手机App对2型糖尿病患者血糖控制和行为管理效果的Meta分析

Abstract
Figure/Table
References (24)
Related Citation (15)

Download: PDF (0 KB) HTML (44 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To comprehensively evaluate the effectiveness of applying mobile App on blood glucose control and behavior management in patients with type 2 diabetes in foreign countries by using Meta-analysis.Methods PubMed,Cochrane Library,Web of Science,OVID,MEDLINE,EMBASE with the keywords as “type 2 diabetes/T2DM,mobile health/telehealth/mHealth/smartphone,App/application,and self-management” were searched.The literature retrieving from these databases were limited to April 28,2018.Revman 5.3 software was used for statistical analysis.Results A total of 13 studies were included with the involvement of 1217 subjects.Meta-analysis showed that the hemoglobin A1c(HbA1c) level was significantly improved after the intervention of the mobile App in the observation group (MD=-0.41,95% CI： -0.56： -0.25,P＜0.000 01).Mobile App had a good effect on patient diet management (MD=1.58,95%CI：0.26-2.90,P=0.02).In terms of patient′s exercise management and medication compliance,the effect of the mobile App was not superior to regular care (MD=0.49,95%CI： -0.97-1.94,P=0.51;MD=-0.31,95%CI： -2.10-1.49,P=0.74).Subgroup analysis showed that the HbA1c levels in the observation group were significantly lower than those in the control group after 3,6,9,and 12-month intervention (P＜0.05),and there was no statistical difference between the different durations of intervention (P＞0.05).Conclusion Mobile App intervention can effectively improve glycosylated hemoglobin levels in patients with type 2 diabetes,but the duration of intervention has no effect on glycemic control.The mobile App improves patients′ diet management but has no obvious advantage in exercise and medication.

Key words： Type 2 diabetes Mobile App Health education Glycemic control Meta-analysis

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LUO Sha
	LI Jun-wen
	CAO Lu-lu
	WEN Yi3
	YANG Jun

Cite this article:

LUO Sha,LI Jun-wen,CAO Lu-lu, et al. Meta-analysis on the effect of blood glucose control and behavior management in patients with type 2 diabetes using mobile App[J]. 中国当代医药, 2019, 26(27): 12-16.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I27/12

