & have at least 1 chronic condition .
January 2015-November 2016
Subject Settings: – Patient homes & other locations.
Intervention(s) FitBit Flex; FitBit Aria Weight Scale; Omron 7 Series Wrist Blood Pressure Monitor; LG G2 SmartPhone or Samsung Galaxy Note 10.1 2014 Edition Tablet; Perfect Portions Food Scale & Nutritional Calculator; The CalorieKing Calorie, Fat & Carbohydrate Counter book. A Registered Dietitian provided group & individual education/nutritional counseling/coaching to increase patient understanding and engagement.
Outcome Measurement(s) Pre/Post Biometric information: Weight, Blood Pressure, some A1C levels; Pre/Post Patient Self-Efficacy for Managing Chronic Disease; Post-Patient satisfaction with each technological component.. Demographics, Chronic Disease.
Preliminary Analyses – As of September 10, 2016, there have been 201 participants in the program.
Results: Data Analysis on Pre/Post Biometrics (weight, blood pressure, A1C if provided), patient self-efficacy and patient satisfaction will be completed when program ends November 30, 2016 and will be a part of this presentation. Preliminary results have been very positive with patients reporting losing 5, 10, 40, 52 pounds. In addition to improved diet, increased activity and reduced weight, patients have reported health benefits of reduced hypertension, lower A1C levels, greater feeling of pride of accomplishment, and motivation to continue their healthy habits after their program participation..
Conclusion: Following Data Analysis at program completion, a precise statement of conclusion(s) directly supported by the results, giving equal emphasis to positive and negative scientific findings will be reported in this presentation.
As Manager of Telehealth at KentuckyOne Health, headquartered in Louisville, KY, Deborah Burton has over 20 years of experience advancing the collaboration, development, and implementation of Telemedicine/Telehealth/eHealth/mHealth programs in academic medical centers at University of Kentucky and University of Louisville, in a state-wide KentuckyOne Health system, and influencing evolution of virtual health care in the parent national health system, Catholic Health Initiatives. She has also led international telehealth initiatives in grant-funded pilots in Russia and Belize.
Kenneth C. Ross has been involved in supporting Telehealth for over 16 years, starting with implementation of an ARPN-managed mobile health unit that provided services to four communities in Eastern Kentucky.
Christina Busse has a Bachelor of Science in Nutrition and Dietetics, and a Master of Science in Community Nutrition. She has experience as a Registered Dietitian, Medical Nutrition Specialist and Clinical Dietitian.