Multifactorial intervention in XXXX care using real-time monitoring and tailored feedback in @entity164 2 @entity6 .

@entity1 @entity4051 @entity6 @entity4053 @entity164 @entity413
AIMS: In 2011, we demonstrated that an individualized health management system employing advanced medical information technology, designated ubiquitous (u)-healthcare, was helpful in achieving glycemic control without @entity4053 in @entity1 with @entity6 . Following this, we generated a new multidisciplinary u-healthcare system by upgrading our clinical decision support system (CDSS) rule engine and integrating a physical activity-monitoring device and dietary feedback into a comprehensive package. METHODS: In a randomized, controlled clinical trial, @entity1 with @entity164 2 @entity6 aged over 60  years were assigned randomly to a self-monitored blood @entity413 (SMBG) group (N  =  50) or u-healthcare group (N  =  50) for 6  months. The primary endpoint was the proportion of @entity1 achieving glycated hemoglobin (HbA1c) <7  % without @entity4053 . Changes in body composition and lipid profiles were also investigated. The u-healthcare group was educated to use a specially designed glucometer and an activity monitor that automatically transferred test results to a hospital-based server. An automated CDSS rule engine generated and sent @entity1 -specific messages about @entity413 , diet, and physical activity to their mobile phones and a Web site. RESULTS: After 6  months of follow-up, the HbA1c level was significantly decreased in the u-healthcare group [8.0      0.7  % (64.2      8.8  mmol/mol) to 7.3      0.9  % (56.7      9.9  mmol/mol)] compared with the SMBG group [8.1      0.8  % (64.9      9.1  mmol/mol) to 7.9      1.2  % (63.2      12.3  mmol/mol)] (P  <  0.01). The proportion of @entity1 with @entity4051 c  <  7  % without @entity4053 was greater in the u-healthcare group (26  %) than in the SMBG group (12  %; P  <  0.05). Body fat mass decreased and lipid profiles improved in the u-healthcare group but not in the SMBG group. CONCLUSION: This u-healthcare service provided effective management for older @entity1 with @entity164 2 @entity6 (ClinicalTrial.Gov: NCT01137058).
