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  • 1. Capozza, Korey
    Georgsson, Mattias
    Blekinge Tekniska Högskola, Fakulteten för datavetenskaper, Institutionen för kreativa teknologier.
    Black, Jeff
    Bello, Nelly
    Lence, Clare
    Oostema, Steve
    North, Christie
    Going Mobile With Diabetes Support: A Randomized Study of a Text Message–Based Personalized Behavioral Intervention for Type 2 Diabetes Self-Care2015Ingår i: Diabetes Spectrum, ISSN 1040-9165, E-ISSN 1944-7353, Vol. 28, nr 2, s. 83-91Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective. Patients with type 2 diabetes often fail to achieve self-management goals. This study tested the impact on glycemic control of a two-way text messaging program that provided behavioral coaching, education, and testing reminders to enrolled individuals with type 2 diabetes in the context of a clinic-based quality improvement initiative. The secondary aim examined patient interaction and satisfaction with the program.

    Methods. Ninety-three adult patients with poorly controlled type 2 diabetes (A1C >8%) were recruited from 18 primary care clinics in three counties for a 6-month study. Patients were randomized by a computer to one of two arms. Patients in both groups continued with their usual care; patients assigned to the intervention arm also received from one to seven diabetes-related text messages per day depending on the choices they made at enrollment. At 90 and 180 days, A1C data were obtained from the electronic health record and analyzed to determine changes from baseline for both groups. An exit survey was used to assess satisfaction. Enrollment behavior and interaction data were pulled from a Web-based administrative portal maintained by the technology vendor.

    Results. Patients used the program in a variety of ways. Twenty-nine percent of program users demonstrated frequent engagement (texting responses at least three times per week) for a period of ≥90 days. Survey results indicate very high satisfaction with the program. Both groups’ average A1C decreased from baseline, possibly reflecting a broader quality improvement effort underway in participating clinics. At 90 and 180 days, there was no statistically significant difference between the intervention and control groups in terms of change in A1C (P >0.05).

    Conclusions. This study demonstrated a practical approach to implementing and monitoring a mobile health intervention for self-management support across a wide range of independent clinic practices.

  • 2.
    Ekerot, Amanda
    et al.
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Gemfeldt, Lisa
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Diabetes typ 2 och följsamheten till fysisk aktivitet: En litteraturstudie2018Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en kronisk sjukdom som obehandlad eller dåligt skött, kan leda till svåra komplikationer. Emellertid är det en av få sjukdomar som till viss mån, går att kontrollera och styra med livsstilsförändringar, däribland fysisk aktivitet. Sjuksköterskans roll är att stötta, informera och ge individen råd, dock ligger mycket på personens egna vilja, drivkraft och motivation till att genomföra en förändring till ökad motion.

    Syfte: Syftet var att belysa följsamheten till fysisk aktivitet hos personer med diabetes typ 2.

    Metod: En kvalitativ litteraturstudie baserad på 15 vetenskapliga artiklar med kvalitativ ansats. Artiklarna analyserades med Graneheim och Lundmans tolkning av en kvalitativ innehållsanalys.

    Resultat: I resultatet framkom huvudkategorierna brist på motivation och egen drivkraft som motivation med tillhörande underkategorier hotande egenvårdskapacitet, avsaknad av socialt stöd, upplevelsen av att vara begränsad och miljöns betydelse respektive att förstå sin sjukdom, att leva med en rädsla för komplikationer, behov av stöd samt behov av kunskap.

    Slutsats: Det huvudsakliga fyndet som framkom i litteraturstudien berörde motivationens betydelse för följsamheten till fysisk aktivitet, hos personer med diabetes typ 2.

     

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    BTH2018Ekerot
  • 3.
    Georgsson, Mattias
    Blekinge Tekniska Högskola, Fakulteten för datavetenskaper, Institutionen för kreativa teknologier.
    Weir, Charlene
    A Modified User-Oriented Heuristic Evaluation of a Mobile Health System for Diabetes Self-management Support2016Ingår i: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 34, nr 2, s. 77-84Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Mobile health platforms offer significant opportunities for improving diabetic self-care, but only if adequate usability exists. Expert evaluations such as heuristic evaluation can provide distinct usability information about systems. The purpose of this study was to complete a usability evaluation of a mobile health system for diabetes patients using a modified heuristic evaluation technique of (1) dual-domain experts (healthcare professionals, usability experts), (2) validated scenarios and user tasks related to patients' self-care, and (3) in-depth severity factor ratings. Experts identified 129 usability problems with 274 heuristic violations for the system. The categories Consistency and Standards dominated at 24.1% (n = 66), followed by Match Between System and Real World at 22.3% (n = 61). Average severity ratings across system views were 2.8 (of 4), with 9.3% (n = 12) rated as catastrophic and 53.5% (n = 69) as major. The large volume of violations with severe ratings indicated clear priorities for redesign. The modified heuristic approach allowed evaluators to identify unique and important issues, including ones related to self-management and patient safety. This article provides a template for one type of expert evaluation adding to the informaticists' toolbox when needing to conduct a fast, resource-efficient and user-oriented heuristic evaluation. 

