Discussion Findings suggest that medically underserved patients with diabetes achieve glycemic benefit following HIT DSME interventions , with dissipating but significant effects at 12 months .
Telemedicine/telehealth interventions were the most successful HIT type because they incorporated interaction with educators similar to in-person DSME .
Conclusion These results are similar to in-person DSME in medically underserved patients , showing that well- design ed HIT DSME has the potential to increase access and improve outcomes for this vulnerable group
Objective The purpose of this systematic review and meta- analysis was to examine the effect of health information technology ( HIT ) diabetes self-management education ( DSME ) interventions on glycemic control in medically underserved patients .
Usability in the real world: assessing medical information technologies in patients' homes
OBJECTIVE This paper presents an approach to  usability evaluation of computer-based health care systems design ed for patient use in their homes . Although such devices are becoming more prevalent , there is very little known about their usability . DESIGN The theoretical foundations for the methods are discussed . The approach incorporates a cognitive walkthrough usability evaluation and new methods for usability testing that can be conducted in patient 's homes . The method was applied to the IDEATel intervention , a multi-institution r and omized controlled trial of the feasibility , acceptability , and clinical utility of a home-based telemedicine  system for diabetic Medicare population . The usability study was design ed to assess barriers to optimal use of the system . The focus was both on dimensions of the interface and on dimensions of patient skills and competency . The usability field research involved testing 25 patients in their homes using the system . The analysis included a range of video-analytic methods of varying levels of granularity . RESULTS The usability evaluation revealed aspects of the interface that were sub-optimal and impeded the performance of certain tasks . It also found a range of patient-related factors such as numeracy and psychomotor skills that constituted barriers to productive use . CONCLUSIONS A multifaceted usability approach provided important insight regarding use of technology by an elderly chronic-care patient population and more generally , for underst and ing how home health initiatives can more effectively use such technology
Discussion Findings suggest that medically underserved patients with diabetes achieve glycemic benefit following HIT DSME interventions , with dissipating but significant effects at 12 months .
Telemedicine/telehealth interventions were the most successful HIT type because they incorporated interaction with educators similar to in-person DSME .
Conclusion These results are similar to in-person DSME in medically underserved patients , showing that well- design ed HIT DSME has the potential to increase access and improve outcomes for this vulnerable group
Objective The purpose of this systematic review and meta- analysis was to examine the effect of health information technology ( HIT ) diabetes self-management education ( DSME ) interventions on glycemic control in medically underserved patients .