Effectiveness of smartphone technologies on glycaemic control in patients with type 2 diabetes: systematic review with meta-analysis of 17 trials
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AbstractPatient 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.
Acceptance Date13/12/2017
All Author(s) ListWu IXY, Kee JCY, Threapleton DE, Ma RCW, Lam VCK, Lee EKP, Wong SYS, Chung VCH
Journal nameObesity Reviews
Volume Number19
Issue Number6
Pages825 - 838
LanguagesEnglish-United Kingdom
Keywordsmeta-analysis, mobile applications, smartphone, Type 2 diabetes mellitus

Last updated on 2021-19-01 at 02:26