Abstract P289: Effects of Dietary App-Supported Tele-Counseling on Sodium Intake, Diet Quality, and Blood Pressure in Patients With Diabetes and Kidney Disease

Chang, Alex R.; Bailey‐Davis, Lisa; Yule, Christina; Kwiecen, Sara; Graboski, Elisabeth; Juraschek, Stephen P; Krekel, Caitlin; Collins, Charlotte; Anderson, Cheryl A.M.

doi:10.1161/circ.139.suppl_1.p289

Cited by 2 publications

(12 citation statements)

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“…The full-text screening involved assessing 447 articles, of which 406 (90.8%) were deemed ineligible because the studies did not meet the inclusion criteria (n=258, 63.7%); were literature reviews, editorials, or letters (n=141, 34.8%); or the full texts were inaccessible (n=7, 1.7%; Figure 1 ). Thus, of the 3755 articles identified from the database searches, 42 (1.12%) were ultimately included in this scoping review ( Multimedia Appendix 3 [ 29 - 70 ]). The qualitative analysis of the 42 articles using NVivo (release 1.7) yielded the coding of 1520 references, divided among 113 codes.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 42 studies, 21 (50%) included physicians [ 29 - 32 , 36 , 40 - 42 , 45 , 47 - 51 , 53 , 58 , 60 , 64 , 66 , 68 , 69 ], 16 (38%) involved dietitians [ 29 , 31 , 33 , 35 , 39 , 43 , 46 , 54 , 56 , 59 , 60 , 65 , 68 - 70 , 72 ], 12 (29%) involved nurses [ 31 , 32 , 36 , 41 , 55 , 58 - 62 , 68 , 69 ], 4 (10%) involved psychologists [ 31 , 33 , 67 , 69 ], 4 (10%) involved physical educators [ 29 , 33 , 35 , 60 ], and 3 (7%) involved case managers [ 36 , 60 , 68 ]. Finally, of the 42 studies, 13 (31%) involved a multidisciplinary team [ 29 , 31 - 33 , 35 , 36 , 41 , 58 - 60 , 68 , 69 , 72 ], and 22 (52%) involved only 1 clinician [ 30 , 39 , 40 , ...…”

Section: Resultsmentioning

confidence: 99%

“…The interventions under study involved the use of a mobile app [ 29 - 34 , 36 - 39 , 41 - 46 , 49 , 51 - 53 , 55 , 59 - 65 , 67 , 69 , 70 ] or a web portal [ 32 , 35 , 36 , 40 - 42 , 44 , 45 , 47 , 48 , 52 , 57 , 58 , 60 , 63 , 66 - 68 , 70 ], usually coupled with a blood glucose meter to optimize diabetes self-management [ 37 , 38 , 40 , 41 , 43 , 44 , 46 , 48 - 51 , 53 , 55 , 57 , 59 - 64 , 68 , 69 ]. Other Bluetooth-connected devices were used in some of the interventions (10/42, 24%), such as a Bluetooth-connected weight scale [ 31 , 40 , 42 , 43 , 46 , 48 ], a pedometer [ 40 , 43 , 45 ], an accelerometer [ 33 , 42 ], a Bluetooth-connected smartwatch [ 49 ], and a tensiometer [ 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…On the basis of our analysis of the literature, we classified the key digital tool features that can have a positive impact on intervention outcomes into eight categories: (1) monitoring of glycemia levels, (2) diet monitoring, (3) physical activity monitoring, (4) medication monitoring, (5) therapeutic education, (6) health professional support, (7) other health data monitoring, and (8) health care management ( Multimedia Appendix 5 [ 29 - 70 ]).…”

Section: Resultsmentioning

confidence: 99%

“…The health professionals evaluated diet quality using the shared data or validated questionnaires (eg, the Healthy Eating Index). The studies reported a better understanding of nutritional issues, greater confidence in maintaining a healthy diet, and an improvement in dietary behavior [ 30 , 31 , 40 , 41 , 44 , 61 , 68 , 70 ].…”

Section: Resultsmentioning

confidence: 99%

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The Key Digital Tool Features of Complex Telehealth Interventions Used for Type 2 Diabetes Self-Management and Monitoring With Health Professional Involvement: Scoping Review

