Remote research: resources, intervention needs, and methods in people with diabetes and peripheral neuropathy
Open accessAbstract
BACKGROUND: Stay-at-home orders associated with the SARS-CoV-2 (COVID-19) pandemic were particularly important for older adults with type 2 diabetes, at risk for severe COVID-19 complications. In response, research shifted to remote telehealth methodology. Study participant interests, equipment needs, and ability to adapt methods to the remote/telehealth environment were unknown. Study purposes to assess (1) resource needs (internet/devices accessibility), (2) future telehealth interests, and (3) ability to adapt common research and clinical measures of glycemic control, physical function, activity measures, and quality of life outcomes to a telehealth setting. METHOD: Twenty-one participants with type 2 diabetes and peripheral neuropathy were recruited from a longitudinal study (11 female; age: 66.3 ± 8.3 years; DM: 15.1 ± 8.7 years). Technology needs and future telehealth interests were assessed. A glycemic measure (HbA1c), a five-times chair rise, a one-week activity monitor, and surveys (self-efficacy, depression, and balance) were collected. All aspects of the study were completed remotely over email and video/phone call. RESULTS: Twelve participants used computers; nine used phones for study completion. Participants had the following resource needs: connectivity (n = 3), devices (n = 6), and technical support (n = 12). Twenty people expressed interest in participating in future telehealth studies related to balance, exercise, and diabetes management. Methodological considerations were primarily the need for assistance for participants to complete the home HbA1c test, five-time chair rise, wearable activity monitoring, and surveys. CONCLUSIONS: Older adults with type 2 diabetes and peripheral neuropathy would need technological and personal assistance (connection, device, guidance) to complete a long-term telehealth intervention. Despite technology needs, participants were interested in telehealth interventions. CLINICAL TRIAL: Parent study, "Metatarsal Phalangeal Joint Deformity Progression-R01 (NCT02616263) is registered at https://clinicaltrials.gov/.
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Through visualized progress trajectories and stage-based summaries of achievement, digital wearable devices may help patients accumulate successful experiences and gradually internalize exercise behavior over time.
“Through visualized progress trajectories and stage-based summaries of achievement, digital wearable devices may help patients accumulate successful experiences and gradually internalize exercise behavior over time (37).”
From Behavior change pathways by which digital wearable devices support exercise self-management in type 2 diabetes: a scoping review with machine learning–assisted text mining (2026) · cites this paper as [37]
The Methods describe a wrist-worn activity monitor used to collect seven days of activity data, and the Results report participants’ steps and activity levels. Neither section addresses visualized progress, achievement summaries, accumulated success, or the internalization of exercise behavior; searches for those concepts and for wearable feedback found no supporting passage. No page numbers are available in our copy. (LLM, conf=0.77)
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Cited by
Sorted by citations
Sun, W., Xie, D., Hou, W., Zhang, M., Wang, C., Wang, Z., Yang, H., Xu, G., & Dai, H. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1871682
- Authors
- Bohnert, K. L., Zellers, J. A., Jeong, H. J., Chen, L., York, A., & Hastings, M. K.
- Affiliations
- Washington University in St. Louis (US)
- Marquette University (US)
- Corresponding author
- Hastings, Mary K.
- Venue
- Journal of Diabetes Science and Technology
- Publisher
- SAGE Publications
- Published
- 2022-06-30
- Volume
- 17
- Issue
- 1
- Pages
- 52-58
- ISSN
- 1932-2968 (ISSN-L)
- PMC
- PMC9846402
- OpenAlex
- W4283730186
- Cited by
- 10
- References
- 34
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 2 · 2023: 2
- FWCI
- 1.77
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Diabetes Science and Technology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- national center for medical rehabilitation research (T32 HD07434)
- Siteman Comprehensive Cancer Center and NCI Cancer Center Support Grant (P30 CA091842)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK107809, F32 DK123916)
- Administration for Community Living, U.S. Department of Health and Human Services (90ARHF0006)
- Clinical and Translational Science Award (CTSA) Grant (UL1 TR000448)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- telemedicine, type 2 diabetes, peripheral neuropathy, older adults, technology requirements, internet access, device accessibility, HbA1c testing, chair stand test, wearable activity monitoring, balance, self-efficacy, depression, quality of life, COVID-19 pandemic
- MeSH terms
- COVID-19, SARS-CoV-2, Aged, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Longitudinal Studies, Male, Middle Aged, Peripheral Nervous System Diseases, Quality of Life, Telemedicine
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