{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:26:11Z","timestamp":1790763971271,"version":"4.1.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2014,10,1]],"date-time":"2014-10-01T00:00:00Z","timestamp":1412121600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Technology &amp; Therapeutics"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The expanding role of technology to augment diabetes care and management highlights the need for clinicians to learn about these new tools. As these tools continue to evolve and enhance improved outcomes, it is imperative that clinicians consider the role of telemonitoring, or remote monitoring, in patient care. This article describes a successful telemonitoring project in Utah.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>This was a nonrandomized prospective observational preintervention\u2013postintervention study, using a convenience sample. Patients with uncontrolled diabetes and\/or hypertension from four rural and two urban primary care clinics and one urban stroke center participated in a telemonitoring program. The primary clinical outcome measures were changes in hemoglobin A1C (A1C) and blood pressure. Other outcomes included fasting lipids, weight, patient engagement, diabetes knowledge, hypertension knowledge, medication adherence, and patient perceptions of the usefulness of the telemonitoring program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Mean A1C decreased from 9.73% at baseline to 7.81% at the end of the program (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.0001). Systolic blood pressure also declined significantly, from 130.7\u2009mm Hg at baseline to 122.9\u2009mm Hg at the end (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.0001). Low-density lipoprotein content decreased significantly, from 103.9\u2009mg\/dL at baseline to 93.7\u2009mg\/dL at the end (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.0263). Other clinical parameters improved nonsignificantly. Knowledge of diabetes and hypertension increased significantly (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001 for both). Patient engagement and medication adherence also improved, but not significantly. Per questionnaires at study end, patients felt the telemonitoring program was useful.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Telemonitoring improved clinical outcomes and may be a useful tool to help enhance disease management and care of patients with diabetes and\/or hypertension.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/dia.2014.0045","type":"journal-article","created":{"date-parts":[[2014,7,3]],"date-time":"2014-07-03T16:11:29Z","timestamp":1404403889000},"page":"653-660","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":47,"title":["The Utah Remote Monitoring Project: Improving Health Care One Patient at a Time"],"prefix":"10.1177","volume":"16","author":[{"given":"Laura","family":"Shane-McWhorter","sequence":"first","affiliation":[{"name":"University of Utah College of Pharmacy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Lenert","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Petersen","sequence":"additional","affiliation":[{"name":"University of Utah Health Care, Salt Lake City, Utah."},{"name":"Utah Telehealth Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Woolsey","sequence":"additional","affiliation":[{"name":"Community Health Centers"},{"name":"Health Insight"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"McAdam-Marx","sequence":"additional","affiliation":[{"name":"University of Utah College of Pharmacy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey M.","family":"Coursey","sequence":"additional","affiliation":[{"name":"University of Utah Health Care, Salt Lake City, Utah."},{"name":"Community Health Centers"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas C.","family":"Whittaker","sequence":"additional","affiliation":[{"name":"Community Health Centers"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Hyer","sequence":"additional","affiliation":[{"name":"Community Health Centers"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deb","family":"LaMarche","sequence":"additional","affiliation":[{"name":"University of Utah Health Care, Salt Lake City, Utah."},{"name":"Utah Telehealth Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Carroll","sequence":"additional","affiliation":[{"name":"University of Utah Health Care, Salt Lake City, Utah."},{"name":"Utah Telehealth Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Libbey","family":"Chuy","sequence":"additional","affiliation":[{"name":"Association for Utah Community Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,10,1]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"American Telemedicine Association: What Is Telemedicine?. www.americantelemed.org\/learn\/what-is-telemedicine (accessed November21 2013)."},{"key":"e_1_3_3_3_2","first-page":"22","article-title":"Two-way television in group therapy","volume":"12","author":"Wittson CL","year":"1961","unstructured":"Wittson CL, , Affleck DC, , Johnson V: Two-way television in group therapy. 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