Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis

Liang, Xiaohua; Wang, Q; Yang, Xian; Cao, Jie; Chen, J; Mo, Xing‐Bo; Huang, Jianfeng; Wang, L; Gu, Dongfeng

doi:10.1111/j.1464-5491.2010.03180.x

Cited by 477 publications

(462 citation statements)

References 45 publications

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“…Piette et al kontrol grubuna göre 12 ay telefonla takip edilen ve sesli mesajla izlenen 124 diyabetli bireyin AKŞ düzeylerinin anlamlı ölçüde azaldığını (41 mg/dl) bildirmişlerdir (28). Kim & Jeong telefonla takip ettikleri ve sesli mesajla 3 ay izledikleri diyabetli bireylerin kontrol grubuna göre AKŞ ve TKŞ düzeylerinde azalma olmakla birlikte, aralarında istatistiksel olarak anlamlı bir fark olmadığını Tab lo 3: Araştırma gruplarına göre ÇBDÖ'nin alt boyutlarının önceki ve 12 hafta sonraki puanlarının dağılımı (n=120) (12,13,27,28,32,33,34,35,36,37), bulgumuz önceki çalışma sonuçlarını doğrulamaktadır. Bununla birlikte NICHE çalışmasında 12 haftalık izlem sonunda gruplar arasında HbA1c düzeylerin-de anlamlı bir fark olmadığını bildirilmiştir (38).…”

Section: Discussionunclassified

Follow-up of Patients with Type 2 Diabetes via Cell Phone: Randomized Controlled Trial

Sezgin¹,

Çınar²

2013

MUSBED

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Tip 2 diyabetli hastaların cep telefonu ile takibi: randomize kontrollü çalışma Amaç: Tip 2 diyabetli hastalarda diyabet eğitiminin ve telefonkısa mesaj (SMS) ile yapılan uyarı ve takibin bilişsel-sosyal faktörlere ve metabolik değişkenler üzerine etkisi olup olmadığını değerlendirmektir. Yöntem: 120 diyabetli birey randomize seçilerek 40'ar kişilik kontrol, eğitim ve telefonla takip-SMS grupları oluşturuldu. Eğitim sonrası telefon-SMS ile girişim grubunun kan glukoz konsantrasyonunu normale (HbA1c<%7) yaklaştırmak için sosyal ve bilişsel destek verilmesi 12 hafta süreli olarak planlandı. Bulgular: 12 hafta sonra HbA1c'de SMS (-%1.8), eğitim (-%0.58) ve kontrol (-%0.59) gruplarında düştü. Açlık kan şekeri SMS (-38mg/dl) ve kontrol (-36mg/dl), Tokluk kan şekeri sadece SMS (-52mg/dl), sistolik kan basıncı SMS ve eğitim gruplarında düştü. Üç grubun da ciddiyet ve özyeterlilik puanı artarken, destek puanı sadece kontrol grubunda, sonuç beklentisi puanı SMS ve eğitim gruplarında arttı. Yanlış yönlendirmeye dayalı destek ve engel puanları ise sadece SMS grubunda düştü. Grupların ciddiyet ve destek ile özyeterlilik ve sonuç beklentisi puanları arasında pozitif ilişki bulundu. Sonuç: Cep telefonu-SMS ile hemşire tarafından diyabetli bireylerin takibi ve yönetimi optimal glisemik kontrolü ve bilişsel-sosyal hasta uyumu sağlanmasında başarılı olmuştur. Anahtar sözcükler: cep telefonu, eğitim, glikolize hemoglobin, gelişmiş hemşirelik uygulamaları, hasta uyumu, hemşire takibi, kısa mesaj servisi, tip 2 diyabet ABS TRACTFollow-up of patients with type 2 diabetes via cell phone: randomized controlled trial Objective: To evaluate whether diabetes education and nurse follow up via phone call-SMS have an impact on metabolic parameter and social factors of type 2 diabetic patients. Method: 120 diabetic patients were randomly selected and formed control, education and short message service (SMS) follow up groups that each contains 40 patients. After giving education to phone call-SMS group, in an attempt to get HbA1c level closer to normal value (<%7), it was planned to give social and cognitive support for 12 weeks. Results: At the end of 12 weeks, glycosylated hemoglobin (HbA1c) dropped (1.8%) in intervention, (0.58%) education and (0.59%) in control group. Fasting blood glucose dropped 38 mg/ dl in the phone call-SMS group, 36mg/dl in the control group, post prandial glucose dropped in only phone call SMSgroup (52 mg/dl); sistolic pressure dropped both phone call-SMS and education groups. While scores of severity and self efficiency increased in every three groups, scores of support increased only in control group, outcome expectation scores increased both phone call-SMS and education groups.12 weeks. Scores of positive misguided reinforcing behavior dropped only in phone call-SMS group. A positive relationship was found between severity -support and self efficiacy-outcome expectation scores of the groups. Conclusion: Follow up and management of diabetic patients by nurse via SMS and mobile phone have given successful result on...

