Larizza C et al. 2006 "The M2DM Project--the experience of two Italian clinical sites with clinical evaluation of a multi-access service for the management of diabetes mellitus patients."

Reference
Larizza C, Bellazzi R, Stefanelli M, et al. The M2DM Project--the experience of two Italian clinical sites with clinical evaluation of a multi-access service for the management of diabetes mellitus patients. Methods Inf Med 2006;45(1):79-84.
Abstract
"OBJECTIVES: This paper presents a multi-access service for the management of diabetes mellitus patients and the results of its assessment in two Italian clinical sites. METHODS: The service was evaluated for one year in order to prove the advantages of these kinds of systems from different points of view. In this paper the clinical, usability and technical outcomes are presented. RESULTS: The evaluation results show that, thanks to the high flexibility of the implemented service, the telemedicine management of diabetes patients is feasible, well accepted by patients and clinically effective. However, in Italy the problem of quantifying the reimbursement rate of telematic services and the impact they have on the organization are factors that may hamper their introduction in routine clinical practice. CONCLUSIONS: The evaluation study showed that the telemedicine intervention has been satisfactory both for physicians because it allows to constantly monitor the patients' blood glucose level and for patients because it strengthens their motivation to self-monitor the metabolic situation."
Objective

"To present a multi-access service for the management of diabetes mellitus patients and the results of its assessment in two Italian clinical sites."

Type Clinic
Specialty care
Size
Small and/or medium
Type of Health IT
Telemedicine
Workflow-Related Findings
Questionnaire survey results showed that patients rated usability perception very high, especially among adult patients.
"The overall usability perception was very high; moreover, it did not significantly change over time. Both the frequency of service usage and the quantity of data collected were considered satisfactory."
Patients accessed the website on average 1.3 times a week; physicians on average 6.7 times per week. Patients transferred 20,000 BGL readings and 2,000 insulin doses.
Both intervention and control patients had better results at the end of the study, but the intervention group did better than the control group. The possibility of customizing both the flow of services delivered and the automatic notification of special events to physicians and patients make the service very efficient and flexible.
Study Design
Randomized controlled trial (RCT)
Study Participants
Fifty-six patients at two clinics in Italy participated in the study (30 in the active group, and 26 in the control group). Each medical center involved one physician in the study.