20.500.12556/DKUM-89224 Telemonitoring of elderly with hypertension and type 2 diabetes at the primary care level protocol for a multicentric randomized controlled pilot study Telemonitoring starejših bolnikov s hipertenzijo in sladkorno boleznijo tipa 2 na primarni ravni protokol multicentrične randomizirane kontrolirane pilotne raziskave Introduction: Arterial hypertension (AH) and type 2 diabetes (T2D) represent a significant burden for the public health system, with an exceptionally high prevalence in patients aged ≥65 years. This study aims to test the acceptability, clinical effectiveness, and cost-effectiveness of telemonitoring in elderly patients with AH and T2D at the primary care level. Methods: A m ulti-centre, prospective, randomized, controlled t rial w ill be conducted. Patients a ged ≥ 65 y ears with AH and T2D will be randomized in a 1:1 proportion to a mHealth intervention or standard care group. Patients in the intervention group will measure their blood pressure (BP) twice weekly and blood glucose (BG) once monthly. The readings will be synchronously transmitted via a mobile application to the telemonitoring platform, where they will be reviewed by a general practitioner who will indicate changes in measurement regimen or carry out a teleconsultation. The primary endpoint will be a change in systolic BP (SBP) and glycated haemoglobin (HbA1c) relative to standard care up to 12 months after inclusion. Secondary endpoints will be a change in other observed clinical variables, quality-of-life indexes, and costs. Expected results: Telemonitoring will be an acceptable method of care associated with significant reductions in SBP and HbA1c levels and an increase in quality-of-life indexes in the intervention group. However, the cost-effectiveness threshold (incremental cost-effectiveness ratio below €25,000/quality-adjusted life year) might not be reached. Conclusion: This study will provide new evidence for scaling up telemonitoring network at the primary care level and modifying telemonitoring protocols to achieve the best clinical and cost-effective outcomes. mobile health telemonitoring blood pressure blood glucose HbA1c aged primary health care costs mobilno zdravje krvni tlak krvni sladkor starostniki primarna raven stroški true false true Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Univerzitetni zavod za zdravstveno in socialno varstvo, Inštitut za varovanje zdravja Republike Slovenije, Nacionalni inštitut za javno zdravje Angleški jezik Slovenski jezik Znanstveno delo 2024-06-27 09:33:23 2024-06-27 09:51:03 2024-06-28 03:54:51 0000-00-00 00:00:00 2022 0 0 Str. 216-223 Št. 4 Letn. 61 2022 0000-00-00 Zaloznikova Objavljeno NiDoloceno 2022-02-28 2022-09-05 2022-09-28 614 125299459 10.2478/sjph-2022-0029 0351-0026 Mihevc-2022-Telemonitoring_of_elderly_with_hyp.pdf Mihevc-2022-Telemonitoring_of_elderly_with_hyp.pdf 1 0B93C53693F998F0C8B29EA7FAA74278 326210a9d3f4bc4cde007c7872847f4e0e90390b100651a6da3df7e1919b2551 b3f57626-3459-11ef-901a-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=180837 https://doi.org/10.2478/sjph-2022-0029 0 94971d42-3457-11ef-901a-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=180836 Medicinska fakulteta 0 0 0