    Ladda ner fulltext (pdf)
    fulltext
  • 4.
    Georgsson, Mattias
    Blekinge Tekniska Högskola, Fakulteten för datavetenskaper, Institutionen för kreativa teknologier.
    Quantifying usability: an evaluation of a diabetes mHealth system on effectiveness, efficiency, and satisfaction metrics with associated user characteristics2016Ingår i: JAMIA Journal of the American Medical Informatics Association, ISSN 1067-5027, E-ISSN 1527-974X, Vol. 23, nr 1, s. 5-11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective Mobile health (mHealth) systems are becoming more common for chronic disease management, but usability studies are still needed on patients' perspectives and mHealth interaction performance. This deficiency is addressed by our quantitative usability study of a mHealth diabetes system evaluating patients' task performance, satisfaction, and the relationship of these measures to user characteristics. Materials and Methods We used metrics in the International Organization for Standardization (ISO) 9241-11 standard. After standardized training, 10 patients performed representative tasks and were assessed on individual task success, errors, efficiency (time on task), satisfaction (System Usability Scale [SUS]) and user characteristics. Results Tasks of exporting and correcting values proved the most difficult, had the most errors, the lowest task success rates, and consumed the longest times on task. The average SUS satisfaction score was 80.5, indicating good but not excellent system usability. Data trends showed males were more successful in task completion, and younger participants had higher performance scores. Educational level did not influence performance, but a more recent diabetes diagnosis did. Patients with more experience in information technology (IT) also had higher performance rates. Discussion Difficult task performance indicated areas for redesign. Our methods can assist others in identifying areas in need of improvement. Data about user background and IT skills also showed how user characteristics influence performance and can provide future considerations for targeted mHealth designs. Conclusion Using the ISO 9241-11 usability standard, the SUS instrument for satisfaction and measuring user characteristics provided objective measures of patients' experienced usability. These could serve as an exemplar for standardized, quantitative methods for usability studies on mHealth systems.

  • 5.
    Georgsson, Mattias
    Blekinge Tekniska Högskola, Fakulteten för datavetenskaper, Institutionen för kreativa teknologier.
    Using activity theory as a framework for the usability evaluation process and task determination in mhealth self-management systems for diabetes2018Ingår i: PROCEEDINGS OF THE 15TH INTERNATIONAL CONFERENCE ON WEARABLE MICRO AND NANO TECHNOLOGIES FOR PERSONALIZED HEALTH (PHEALTH 2018), IOS Press , 2018, Vol. 249, s. 158-163Konferensbidrag (Refereegranskat)
    Abstract [en]

    mHealth systems can be used for patients in their diabetes selfmanagement, but usability evaluations are often needed to determine how to make them more useful for the diabetes patient user in the monitoring and managing of their disease. Activity Theory (AT) was developed within Russian psychology to define the work and activity process in an activity system. AT was here considered to also be a particularly suitable framework for inspiration in usability evaluation both for the whole evaluation process and also for the usability task determination in this process for diabetes patient users. In the following paper, examples are provided from four usability studies using both user-based and expert usability methods in evaluation showing how AT was applied to guide the thoughts in evaluating the usability of two mHealth self-management systems for diabetes. Experiences and insights are provided from this process. © 2018 The authors and IOS Press. All rights reserved.

