Digital health interventions for improving mental health outcomes and wellbeing for youth with type 1 diabetes: A systematic review

Abstract

Digital health interventions are a promising alternative to face-to-face psychosocial interventions that may improve psychological outcomes in youth with diabetes. Several reviews have explored the efficacy of digital health interventions for adults and youth with some chronic health conditions; however, their efficacy among youth with type 1 diabetes is not known. This systematic review aims to assess digital health interventions targeting both psychological and physical health outcomes in youth with type 1 diabetes as well as to evaluate study quality and efficacy, and provide directions for future research in this area. Relevant studies were identified through searches conducted in MEDLINE, Embase, APA PsycInfo, Scopus, Cochrane Central, and CINAHL Plus up until February 2021. Studies were included if they were

The importance of digital mental health interventions to support people with diabetes-related psychological outcomes: a narrative review

“…Additionally, this narrative review highlights the importance of further research and evidence on the effectiveness and appropriateness of DMHIs for patients with diabetes to make firm conclusions on the efficacy of these interventions. More specifically, DMHIs based on psychological theories and studies of higher quality methodologies are needed (Garner et al , 2022; Serrano-Ripoll et al , 2022; DuBois et al , 2016).…”

Untitled

“…(7,39,40) Pacientes candidatos à cirurgia curativa estão no estágio I ou II e uma pequena parcela no estádio III A. Existem situações especiais em pacientes nos estádios IIIB e IV, que podem ser considerados potencialmente cirúrgicos. (41) Nesta pesquisa, em que se preconiza o estadiamento no descritor "N" do sistema TNM, foi possível estadiar, fidedignamente, os pacientes também no descritor "T", pois, afinal não se objetivava fazer a investigação de metástases à distância (M).…”

“…A miostatina, ou fator 8 de crescimento e diferenciação, é um membro da superfamília beta do fator de crescimento transformante (TGFβ) (39). O TAM secreta miostatina, uma proteína alvo que regula o crescimento muscular e o metabolismo (40,41). O aumento dos níveis de miostatina é inversamente proporcional à saúde do músculo esquelético.…”

“…Como mencionado acima, exossomos e microvesículas têm sido encontrados em praticamente todos os tipos celulares, incluindo diversos protozoários patogênicos. Como exemplo mencionaremos os dados disponíveis para protozoários patogênicos do grupo dos tripanosomatídeos, exemplificados pelos gêneros Leishmania e pelo Trypanosoma cruzi (40,41).…”

ISPAD Clinical Practice Consensus Guidelines 2022: Psychological care of children, adolescents and young adults with diabetes

“…257 Digital health interventions (i.e., programs or tools which use digital technology to encourage or foster behavior change, such as websites, mobile applications [apps], text messaging, or online games) for youth with diabetes have some impact on their mental health such as self-efficacy, but few consistent effects for other psychological, behavioral, or health outcomes; results also indicated studies showed high risk of bias and more research was needed using theory-based approaches with stronger methodologies. 258…”