兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

The impact of telehealth on self-management of patients with type 2 diabetes: A systematic review on interventional studies

2022-05

BACKGROUND AND AIMS: Self-management is critical to manage the glycemic and metabolic outcomes for patients with diabetes. Telehealth applications are recognized as a potential approach to promote self-management of people with type 2 diabetes. This study aimed to investigate the impact of telehealth on self-management among patients with type 2 diabetes. METHODS: A systematic review was conducted on several databases, including PubMed, EbscoHost Medline, and Science Direct, with the keywords: Diabetes Mellitus AND Mobile-phone based OR Telemedicine OR Telehealth OR Web-based OR Telenursing AND Self-management. Inclusion criteria were articles with type 2 diabetic respondents, published between 2015 and 2020, open-access articles, and had self-management as outcomes. Hence, qualitative, protocol, or review articles, commentaries, letters to editors, and case study/reports were excluded. The Joanna Briggs Institute critical appraisal tools and Cochrane collaboration's tools were used for assessing risk of bias. RESULTS: The total of six studies were included in the qualitative synthesis, with five randomized control trials and one cross-sectional study. Telehealth applications were formed as an online or app-based platform with the key features of educational programs, text or voice messages, consultations and counseling, and active participation of the subjects. Besides improving the self-management outcomes, the telehealth also indicated improvements in positive behaviors, attitudes, and the intention of self-management. CONCLUSION: The study concluded that implementation of telehealth provided positive self-management results among patients with type 2 diabetes. The users need to consider an intensive training, peer or family support, and provision of full support for the patients during the implementation of telehealth.

研究类型
系统评价
人群
混合人群
主题
["技术资源","医疗护理","慢性非传染性疾病"]
作者
I Made Cahyadi Agastiya , Endar Kurianto , Hanifati Akalili , Anggi Lukman Wicaksana
国家
Indonesia
关键词
Diabetes outcome; Digital health; Self-management; Telehealth; Type 2 diabetes
来源期刊
Diabetes Metab Syndr .
发布日期
2022-05
相关网址
https://www.healthsystemsevidence.org/articles/62fe6fc6ef088708d8e0e012-the-impact-of-telehealth-on-self-management-of-patients-with-type-2-diabetes-a-systematic-review-on-interventional-studies?source=saved_email
DOI
10.1016/j.dsx.2022.102485
学科领域
DiseasesNon-communicable diseasesDiabetes