Areevut C.Sakmanarit J.Tachanivate P.Jerawatana R.Vittayakasemsont K.Pookate W.Kamnirdsittiseree P.Savetkairop B.Saibuathong N.Chanchat S.Mahidol University2023-06-182023-06-182022-11-01Asia-Pacific Journal of Public Health Vol.34 No.8 (2022) , 799-80310105395https://repository.li.mahidol.ac.th/handle/20.500.14594/85427This study aimed to compare the clinical outcomes and program satisfaction of diabetes self-management education and support (DSMES) for type 2 diabetes patients delivered by telehealth during COVID-19 pandemic to in-person delivery during pre-COVID-19. A retrospective case-controlled study was conducted (95 telehealth and 95 on-site). Differences in hemoglobin A1c (HbA1c) reductions between groups were analyzed by linear mixed-effects models, and satisfaction was collected. Compared with baseline, at the three-month follow-up, the HbA1c reductions of the telehealth and on-site DSMES were 1.20 ± 0.15% and 1.21 ± 0.15%, respectively (P <.001), whereas these were 1.28 ± 0.16% and 1.18 ± 0.15% at six-month follow-up, respectively (P <.001). There were no significant differences in HbA1c reduction between the two groups (P =.967 and.674 at three- and six-month follow-up). Majority of participants in both groups had high program satisfaction (telehealth 98.7% vs on-site 95.1%, P =.269). In conclusion, DSMES delivered via telehealth is as effective in lowering HbA1c as that delivered in-person, with a high satisfaction rate.MedicineArticleSCOPUS10.1177/101053952211260102-s2.0-851383361151941247936124368