  • 6.
    Georgsson, Mattias
    et al.
    Blekinge Tekniska Högskola, Fakulteten för datavetenskaper, Institutionen för kreativa teknologier.
    Nancy, Staggers
    An evaluation of patients' experienced usability of a diabetes mHealth system using a multi-method approach2016Ingår i: Journal of Biomedical Informatics, ISSN 1532-0464, E-ISSN 1532-0480, Vol. 59, s. 115-129Artikel i tidskrift (Refereegranskat)
  • 7.
    Georgsson, Mattias
    et al.
    Blekinge Tekniska Högskola, Fakulteten för datavetenskaper, Institutionen för kreativa teknologier.
    Staggers, Nancy
    University of Utah, USA.
    Årsand, Eirik
    University Hospital of North Norway, NOR.
    Kushniruk, Andre
    University of Victoria, CAN.
    Employing a user-centered cognitive walkthrough to evaluate a mHealth diabetes self-management application: A case study and beginning method validation2019Ingår i: Journal of Biomedical Informatics, ISSN 1532-0464, E-ISSN 1532-0480, Vol. 91, artikel-id 103110Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Self-management of chronic diseases using mobile health (mHealth) systems and applications is becoming common. Current evaluation methods such as formal usability testing can be very costly and time-consuming; others may be more efficient but lack a user focus. We propose an enhanced cognitive walkthrough (CW) method, the user-centered CW (UC-CW), to address identified deficiencies in the original technique and perform a beginning validation with think aloud protocol (TA) to assess its effectiveness, efficiency and user acceptance in a case study with diabetes patient users on a mHealth self-management application. Materials and methods: A total of 12 diabetes patients at University of Utah Health, USA, were divided into UC-CW and think aloud (TA) groups. The UC-CW method included: making the user the main evaluator for detecting usability problems, having a dual domain facilitator, and using three other improved processes: validated task development, higher level tasks and a streamlined evaluation process. Users interacted with the same mHealth application for both methods. Post-evaluation assessments included the NASA RTLX instrument and a set of brief interview questions. Results: Participants had similar demographic characteristics. A total of 26 usability problems were identified with the UC-CW and 20 with TA. Both methods produced similar ratings: severity across all views (UC-CW = 2.7 and TA = 2.6), numbers of problems in the same views (Main View [UC-CW = 11, TA = 10], Carbohydrate Entry View [UC-CW = 4, TA = 3] and List View [UC-CW = 3, TA = 3]) with similar heuristic violations (Match Between the System and Real World [UC-CW = 19, TA = 16], Consistency and Standards [UC-CW = 17, TA = 15], and Recognition Rather than Recall [UC-CW = 13, TA = 10]). Both methods converged on eight usability problems, but the UC-CW group detected five critical issues while the TA group identified two. The UC-CW group identified needed personalized features for patients’ disease needs not identified with TA. UC-CW was more efficient on average time per identified usability problem and on the total evaluation process with patients. NASA RTLX scores indicated that participants experienced the UC-CW half as cognitively demanding. Common themes from interviews indicated the UC-CW as enjoyable and easy to perform while TA was considered somewhat awkward and more cognitively challenging. Conclusions: UC-CW was effective for finding severe, recurring usability problems and it highlighted the need for personalized user features. The method was also efficient and had high user acceptance. These results indicate UC-CW's utility and user acceptance in evaluating a mHealth self-management application. It provides an additional usability evaluation technique for researchers. © 2019

  • 8.
    Hahn, Max
    et al.
    Umea University, SWE.
    Nord, Christoffer
    Umea University, SWE.
    van Krieken, Pim P.
    Karolinska Institute, SWE.
    Berggren, Per-Olof
    Karolinska Institute, SWE.
    Ilegems, Erwin
    Karolinska Institute, SWE.
    Cheddad, Abbas
    Blekinge Tekniska Högskola, Fakulteten för datavetenskaper, Institutionen för datavetenskap.
    Ahlgren, Ulf
    Umea University, SWE.
    Quantitative 3D OPT and LSFM datasets of pancreata from mice with streptozotocin-induced diabetes2022Ingår i: Scientific Data, E-ISSN 2052-4463, Vol. 9, nr 1, artikel-id 558Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Mouse models for streptozotocin (STZ) induced diabetes probably represent the most widely used systems for preclinical diabetes research, owing to the compound's toxic effect on pancreatic beta-cells. However, a comprehensive view of pancreatic beta-cell mass distribution subject to STZ administration is lacking. Previous assessments have largely relied on the extrapolation of stereological sections, which provide limited 3D-spatial and quantitative information. This data descriptor presents multiple ex vivo tomographic optical image datasets of the full beta-cell mass distribution in mice subject to single high and multiple low doses of STZ administration, and in glycaemia recovered mice. The data further include information about structural features, such as individual islet beta-cell volumes, spatial coordinates, and shape as well as signal intensities for both insulin and GLUT2. Together, they provide the most comprehensive anatomical record of the effects of STZ administration on the islet of Langerhans in mice. As such, this data descriptor may serve as reference material to facilitate the planning, use and (re)interpretation of this widely used disease model.

