TY - JOUR
T1 - The impact of online self-management interventions on midlife adults with type 2 diabetes
T2 - A systematic review
AU - Celik, Aycan
AU - Forde, Rita
AU - Sturt, Jackie
PY - 2020/3/12
Y1 - 2020/3/12
N2 - Background: Online self-management education programmes are now recommended for people with type 2 diabetes to improve self-management capacities. There is limited evidence to determine whether such programmes improve the health outcomes for midlife adults with diabetes. Aims: The purpose of this systematic review was to assess the impact of online self-management interventions with digital consulting on glycated haemoglobin (HbA1c), total cholesterol, blood pressure, diabetes distress, self-efficacy, and depression in midlife adults. Methods: A systematic review was undertaken searching Medline, Embase and CINAHL. Studies were appraised using the Cochrane Collaboration's tool. Results: Eight studies were included. Online interventions resulted in the improvement of HbA1c (pooled mean difference on HbA1c: -0.35%, 95% CI (-0.52, -0.18), P<0.001). A narrative synthesis was conducted for all secondary outcomes. No conclusions could be drawn on the impact of these outcomes. Conclusion: Online interventions improve HbA1c. Further research is needed for secondary outcomes.
AB - Background: Online self-management education programmes are now recommended for people with type 2 diabetes to improve self-management capacities. There is limited evidence to determine whether such programmes improve the health outcomes for midlife adults with diabetes. Aims: The purpose of this systematic review was to assess the impact of online self-management interventions with digital consulting on glycated haemoglobin (HbA1c), total cholesterol, blood pressure, diabetes distress, self-efficacy, and depression in midlife adults. Methods: A systematic review was undertaken searching Medline, Embase and CINAHL. Studies were appraised using the Cochrane Collaboration's tool. Results: Eight studies were included. Online interventions resulted in the improvement of HbA1c (pooled mean difference on HbA1c: -0.35%, 95% CI (-0.52, -0.18), P<0.001). A narrative synthesis was conducted for all secondary outcomes. No conclusions could be drawn on the impact of these outcomes. Conclusion: Online interventions improve HbA1c. Further research is needed for secondary outcomes.
KW - Glycatedhaemoglobin
KW - HbA1c
KW - Online education programmes
KW - Patient self-management
KW - Type 2 diabetes
UR - http://www.scopus.com/inward/record.url?scp=85081955976&partnerID=8YFLogxK
U2 - 10.12968/bjon.2020.29.5.266
DO - 10.12968/bjon.2020.29.5.266
M3 - Review article
C2 - 32167825
AN - SCOPUS:85081955976
SN - 0966-0461
VL - 29
SP - 266
EP - 272
JO - British Journal of Nursing
JF - British Journal of Nursing
IS - 5
ER -
