U-Health Service for Managing Chronic Disease: A Case Study on Managing Metabolic Syndrome in a Health Center in South Korea

Objectives We were to analyze the effect of managing metabolic syndrome using a u-health service in a health center. Methods We collected biometric data from 316 subjects living in a county (gun) in South Korea before and after the introduction of uhealth services in 2010. Analysis was done by contingency table using SPSS and latent growth model using AMOS. Results We found that regional u-health services affected instance of metabolic syndrome. Further, biometrics and health behavior improved. After six months of u-health services, the number of subjects with three or more factors for metabolic syndrome decreased by 62.5%; 63.3% of regular drinkers stopped drinking; 83.3% of subjects who rarely exercised began to exercise twice a week or more; and 60.9% of smokers stopped smoking. Conclusions U-health services can change health behavior and biometrics to manage metabolic syndrome in rural areas. The usefulness of u-health services is discussed.

[1]  Alison Bowes,et al.  Effectiveness of telemedicine: A systematic review of reviews , 2010, Int. J. Medical Informatics.

[2]  Hee-Seung Kim,et al.  Cellular phone and Internet-based individual intervention on blood pressure and obesity in obese patients with hypertension , 2009, Int. J. Medical Informatics.

[3]  Suk-Il Kim,et al.  Effectiveness of mobile and internet intervention in patients with obese type 2 diabetes , 2008, Int. J. Medical Informatics.

[4]  Hee-Seung Kim,et al.  Technological intervention for obese patients with type 2 diabetes. , 2008, Applied nursing research : ANR.

[5]  P. Kraft,et al.  Happy ending: a randomized controlled trial of a digital multi-media smoking cessation intervention. , 2008, Addiction.

[6]  J. Quesada,et al.  One-year efficacy and safety of Web-based follow-up using cellular phone in type 1 diabetic patients under insulin pump therapy: the PumpNet study. , 2007, Diabetes & metabolism.

[7]  H. Kwon,et al.  Perspectives of "Ubiquitous Health Care System" for Diabetes Management , 2006 .

[8]  V. Ostojić,et al.  Improving asthma control through telemedicine: a study of short-message service. , 2005, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[9]  M. D. L. F. Wichmann,et al.  Eficacia de una intervención informativa a hipertensos mediante mensajes de alerta en el teléfono móvil (HTA-ALERT) , 2004 .

[10]  J. Viikari,et al.  Cellular phone transferred self blood glucose monitoring: prerequisites for positive outcome , 2004 .

[11]  W. Sacco,et al.  A brief, regular, proactive telephone "coaching" intervention for diabetes: rationale, description, and preliminary results. , 2004, Journal of diabetes and its complications.

[12]  A. Tice,et al.  The application of telemedicine technology to a directly observed therapy program for tuberculosis: a pilot project. , 2001, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[13]  N. Farid,et al.  Telephone Modem Access Improves Diabetes Control in Those with Insulin-Requiring Diabetes , 1992, Diabetes Care.

[14]  T. Bergmo Cost Effectiveness and Resource Allocation Open Access Can Economic Evaluation in Telemedicine Be Trusted? a Systematic Review of the Literature , 2009 .

[15]  N. Unwin,et al.  Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Detection, Evaluation, and Treatment of High Blood Cholesterol Education Program (NCEP) Expert Panel on Executive Summary of the Third Report of the National , 2009 .

[16]  J. Naval,et al.  [Effectiveness of an intervention to provide information to patients with hypertension as short text messages and reminders sent to their mobile phone (HTA-Alert)]. , 2004, Atencion primaria.

[17]  Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. , 2002, Circulation.