Abstract:Scheduled bimonthly phone support does not improve the HbA1c level, admission rates, diabetes knowledge, psychological function, or self-management but is perceived by patients as helpful. Further study into the effects of more frequent but shorter periods of support for patients experiencing specific difficulties is needed.
“…Nineteen studies focused on disease knowledge as an outcome measure [42,43,45,47,48,[52][53][54][55]57,[61][62][63]66,71,73,76,78,82]. In general, SMI showed a trend in favor of intervention.…”
Adherence could be improved through interventions focused on medical management, provided individually in a clinical or home setting by a mono-disciplinary team. Interventions focused on dealing with a chronic condition might be provided individually, through telemedicine programs facilitating peer-support. These intervention elements seemed effective irrespective of diagnosis, and may therefore act as good starting points for further research into and for improvement of self-management support for youth with chronic conditions in pediatric care. Results underlined the need to systematically develop and evaluate self-management interventions, since this may provide more evidence for effectiveness and effective intervention components.
“…Nineteen studies focused on disease knowledge as an outcome measure [42,43,45,47,48,[52][53][54][55]57,[61][62][63]66,71,73,76,78,82]. In general, SMI showed a trend in favor of intervention.…”
Adherence could be improved through interventions focused on medical management, provided individually in a clinical or home setting by a mono-disciplinary team. Interventions focused on dealing with a chronic condition might be provided individually, through telemedicine programs facilitating peer-support. These intervention elements seemed effective irrespective of diagnosis, and may therefore act as good starting points for further research into and for improvement of self-management support for youth with chronic conditions in pediatric care. Results underlined the need to systematically develop and evaluate self-management interventions, since this may provide more evidence for effectiveness and effective intervention components.
“…Scheduled bimonthly telephone calls over 17 months from a pediatric diabetes educator did not improve glycemic control or reduce rates of hospital admission in 123 patients at a mean age of 12 years. 61 A more ambitious program consisted of a 6-month home-based intervention for 37 adolescents with poorly controlled T1DM (HbA 1c >9.0%), involving monthly home visits and weekly phone contact. 62 In comparison to 32 adolescents in routine care only, there was a modest improvement in HbA 1c , from 11.1% to 9.7% at 6 months, that was not maintained at 12 and 18 months.…”
“…But increasing patient knowledge was seen in intervention groups in both studies. It seems most information technology based interventions had a great positive effect on DSMS [15, 18, 20, 25, 35, 50, 52, 60, 68]. …”
ObjectiveTo review published evidences about using information technology interventions in diabetes care and determine their effects on managing diabetes.DesignSystematic review of information technology based interventions.Research design and methodsMEDLINE®/PubMed were electronically searched for articles published between 2004/07/01 and 2014/07/01. A comprehensive, electronic search strategy was used to identify eligible articles.Inclusion criteria were defined based on type of study and effect of information technology based intervention in relation to glucose control and other clinical outcomes in diabetic patients. Studies must have used a controlled design to evaluate an information technology based intervention.A total of 3613 articles were identified based on the searches conducted in MEDLINE from PubMed. After excluding duplicates (n = 6), we screened titles and abstracts of 3607 articles based on inclusion criteria. The remaining articles matched with inclusion criteria (n = 277) were reviewed in full text, and 210 articles were excluded based on exclusion criteria. Finally, 67 articles complied with our eligibility criteria and were included in this study.ResultsIn this study, the effect of various information technology based interventions on clinical outcomes in diabetic patients extracted and measured from selected articles is described and compared to each other.ConclusionInformation technology based interventions combined with the usual care are associated with improved glycemic control with different efficacy on various clinical outcomes in diabetic patients.
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