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    fulltext
  • 9.
    Johnsson, Charlie
    et al.
    Blekinge Tekniska Högskola.
    Ohlsson, Katarina
    Blekinge Tekniska Högskola.
    En match för livet: Att beskriva patienters upplevelser av att genomföra livsstilsförändringar vid diabetes typ 2.2020Självständigt arbete på grundnivå (högskoleexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en folkhälsosjukdom som har ökat markant i världen. Kroppen har svårt för att reglera och hålla sockerhalten i blodet vid diabetes typ 2. En behandling kan vara livsstilsförändring i form av ökad fysisk aktivitet samt ändrade matvanor. Livsstilsförändringar bidrar till en bättre hälsa och diabeteskomplikationer minskas. Studien fokuserar på livsstilsförändringar relaterat till fysisk aktivitet och kost. Hälsofrämjande omvårdnad kan användas för att stärka patientens möjlighet till att uppnå en god egenvård vid diabetes typ 2. Sjuksköterskan ska få en förståelse hur patienten upplever livsstilsförändringar vid diabetes typ 2. 

    Syfte: Syftet med studien var att beskriva patienters upplevelser av att genomföra livsstilsförändringar vid diabetes typ 2.

    Metod:Föreliggande studie genomfördes som en litteraturstudie. Den baserades på 9 kvalitativa vetenskapliga artiklar. Analysen genomfördes av inspiration från Graneheim och Lundman, en beskrivning av en kvalitativ innehållsanalys på manifest nivå.

    Resultat: Det framkom i föreliggande studie två kategorier och en underkategori; stöd och utmaningar i sociala relationer, upplevelser av att hitta motivation och en ny mening med livet. De sociala relationerna kunde bidra med både positiv och negativ inverkan vid genomförandet av livsstilsförändringar. Motivationen sågs som den avgörande faktorn vid genomförandet och kunde bidra till en positiv eller negativ effekt. Negativ motivation var ett stort hinder vid genomförandet och den positiva motivationen kunde resultera med en ny mening med livet.

    Slutsats: I föreliggande studie framkom det att genomförandet av livsstilsförändringar var utmanande och många reagerade olika. Trots svårigheterna att upprätthålla förändringarna upplevde patienterna välbefinnande. Patienten är i behov av en personcentrerad omvårdnad för att kunna hitta motivation för att finna sin egen väg till hälsa. 

    Ladda ner fulltext (pdf)
    En match för livet Att beskriva patienters upplevelser av att genomföra livsstilsförändringar vid diabetes typ 2.
  • 10.
    Leigod, Linnéa
    et al.
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Fransson, Maja
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Sjuksköterskors erfarenheter av att stödja barn till egenvård vid diabetes typ-1: En kvalitativ empirisk studie2017Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Barn kan sakna förståelse för hur diabetes typ-1 påverkar deras kroppar och de kan uppleva sin kropp som främmande. Personer som lever med diabetes bör ta ett stort ansvar över sin egenvård, men även hälso- och sjukvården har ett ansvar att ge personerna de rätta verktygen som de behöver. Sjuksköterskans roll är att ge stöd till patienter och undervisa dem med syftet att främja hälsa. Egenvård är en stor utmaning för barnen på grund av smärta och rädsla och barnen behöver därför stöd från vårdpersonalen när det gäller att lära sig att utföra egenvård. 

    Syfte: Syftet med studien var att beskriva sjuksköterskors erfarenheter av att stödja barn till egenvård vid diabetes typ-1.

    Metod: Studien genomfördes som en empirisk intervjustudie i kvalitativt syfte med Graneheim och Lundmans beskrivning av en kvalitativ innehållsanalys. 

    Resultat: Resultatet av sjuksköterskornas erfarenheter av att stödja barn till egenvård mynnade ut i fyra kategorier: att anpassa undervisningen, att främja delaktighet, att underlätta till självständighet och att uppmuntra barnen. Resultatet visade att sjuksköterskorna skulle anpassa undervisningen utefter barnets ålder, mognadsgrad och utveckling. Sjuksköterskorna skulle främja delaktigheten genom att rikta sig till barnen och underlätta självständigheten genom att barnen själva fick göra de moment som sjukdomen kräver. Resultatet visade även att sjuksköterskorna skulle uppmuntra barnen när de hade klarat av ett moment och ge dem belöningar i form av presenter.

