Wu, IXY, Kee, JCY, Threapleton, DE orcid.org/0000-0002-5884-3372 et al. (5 more authors) (2018) Effectiveness of smartphone technologies on glycaemic control in patients with type 2 diabetes: systematic review with meta-analysis of 17 trials. Obesity Reviews, 19 (6). pp. 825-838. ISSN 1467-7881
Abstract
Patient education and behavioural interventions for self-management of type 2 diabetes mellitus (T2DM) are effective but place demands on manpower resources. This systematic review aimed to investigate the effectiveness of smartphone technologies (STs) for improving glycaemic control among T2DM patients. CENTRAL, MEDLINE, Embase, CINAHL and ScienceDirect were searched through December 2016. Randomized controlled trials comparing STs with usual diabetes care among T2DM patients and reporting change in glycated haemoglobin (HbA1c) level were included. Seventeen trials (2,225 participants) were included. There was a significant reduction in HbA1c (pooled weighted mean difference: −0.51%; 95% confidence interval: −0.71% to −0.30%; p < 0.001), favouring ST intervention. The pooled weighted mean difference was −0.83% in patients with T2DM <8.5 years and −0.22% in patients with T2DM ≥8.5 years, with significant subgroup difference (p = 0.007). No subgroup differences were found among different follow-up durations, trial locations, patients' age, healthcare provider contract time, baseline body mass index and baseline HbA1c. Compared with usual diabetes care, STs improved glycaemic control among T2DM patients, especially for patients at earlier disease stages (duration of diagnosis <8.5 years). STs could be a complement or alternative to labour-intensive patient education and behavioural interventions, but more studies on up-to-date technologies are needed.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | meta-analysis; mobile applications; smartphone; Type 2 diabetes mellitus |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Environment (Leeds) > School of Food Science and Nutrition (Leeds) > FSN Nutrition and Public Health (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 25 Nov 2021 13:10 |
Last Modified: | 25 Nov 2021 13:10 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/obr.12669 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:180799 |