[6]	Wang J，Cai C,Padhye N，et al.A behavioral lifestyle intervention enhanced with multiple-behavior self-monitoring using mobile and connected tools for underserved individuals with type 2 diabetes and comorbid overweight or obesity：pilot comparative effectiveness trial[J].JMIR Mhealth Uhealth，2018，6（4）：e92.
[7]	Torbjrnsen A，Jenum AK，Smastuen MC，et al.A low-intensity mobile health intervention with and without health counseling for persons with type 2 diabetes，part 1：baseline and short-term results from a randomized controlled trial in the Norwegian part of renewing health[J].JMIR Mhealth Uhealth，2014，2（4）：e52.
[8]	Holmen H，Torbj rnsen A，Wahl AK，et al.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[J].JMIR Mhealth Uhealth，2014，2（4）：e57.
[9]	Orsama AL，Harno K，Kulju M，et al.Active assistance technology reduces glycosylated hemoglobin and weight in individuals with type 2 diabetes：results of a theory-based randomized trial[J].Diabetes Technol Ther，2013，15（8）：662-669.
[10]	Quinn CC，Shardell MD，Terrin ML，et al.Cluster-randomized trial of a mobile phone personalized behavioral intervention for blood glucose control[J].Diabetes Care，2011，34（9）：1934.
[21]	Greenwood DA，Gee PM，Fatkin KJ，et al.A systematic review of reviews evaluating technology-enabled diabetes self-management education and support[J].J Diabetes Sci Technol，2017,11（5）：1015-1027.
[22]	Fan L，Sidani S.Effectiveness of diabetes self-management education intervention elements：a meta-analysis[J].Can J Diabetes，2009，33（1）：18-26.
[23]	Doocy S，Paik KE，Lyles E，et al.Guidelines and mhealth to improve quality of hypertension and type 2 diabetes care for vulnerable populations in lebanon：longitudinal cohort study[J].JMIR Mhealth Uhealth，2017，5（10）：e158.
[11]	Waki K，Fujita H，Uchimura Y，et al.DialBetics：a novel smartphone-based self-management support system for type 2 diabetes patients[J].J Diabetes Sci Technol，2014，8（2）：209.
[12]	Kerstin K，Altpeter B，Berger J，et al.Efficacy of the telemedical lifestyle intervention program TeLiPro in advanced stages of type 2 diabetes：a randomized controlled trial[J].Diabetes Care，2017，40（7）：863-871.
[1]	IDF DIABETES ATLAS-8TH EDITION：http：//diabetesatlas.org/resources/2017-atlas.html
[2]	Rafael H.Etiology and pathophysiology of type 2 diabetes mellitus[J].Revista Mexicana De Cardiologia，2011，22（1）：39-43.
[3]	Lakerveld J，Bot SD，Chinapaw MJ，et al.Motivational interviewing and problem-solving treatment to reduce type 2 diabetes and cardiovascular disease risk in real life：a randomized controlled trial[J].Int J Behav Nutr Phys Act，2013，10（1）：47.
[4]	Griauzde DH，Kullgren JT，Liestenfeltz B，et al.A mobile phone-based program to promote healthy behaviors among adults with prediabetes：study protocol for a pilot randomized controlled trial[J].Pilot Feasibility Stud，2018，4（1）：48.
[5]	Desveaux L，Shaw J，Saragosa M，et al.A mobile app to improve self-management of individuals with type 2 diabetes：qualitative realist evaluation[J].J Med Internet Res，2018，20（3）：e81.
[13]	Faridi Z，Liberti L，Shuval K，et al.Evaluating the impact of mobile telephone technology on type 2 diabetic patients′self-management：the NICHE pilot study[J].J Eval Clin Pract，2008，14（3）：465-469.
[14]	Kleinman NJ，Shah A，Shah S，et al.Improved medication adherence and frequency of blood glucose self-testing using an m-health platform versus usual care in a multisite randomi zed clinical trial among people with type 2 diabetes in India[J].Telemed J E Health，2017，23（9）：733-740.
[15]	Quinn CC，Clough SS，Minor JM，et al.WellDoc mobile diabetes management randomized controlled trial： change in clinical and behavioral outcomes and patient and physician satisfaction[J].Diabetes Technol Ther，2008，10（3）：160-168.
[16]	Hsu WC，Lau KH，Huang R，et al.Utilization of a cloudbased diabetes management program for insulin initiation and titration enables collaborative decision making between healthcare providers and patients[J].Diabetes Technol Ther，2016，18（2）：59-67.
[17]	Quinn CC，Shardell MD，Terrin ML，et al.Mobile diabetes intervention for glycemic control in 45- to 64-Year-Old persons with type 2 diabetes[J].J Appl Gerontol，2014，35（2）：227.
[18]	Rodríguez-Idígoras MI，Sepúlveda-Munoz J，Sánchez-Garridoe-Ecudero R，et al.Telemedicine influence on the followup of type 2 diabetes patients[J].Diabetes Technol Ther，2009，11（7）：431-437.
[19]	Cui M，Wu X，Mao J，et al.T2DM self-management via smartphone applications：a systematic review and metaanalysis[J].PLoS One，2016，11（11）：e0166718.
[20]	Pal K，Eastwood SV，Michie S，et al.Computer-based interventions to improve self-management in adults with type 2 diabetes：a systematic review and meta-analysis[J].Diabetes Care，2014，37（6）：1759.
[24]	Weegen SVD，Verwey R，Spreeuwenberg M，et al.It′s life!mobile and web-based monitoring and feedback tool embedded in primary care increases physical activity：a cluster randomized controlled trial[J].J Med Internet Res，2015，17（7）：e184.