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*Dagens forskningsoversigt fra Scias Update:*
A Systematic Review of Application and Effectiveness of mHealth
Interventions for Obesity and Diabetes Treatment and Self-Management.
Adv Nutr. 2017 May;8(3):449-462
Authors: Wang Y, Xue H, Huang Y, Huang L, Zhang D
Abstract
The use of mobile and wireless technologies and wearable devices for
improving health care processes and outcomes (mHealth) is promising for
health promotion among patients with chronic diseases such as obesity and
diabetes. This study comprehensively examined published mHealth
intervention studies for obesity and diabetes treatment and management to
assess their effectiveness and provide recommendations for future research.
We systematically searched PubMed for mHealth-related studies on diabetes
and obesity treatment and management published during 2000-2016. Relevant
information was extracted and analyzed. Twenty-four studies met inclusion
criteria and varied in terms of sample size, ethnicity, gender, and age of
the participating patients and length of follow-up. The mHealth
interventions were categorized into 3 types: mobile phone text messaging,
wearable or portable monitoring devices, and applications running on
smartphones. Primary outcomes included weight loss (an average loss ranging
from -1.97 kg in 16 wk to -7.1 kg in 5 wk) or maintenance and blood glucose
reduction (an average decrease of glycated hemoglobin ranging from -0.4% in
10 mo to -1.9% in 12 mo); main secondary outcomes included behavior changes
and patient perceptions such as self-efficacy and acceptability of the
intervention programs. More than 50% of studies reported positive effects
of interventions based on primary outcomes. The duration or length of
intervention ranged from 1 wk to 24 mo. However, most studies included
small samples and short intervention periods and did not use rigorous data
collection or analytic approaches. Although some studies suggest that
mHealth interventions are effective and promising, most are pilot studies
or have limitations in their study designs. There is an essential need for
future studies that use larger study samples, longer intervention (≥ 6 mo)
and follow-up periods (≥ 6 mo), and integrative and personalized innovative
mobile technologies to provide comprehensive and sustainable support for
patients and health service providers.
PMID: 28507010
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
<https://www.ncbi.nlm.nih.gov/home/about/policies>.
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Du kan også finde ovenstående abstract på *Facebook*
<http://evidens.link/2BhB4hI> eller *PubMed* <http://fsv.link/2BLSfsJ>.
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