    Slutsats: För att stödja barn med diabetes typ-1 till egenvård bör sjuksköterskorna besitta olika förmågor, som att kunna anpassa undervisningen, var pedagogisk och uppmuntra barnen i olika situationer. Studiens resultat kan öka kunskapen om sjuksköterskors erfarenheter av att stödja barn till egenvård vid diabetes typ-1. Resultatet kan även öka medvetenheten och utgöra en grund för sjuksköterskors sätt att stödja barn till egenvård.

     

     

    Nyckelord: Barn, diabetes typ-1, egenvård, sjuksköterska, stöd.

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    BTH2017Leigod
  • 11.
    Lundberg, Jenny
    et al.
    Linnaeus Univ, SWE..
    Claesson, Lena
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för tillämpad signalbehandling.
    Early Signs of Diabetes Explored from an Engineering Perspective2019Ingår i: Lecture Notes in Networks and Systems / [ed] Auer, ME Langmann, R, SPRINGER INTERNATIONAL PUBLISHING AG , 2019, s. 22-31Konferensbidrag (Refereegranskat)
    Abstract [en]

    Undetected diabetes is a global issue, estimated to over 200 million persons affected. Engineering opportunities in capturing early signs of diabetes has a potential due to the complexity to interpret early signs and link it to diabetes. Persons with untreated diabetes are doubled in risk of getting cardiovascular diseases and may also suffer other consequent diseases. In Sweden, approximately 450 thousand have diabetes where 80-90% are of type 2 with 1/4 unaware of it, i.e. approx. 100 thousand. Screening approaches, searching specifically for diabetes in persons not showing symptoms has been initiated with positive results. However, some general drawbacks of screening such as false sense of security are an issue. In this publication, we focus upon in home measurements and empowering of the individual in identifying early signs of diabetes. The methods in this publication are to gather data, evaluate and give suggestion if clinical test to confirm or reject diabetes. In home measurements, education process with companies for innovation possibilities.

  • 12.
    Sandberg, Hanna
    et al.
    Blekinge Hospital, SWE.
    Anderberg, Peter
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Forssell, Henrik
    Blekinge Centre of Competence, SWE.
    Ovhed, Ingvar
    Blekinge Centre of Competence, SWE.
    Sanmartin Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Increased Usage of Insulin Pump Functions Not Associated with Improved HbA1c in Children and Adolescents with Type 1 Diabetes Mellitus2016Ingår i: Journal of Diabetes Science and Technology, ISSN 1932-2968, Vol. 10, nr 4, s. 997-998Artikel i tidskrift (Refereegranskat)
  • 13.
    Sidorova, Yulia
    et al.
    Blekinge Tekniska Högskola, Fakulteten för datavetenskaper, Institutionen för datavetenskap.
    Anisimova, Maria
    Zurich University of Applied Sciences, CHE.
    Impact of Diabetes Mellitus on Voice: A Methodological Commentary2022Ingår i: Journal of Voice, ISSN 0892-1997, E-ISSN 1873-4588, Vol. 36, nr 2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Recent research describes the effect of Type 2 diabetes (T2D) on voice, suggesting that it can be diagnosed based on vocal clues. Although these studies have similar experimental designs with respect to the voice data and the analysis methods, the conclusions regarding the voice changes differ substantially and are at times contradictory. This is unexpected, since the mechanism of pathological deterioration behind the observed changes is the same. This year in an article published in J. of Voice it was suggested that vocal changes may be different among ethnicities. Before this hypothesis can be accepted, the study protocols should be improved and unified, to ensure that the empirical evidence is reliable. Additionally, given the recently published data about the temporal voice changes as a result of glucose swings, we propose that the persons in hypo- and hyperglycemic conditions should be excluded from the experiment. Since no study succeeded in diabetes detection, it is timely to mention that there is an alternative methodology for disease detection from voice, which is far more sensitive than the state of the art procedure. We propose a script that is available from the first author on request. © 2020 The Voice Foundation

