Effectiveness of home telehealth in comorbid XXXX and @entity101 : a randomized, controlled trial.

@entity1 @entity101 @entity6 @entity102 @entity164
BACKGROUND: Increased emphasis is being placed on the critical need to control @entity101 ( @entity101 ) in @entity1 with @entity6 . OBJECTIVE: The objective of this study was to evaluate the efficacy of a nurse-managed home telehealth intervention to improve outcomes in veterans with comorbid @entity6 and @entity101 . DESIGN: A single-center, randomized, controlled clinical trial design comparing two remote monitoring intensity levels and usual care in @entity1 with @entity164 2 @entity6 and @entity101 being treated in primary care was used. MEASUREMENTS: Primary outcomes were hemoglobin A1c and systolic blood pressure (SBP); secondary outcome was adherence. RESULTS: Intervention subjects experienced decreased A1c during the 6-month intervention period compared with the control group, but 6 months after the intervention was withdrawn, the intervention groups were comparable with the control group. For SBP, the high-intensity subjects had a significant decrease in SBP compared with the other groups at 6 months and this pattern was maintained at 12 months. Adherence improved over time for all groups, but there were no differences among the three groups. LIMITATIONS: Subjects had relatively good baseline control for A1c and SBP; minorities and @entity1 were underrepresented. CONCLUSIONS: Home telehealth provides an innovative and pragmatic approach to enhance earlier detection of key clinical symptoms requiring intervention. Transmission of education and advice to the @entity1 on an ongoing basis with close surveillance by nurses can improve clinical outcomes in @entity1 with comorbid @entity102 .
