Table 2.
Quantitative results (n = 28) | |||||
---|---|---|---|---|---|
Baseline/control phase (3-month period before enrollment) | Run-in phase: participant-initiated (from enrollment to 3-month visit) | Intervention phase: provider-initiated (from 3- to 6-month visit) | Learned phase: participant-initiated (from 6- to 9-month visit) | P | |
Number of participant-initiated contacts | 15 | 20 | 12 | 7 | 0.23 |
% of participants who initiated contact | 29 | 36 | 21 | 18 | 0.38 |
Hemoglobin A1c (%, mean ± SD) | 8.6 ± 1.8 | 8.5 ± 1.8 | 9.0 ± 1.7 | 8.9 ± 1.5 | 0.08 |
Blood glucose checks per day (mean ± SD) | 4.1 ± 2.3 | 3.8 ± 1.8 | 3.7 ± 2.7 | 3.0 ± 1.7 | 0.02 |
Qualitative results | |
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Barriers to using the integrated glucose meter | Examples of participant comments |
Several steps are required to pair the GM with the iPhone and with the EHR. | “Too much hassle,” “too complicated,” and “too many steps” |
The integration system was not compatible with GMs that communicate with insulin pumps. | “Wish it worked with insulin pumps” |
The GM had a short battery life, and when the battery died, the GM would disconnect from the iPhone. After changing the battery, the GM then had to be re-paired with the iPhone, and participants often forgot this step. | “Wish the battery life were longer” |
Participants used many GMs, leading to inconsistent transmission of data to the EHR. | “Doesn't work with the GM I use at school” |
The GM was only compatible with the iPhone or iPod. | “Wish it worked with Android®” |
EHR, electronic health record.