Abstract
AbstractBackgroundDigital delivery of lifestyle interventions offers a potentially effective, affordable, and convenient option for patients to prevent and monitor type 2 diabetes (T2D) (Khan et al., 2019). Hemoglobin A1c (A1c) is a measure used to monitor T2D progression. Standard of care- based approaches to encourage lifestyle modification have been shown to decrease A1c, yet high healthcare costs and travel-related barriers limit the accessibility of these strategies. Rising T2D rates globally underscore the immediate need to identify the most comparably effective options that decrease A1c and address disease prevention and management.ObjectivesThis systematic review examines the effectiveness of digital delivery of lifestyle interventions in decreasing A1c among adults globally both overall and compared to standard ofcare and monitoring only based approaches.MethodsBased on application of the Navigation Guide systematic review methodology, 10 studies conducted in eight countries met the inclusion criteria and were evaluated for bias, quality, and strength of evidence. Conclusions were drawn from evaluating quantitative results.ResultsA systematic review of the literature demonstrated sufficient evidence of an association between digital delivery of lifestyle interventions and decreased A1c trends. Research did not show significant differences in A1c changes among the intervention groups when compared to the standard of care and monitoring only based control groups.ConclusionsThese results indicate that while the digital delivery of lifestyle interventions is effective in lowering A1c levels in T2D patients, these interventions do not outperform standard of care and monitoring only based approaches to prevent and manage T2D.
Publisher
Cold Spring Harbor Laboratory
Reference22 articles.
1. Arora, S. , Peters, A. L. , Burner, E. , Lam, C. N. , & Menchine, M. (2014). Trial to examine text message–based mHealth in emergency department patients with diabetes (text-med): A randomized controlled trial. Annals of Emergency Medicine, 63(6). https://doi.org/10.1016/j.annemergmed.2013.10.012.
2. Bender, M. S. , Cooper, B. A. , Park, L. G. , Padash, S. , & Arai, S. (2017). A feasible and efficacious mobile-phone based lifestyle intervention for Filipino Americans with type 2 diabetes: Randomized Controlled Trial. JMIR Diabetes, 2(2). https://doi.org/10.2196/diabetes.8156
3. Higgins JPT , Green S , eds. 2011. Cochrane Handbook for Systematic Reviews of Interventions, Version 5.1.0 [updated March 2011]. Available: http://www.cochrane-handbook.org.
4. A digital lifestyle program in outpatient treatment of type 2 diabetes: A randomized controlled study;Journal of Diabetes Science and Technology,2020
5. Holmen, H. , Torbjørnsen, A. , Wahl, A. K. , Jenum, A. K. , SmÅstuen, M. C. , Årsand, E. , & Ribu, L. (2014). A mobile health intervention for self-management and lifestyle change for persons with type 2 diabetes, part 2: One-year results from the Norwegian randomized controlled trial Renewing Health. JMIR MHealth and UHealth, 2(4). https://doi.org/10.2196/mhealth.3882.