rss
J Am Med Inform Assoc 16:446-456 doi:10.1197/jamia.M3157
  • Original Investigation

A Randomized Trial Comparing Telemedicine Case Management with Usual Care in Older, Ethnically Diverse, Medically Underserved Patients with Diabetes Mellitus: 5 Year Results of the IDEATel Study

Table 2

Unadjusted Means and SD, and Adjusted Means and SE Over Time for Study Outcomes, Based on Intention-to-Treat Analyses

Outcome Examination Unadjusted Adjusted Treatment Effect (95% CI)
Usual Care Telemedicine Usual Care Telemedicine
n Mean SD n Mean SD Mean SE Mean SE
Hemoglobin A1c (%) Baseline 802 7.40 (1.60) 829 7.36 (1.48) 7.45 (0.06) 7.43 (0.05) 0.02 (−0.13, 0.17)
One year 701 7.16 (1.40) 681 6.96 (1.12) 7.20 (0.05) 7.08 (0.05) 0.12 (−0.02, 0.25)
Two year 633 7.15 (1.25) 618 7.05 (1.12) 7.17 (0.05) 7.06 (0.05) 0.11 (−0.03, 0.25)
Three year 531 7.15 (1.26) 466 7.04 (1.17) 7.21 (0.05) 7.10 (0.05) 0.11 (−0.03, 0.25)
Four year 494 7.24 (1.39) 436 7.06 (1.17) 7.29 (0.05) 7.13 (0.05) 0.16 (0.02, 0.31)
Five year 372 7.34 (1.54) 355 7.05 (1.17) 7.38 (0.06) 7.09 (0.06) 0.29 (0.12, 0.46)
LDL cholesterol (mg/dl) Baseline 791 108.21 (35.75) 819 106.82 (34.96) 108.11 (1.21) 106.64 (1.22) 1.47 (−1.90, 4.85)
One year 700 105.65 (39.41) 679 95.80 (31.68) 105.49 (1.10) 97.84 (1.11) 7.65 (4.59, 10.71)
Two year 633 101.33 (35.70) 616 95.03 (33.85) 102.86 (1.06) 94.29 (1.12) 8.57 (5.54, 11.60)
Three year 528 99.26 (35.78) 466 92.02 (32.99) 100.23 (1.11) 92.68 (1.08) 7.55 (4.53, 10.58)
Four year 492 97.06 (40.65) 434 86.55 (33.52) 97.60 (1.23) 91.77 (1.17) 5.83 (2.51, 9.15)
Five year 369 94.39 (34.61) 354 92.00 (34.57) 94.97 (1.40) 91.13 (1.43) 3.84 (−0.08, 7.77)
Systolic blood pressure (mm Hg) Baseline 815 142.47 (23.62) 842 142.79 (24.21) 141.85 (0.74) 140.34 (0.73) 1.51 (−0.53, 3.56)
One year 714 140.56 (22.92) 698 137.38 (21.23) 141.51 (0.68) 139.43 (0.68) 2.07 (0.19, 3.96)
Two year 636 140.95 (22.75) 620 137.28 (21.88) 141.17 (0.66) 138.53 (0.67) 2.64 (0.80, 4.48)
Three year 535 139.15 (22.75) 468 136.27 (20.96) 140.83 (0.69) 137.63 (0.70) 3.20 (1.27, 5.12)
Four year 493 141.45 (22.46) 437 138.44 (21.24) 140.49 (0.76) 136.73 (0.77) 3.76 (1.64, 5.88)
Five year 373 139.48 (22.22) 362 136.12 (20.38) 140.15 (0.86) 135.83 (0.87) 4.32 (1.93, 6.72)
Diastolic blood pressure (mm Hg) Baseline 815 71.01 (10.42) 842 71.59 (11.35) 70.35 (0.34) 69.88 (0.33) 0.47 (−0.47, 1.41)
One year 714 70.01 (11.06) 698 68.45 (9.91) 69.94 (0.32) 69.04 (0.31) 0.90 (0.04, 1.77)
Two year 636 69.42 (10.87) 620 68.52 (10.54) 69.53 (0.31) 68.19 (0.30) 1.34 (0.49, 2.18)
Three year 535 69.22 (10.64) 468 67.56 (9.57) 69.12 (0.32) 67.35 (0.32) 1.77 (0.88, 2.66)
Four year 493 69.79 (10.86) 437 67.94 (9.95) 68.70 (0.35) 66.50 (0.35) 2.20 (1.23, 3.18)
Five year 373 68.46 (11.12) 362 67.30 (10.16) 68.29 (0.40) 65.66 (0.40) 2.64 (1.53, 3.74)
  • Non-linear models with quadratic (group*[time]2) (time centered) and/or exponential (e−time) terms to model non-linearity with first order auto-regressive covariance structure was used for hemoglobin A1c and Compound Symmetry covariance structure was used for total and LDL cholesterol analyses. Linear models with the compound symmetry covariance structure was used for the systolic and diastolic blood pressure analyses. The adjusted means, standard errors and treatment effects (differences) were estimated from longitudinal linear and non-linear regression models, adjusting for clustering, and heterogeneous variances. The analytic samples were N = 1,658 for hemoglobin A1c, N = 1,656 for LDL-cholesterol, and N = 1663 for blood pressure levels.

  • Treatment effects are differences in adjusted means, scored in the direction of improvement associated with the intervention.

This Article

Access policy for JAMIA

All content published in JAMIA is deposited with PubMed Central by the publisher with a 12 month embargo. Authors/funders may pay an Unlocked fee of $2,000 to make the article free on the JAMIA website and PMC immediately on publication.

All content older than 12 months is freely available on this website.

AMIA members can log in with their JAMIA user name (email address) and password or via the AMIA website.