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Section: Discussionunclassified

Follow-up of Patients with Type 2 Diabetes via Cell Phone: Randomized Controlled Trial

Sezgin¹,

Çınar²

2013

MUSBED

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“…A recent review focused on the effect of mobile phone interventions for diabetes on glycemic control (29) and carried out a meta-analysis of 22 trials with 1,657 participants. This showed that mobile phone interventions for diabetes self-management reduced HbA 1c values by a mean of 6 mmol/mol or 0.5% (95% CI 0.3 to 0.7) over a median follow-up duration of 6 months.…”

Section: The Impact Of Mobile Phone Interventionsmentioning

confidence: 99%

Computer-Based Interventions to Improve Self-management in Adults With Type 2 Diabetes: A Systematic Review and Meta-analysis

et al. 2014

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OBJECTIVEStructured patient education programs can reduce the risk of diabetes-related complications. However, people appear to have difficulties attending face-to-face education and alternatives are needed. This review looked at the impact of computerbased diabetes self-management interventions on health status, cardiovascular risk factors, and quality of life of adults with type 2 diabetes. RESEARCH DESIGN AND METHODSWe searched The Cochrane Library, Medline, Embase, PsycINFO, Web of Science, and CINAHL for relevant trials from inception to November 2011. Reference lists from relevant published studies were screened and authors contacted for further information when required. Two authors independently extracted relevant data using standard data extraction templates. RESULTSSixteen randomized controlled trials with 3,578 participants met the inclusion criteria. Interventions were delivered via clinics, the Internet, and mobile phones. Computerbased diabetes self-management interventions appear to have small benefits on glycemic control: the pooled effect on HbA 1c was 20.2% (22.3 mmol/mol [95% CI 20.4 to 20.1%]). A subgroup analysis on mobile phone-based interventions showed a larger effect: the pooled effect on HbA 1c from three studies was 20.50% (25.46 mmol/mol [95% CI 20.7 to 20.3%]). There was no evidence of improvement in depression, quality of life, blood pressure, serum lipids, or weight. There was no evidence of significant adverse effects. CONCLUSIONSComputer-based diabetes self-management interventions to manage type 2 diabetes appear to have a small beneficial effect on blood glucose control, and this effect was larger in the mobile phone subgroup. There was no evidence of benefit for other biological, cognitive, behavioral, or emotional outcomes.The burden of diabetes is growing, with 347 million people currently affected worldwide (1) and numbers projected to increase to 552 million by 2030 (2). The International Diabetes Federation suggests that in the developed world, the cost of caring for patients with diabetes is double that of the background population, and

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“…However, there is a paucity of similar data in patients with type 2 diabetes. Previous systematic reviews of telecare intervention in type 2 diabetes have assessed the usage of web-based systems (5,6) or mobile phones (7,8) separately to monitor diabetes care. Some of the reviews have considered telecare intervention contents, technologies, and frequencies, but they did not consider adequately the usage of combination technologies in practice, the nature of feedback receipt in telecare, the ethnic differences, etc.…”

Section: Introductionmentioning

confidence: 99%

MANAGEMENT OF ENDOCRINE DISEASE: Effects of telecare intervention on glycemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials

Huang

Hong

Meng

et al. 2015

European Journal of Endocrinology

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Objective: To review the published literature on the effects of telecare intervention in patients with type 2 diabetes and inadequate glycemic control. Design and methods: A review of randomized controlled trials on telecare intervention in patients with type 2 diabetes, and a search of electronic databases such as The Cochrane Library, PubMed, EBSCO, CINAHL, Science Direct, Journal of Telemedicine and Telecare, and China National Knowledge Infrastructure (CNKI), were conducted from December 8 to 16, 2013. Two evaluators independently selected and reviewed the eligible studies. Changes in HbA1c, fasting plasma glucose (FPG), post-prandial plasma glucose (PPG), BMI, and body weight were analyzed. Results: An analysis of 18 studies with 3798 subjects revealed that telecare significantly improved the management of diabetes. Mean HbA1c values were reduced by K0.54 (95% CI, K0.75 to K0.34; P!0.05), mean FPG levels by K9.00 mg/dl (95% CI, K17.36 to K0.64; PZ0.03), and mean PPG levels reduced by K52.86 mg/dl (95% CI, K77.13 to K28.58; P!0.05) when compared with the group receiving standard care. Meta-regression and subgroup analyses indicated that study location, sample size, and treatment-monitoring techniques were the sources of heterogeneity. Conclusions: Patients monitored by telecare showed significant improvement in glycemic control in type 2 diabetes when compared with those monitored by routine follow-up. Significant reduction in HbA1c levels was associated with Asian populations, small sample size, and telecare, and with those patients with baseline HbA1c greater than 8.0%.

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Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis

Abstract: Results pooled from the included trials provided strong evidence that mobile phone intervention led to statistically significant improvement in glycaemic control and self-management in diabetes care, especially for Type 2 diabetes patients.

Cited by 477 publications

References 45 publications

Follow-up of Patients with Type 2 Diabetes via Cell Phone: Randomized Controlled Trial

Follow-up of Patients with Type 2 Diabetes via Cell Phone: Randomized Controlled Trial

Computer-Based Interventions to Improve Self-management in Adults With Type 2 Diabetes: A Systematic Review and Meta-analysis

MANAGEMENT OF ENDOCRINE DISEASE: Effects of telecare intervention on glycemic control in type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials

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