The effectiveness of mI SMART: A nurse practitioner led technology intervention for multiple chronic conditions in primary care.
Jennifer A Mallow, Laurie A Theeke, Elliott Theeke and 1 others
PMID 31406814WHAT IT FOUND
In adults with several chronic conditions, a 12-week nurse-led remote care bundle was paired with lower glucose and blood pressure.
Weight change was not clear. No control group means this is a signal, not proof.
Key findings
01After 12 weeks, mean random glucose, systolic blood pressure, diastolic blood pressure, and BMI showed significant reductions.
02Mean weight decreased to 207 lbs, but the change was not statistically significant.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 30 participants were enrolled, and some analyses included 29 participants. The study had no comparison group, so it cannot show that mI SMART caused the changes. Participants received many components together, including devices, internet data, video visits, education, reminders, and nurse feedback, so the contribution of any single component cannot be separated. Post-intervention survey response was only 9, so loneliness, depression, and quality of life could not be compared. The sample was a convenience sample from one free clinic serving low-income adults, so results may not apply to other rural populations.
Declared interests
The authors declare no conflicts of interest. Research support was from the Robert Wood Johnson Foundation Nurse Faculty Scholars Program Grant ID 72119.
The easy way to misread this
Do not conclude that mI SMART caused the improvements. The study had no comparison group and only 30 participants, so it cannot show that the intervention was responsible.