Mannoubi,

Kairy,

Menezes

et al. 2024

JMIR Med Inform

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Background Therapeutic education and patient self-management are crucial in diabetes prevention and treatment. Improving diabetes self-management requires multidisciplinary team intervention, nutrition education that facilitates self-management, informed decision-making, and the organization and delivery of appropriate health care services. The emergence of telehealth services has provided the public with various tools for educating themselves and for evaluating, monitoring, and improving their health and nutrition-related behaviors. Combining health technologies with clinical expertise, social support, and health professional involvement could help persons living with diabetes improve their disease self-management skills and prevent its long-term consequences. Objective This scoping review’s primary objective was to identify the key digital tool features of complex telehealth interventions used for type 2 diabetes or prediabetes self-management and monitoring with health professional involvement that help improve health outcomes. A secondary objective was to identify how these key features are developed and combined. Methods A 5-step scoping review methodology was used to map relevant literature published between January 1, 2010 and March 31, 2022. Electronic searches were performed in the MEDLINE, CINAHL, and Embase databases. The searches were limited to scientific publications in English and French that either described the conceptual development of a complex telehealth intervention that combined self-management and monitoring with health professional involvement or evaluated its effects on the therapeutic management of patients with type 2 diabetes or prediabetes. Three reviewers independently identified the articles and extracted the data. Results The results of 42 studies on complex telehealth interventions combining diabetes self-management and monitoring with the involvement of at least 1 health professional were synthesized. The health professionals participating in these studies were physicians, dietitians, nurses, and psychologists. The digital tools involved were smartphone apps or web-based interfaces that could be used with medical devices. We classified the features of these technologies into eight categories, depending on the intervention objective: (1) monitoring of glycemia levels, (2) physical activity monitoring, (3) medication monitoring, (4) diet monitoring, (5) therapeutic education, (6) health professional support, (7) other health data monitoring, and (8) health care management. The patient-logged data revealed behavior patterns that should be modified to improve health outcomes. These technologies, used with health professional involvement, patient self-management, and therapeutic education, translate into better control of glycemia levels and the adoption of healthier lifestyles. Likewise, they seem to improve monitoring by health professionals and foster multidisciplinary collaboration through data sharing and the development of more concise automatically generated reports. Conclusions This scoping review synthesizes multiple studies that describe the development and evaluation of complex telehealth interventions used in combination with health professional support. It suggests that combining different digital tools that incorporate diabetes self-management and monitoring features with a health professional’s advice and interaction results in more effective interventions and outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The Key Digital Tool Features of Complex Telehealth Interventions Used for Type 2 Diabetes Self-Management and Monitoring With Health Professional Involvement: Scoping Review

Mannoubi,

Kairy,

Menezes

et al. 2024

JMIR Med Inform

View full text Add to dashboard Cite

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The Key Digital Tool Features of Complex Telehealth Interventions Used for Type 2 Diabetes Self-Management and Monitoring With Health Professional Involvement: Scoping Review (Preprint)

Mannoubi¹,

Kairy²,

Vachon³

et al. 2023

Preprint

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BACKGROUND Therapeutic education and patient self-management are crucial in diabetes prevention and treatment. Improving diabetes self-management requires a multidisciplinary team intervention, nutrition education that facilitates self-management, informed decision-making, and the organization and delivery of appropriate healthcare services. The emergence of telehealth services has provided the public with various tools for educating themselves, evaluating, monitoring, and improving their health- and nutrition-related behaviours. Combining health technologies with clinical expertise, social support, and health professional involvement could help persons living with diabetes improve their disease self-management skills and prevent its long-term consequences. OBJECTIVE The primary objective of this scoping review was to identify the key digital-tool features of complex telehealth interventions used for type 2 diabetes or prediabetes self-management and monitoring with health professional involvement that help improve health outcomes. A secondary objective was to identify how these key features are developed and combined. METHODS A 5-step scoping review methodology following Arksey and O'Malley's methodology was used to map relevant literature published between January 2010 and March 2022. Electronic searches were performed in Medline, CINAHL, and Embase databases. The searches were limited to scientific publications in English and French that either described the conceptual development of a complex telehealth intervention combining self-management and monitoring with health professional involvement or evaluated its effects on the therapeutic management of patients with type 2 diabetes or prediabetes. Three reviewers independently identified the articles to be reviewed and extracted the data. RESULTS This review synthesizes the results of 42 studies on complex telehealth interventions combining diabetes self-management and monitoring with the involvement of at least one health professional. The health professionals participating in these studies were physicians, dietitians, and nurses. The digital tools involved were smartphone apps or web-based interfaces that could be used with medical devices (for example, a Bluetooth-connected blood glucose meter). We classified the features of these technologies into eight categories, depending on the intervention objective: 1- Glycemic monitoring, 2- Physical activity monitoring, 3- Medication monitoring, 4- Diet monitoring, 5- Therapeutic education, 6- Health professional support, 7- Other health data monitoring, and 8- Healthcare management. The patient-logged data revealed behaviour patterns that should be modified to improve health outcomes. These technologies, used with health professional involvement, patient self-management and therapeutic education, translate into better glycemic control and the adoption of healthier lifestyles. Likewise, they appear to improve monitoring by health professionals and foster multidisciplinary collaboration through data sharing and the development of more concise, automatically generated reports. CONCLUSIONS This scoping review shows that complex telehealth interventions help improve diabetes self-management and monitoring with health professional involvement. It suggests that combining digital tools incorporating diabetes self-management and monitoring features with a health professional’s advice and interaction results in more effective interventions and outcomes.

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Abstract P289: Effects of Dietary App-Supported Tele-Counseling on Sodium Intake, Diet Quality, and Blood Pressure in Patients With Diabetes and Kidney Disease

Cited by 2 publications

References 0 publications

The Key Digital Tool Features of Complex Telehealth Interventions Used for Type 2 Diabetes Self-Management and Monitoring With Health Professional Involvement: Scoping Review

The Key Digital Tool Features of Complex Telehealth Interventions Used for Type 2 Diabetes Self-Management and Monitoring With Health Professional Involvement: Scoping Review

The Key Digital Tool Features of Complex Telehealth Interventions Used for Type 2 Diabetes Self-Management and Monitoring With Health Professional Involvement: Scoping Review (Preprint)

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