  • 14.
    Wickström, Hanna
    et al.
    Lund University, SWE.
    Öien, Rut
    Blekinge Wound Healing Centre, SWE.
    Midlöv, Patrik
    Lund University, SWE.
    Anderberg, Peter
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Fagerström, Cecilia
    Blekinge Centre of Competence, SWE.
    Pain and analgaesics in patients with hard-to-heal ulcers: using telemedicine or standard consultations2020Ingår i: Journal of Wound Care, ISSN 0969-0700, E-ISSN 2052-2916, Vol. 29, s. S18-S27Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To compare consultations carried out via video with those performed in person for patients with painful, hard-to-heal ulcers, with a focus on ulcer pain and pain treatment. A further aim was to investigate predictors for pain and pain treatment. METHOD: This was a register-based, quasi-experimental study based on data from the Swedish Registry of Ulcer Treatment (RUT). A total of 100 patients with hard-to-heal ulcers diagnosed via video consultation were compared with 1888 patients diagnosed in person with regard to pain assessment, intensity and treatment. Ulcer pain intensity was assessed by the visual analogue scale (VAS). Normally distributed variables (age, VAS) were compared between consultation groups using Student's t-test. Non-normally distributed variables (ulcer size, ulcer duration) were compared using the Mann-Whitney U-test, except for healing time, which was analysed with a log-rank test. Categorical variables (gender, ulcer aetiology and prescribed analgesics) were compared using Pearson's chi-square test (χ2). A p value of less than 0.05 was considered to indicate statistical significance. Predictors for pain and pain treatment were analysed in multiple regression analyses. RESULTS: The results showed a high presence of pain; 71% of patients with pain reported severe ulcer pain. There was no significant difference in ability to assess pain by VAS in the group diagnosed via video consultation (90%) compared with the group diagnosed in person (86%) (χ2, p=0.233). A significantly higher amount of prescribed analgesics was found for patients diagnosed via video (84%) compared with patients diagnosed by in-person assessment (68%) (χ2, p=0.044). Predictors for high-intensity pain were female gender or ulcers due to inflammatory vessel disease, while the predictors for receiving analgesics were older age, longer healing time and being diagnosed via video consultation. CONCLUSION: To identify, assess and treat ulcer pain is equally possible via video as by in-person consultation. The results of this study confirm that patients with hard-to-heal ulcers suffer from high-intensity ulcer pain, with a discrepancy between pain and pain relief. Further well-designed randomised controlled studies are necessary to understand how best to deploy telemedicine in ulcer pain treatment.

  • 15.
    Widén, Cecilia
    et al.
    Kristianstad University, SWE.
    Holmer, Helene
    Central Hospital Kristianstad, SWE.
    Sättlin, Susanna
    Kristianstad University, SWE.
    Renvert, Stefan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa. Kristianstad University, SWE.
    Lernmark, Åke
    Lund University/Clinical Research Centre, SWE.
    Persson, Gösta Rutger
    Kristianstad University, SWE; University of Washington, USA.
    Periodontal conditions, retinopathy, and serum markers in individuals with type 1 diabetes2020Ingår i: Journal of Periodontology, ISSN 0022-3492, E-ISSN 1943-3670, Vol. 91, nr 11, s. 1436-1443Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The prevalence of diabetes is high and increasing. Periodontitis has been identified as a risk factor in both type 1 and 2 diabetes. The study purpose was to assess periodontal conditions, retinopathy, and serum glutamic acid decarboxylase antibody (GADA) titers in relation to retinopathy in individuals with type 1 diabetes (T1D). Methods: The study is a case series. Adult individuals with a diagnosis of T1D (n = 85) monitored ≥5 years were recruited from an endocrinology clinic. Peripheral venous blood samples were analyzed including assessments of serum HbA1c levels and GADA titers. Medical and periodontal conditions were examined, and the data assessed. Independent t tests, binary and multivariate analyses, χ2 and odds ratios were employed. Results: Gingivitis was found in 68.2%, periodontitis in 21.2%, and retinopathy in 64.7%, GADA (≥35 U/mL) in 54.1%, and serum HbA1c > 48 mmol/mol in 94.3% of the individuals. The unadjusted odds ratio for periodontitis to differentiate a diagnosis of retinopathy was 7.3 (95%CI 1.6, 4.4, P <0.01). Multivariate analyses identified the following dependent factors to differentiate retinopathy; age, T1D duration, gingivitis, periodontitis at P < 0.001, gender, and serum GADA at P < 0.01, and by the number of remaining teeth at P < 0.05. Conclusion: Retinopathy as a complication to T1D is linked to the duration of diabetes, age of the individual and with increasing severity to periodontitis. Periodontal intervention studies are warranted. © 2020 American Academy of Periodontology

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