Dagens FSV-oversigt: Computer-based interventions to improve self-management in adults with type 2 diabetes: a systematic review and meta-analysis.
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- Date: Sat, 20 Dec 2014 11:10:21 -0000
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Dagens #fsvoversigt:
Computer-based interventions to improve self-management in adults with type 2
diabetes: a systematic review and meta-analysis.
Diabetes Care. 2014 Jun;37(6):1759-66
Authors: Pal K, Eastwood SV, Michie S, Farmer A, Barnard ML, Peacock R, Wood B,
Edwards P, Murray E
Abstract
OBJECTIVE: Structured 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 computer-based diabetes self-management interventions
on health status, cardiovascular risk factors, and quality of life of adults
with type 2 diabetes.
RESEARCH DESIGN AND METHODS: We 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.
RESULTS: Sixteen randomized controlled trials with 3,578 participants met the
inclusion criteria. Interventions were delivered via clinics, the Internet, and
mobile phones. Computer-based diabetes self-management interventions appear to
have small benefits on glycemic control: the pooled effect on HbA1c was -0.2%
(-2.3 mmol/mol [95% CI -0.4 to -0.1%]). A subgroup analysis on mobile
phone-based interventions showed a larger effect: the pooled effect on HbA1c
from three studies was -0.50% (-5.46 mmol/mol [95% CI -0.7 to -0.3%]). 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.
CONCLUSIONS: Computer-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.
PMID: 24855158 [PubMed - indexed for MEDLINE]
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
(http://www.ncbi.nlm.nih.gov/About/disclaimer.html).
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Se abstractet i PubMed: http://evidens.link/1ChBZGy
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