Does nutritional counseling in telemedicine improve treatment outcomes for diabetes? A systematic review and meta-analysis of results from 92 studies

Su, Dejun; McBride, Chelsea; Zhou, Jiming; Kelley, Megan

doi:10.1177/1357633x15608297

Cited by 28 publications

(30 citation statements)

References 125 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Across the 38 meta-analyses included, 34 (89%) had good quality reporting, with a score of 20 or higher (overall range, 15-27) out of a possible 27 (Figure 2). Excellent reporting (scores of [24][25][26][27] was observed in 21 (55%) of the 38 studies, demonstrating that the overall reporting quality for telehealth effectiveness meta-analyses was high. The main reasons for reductions in PRISMA scores were failure to adequately report certain items such as protocol and registration, risk of bias across and within studies, search strategy, and additional analyses.…”

Section: Quality Of Systematic Review and Meta-analysis Reportingmentioning

confidence: 93%

The clinical effectiveness of telehealth: A systematic review of meta-analyses from 2010 to 2019

et al. 2021

View full text Add to dashboard Cite

Introduction To promote telehealth implementation and uptake, it is important to assess overall clinical effectiveness to ensure any changes will not adversely affect patient outcomes. The last systematic literature review examining telehealth effectiveness was conducted in 2010. Given the increasing use of telehealth and technological developments in the field, a more contemporary review has been carried out. The aim of this review was to synthesise recent evidence associated with the clinical effectiveness of telehealth services. Methods A systematic search of ‘Pretty Darn Quick’-Evidence portal was carried out in November 2020 for systematic reviews on telehealth, where the primary outcome measure reported was clinical effectiveness. Due to the volume of telehealth articles, only systematic reviews with meta-analyses published between 2010 and 2019 were included in the analysis. Results We found 38 meta-analyses, covering 10 medical disciplines: cardiovascular disease ( n = 3), dermatology ( n = 1), endocrinology ( n = 13), neurology ( n = 4), nephrology ( n = 2), obstetrics ( n = 1), ophthalmology ( n = 1), psychiatry and psychology ( n = 7), pulmonary ( n = 4) and multidisciplinary care ( n = 2). The evidence showed that for all disciplines, telehealth across a range of modalities was as effective, if not more, than usual care. Discussion This review demonstrates that telehealth can be equivalent or more clinically effective when compared to usual care. However, the available evidence is very discipline specific, which highlights the need for more clinical effectiveness studies involving telehealth across a wider spectrum of clinical health services. The findings from this review support the view that in the right context, telehealth will not compromise the effectiveness of clinical care when compared with conventional forms of health service delivery.

show abstract

Section: Quality Of Systematic Review and Meta-analysis Reportingmentioning

confidence: 93%

The clinical effectiveness of telehealth: A systematic review of meta-analyses from 2010 to 2019

et al. 2021

View full text Add to dashboard Cite

show abstract

“…However, few existing reviews have assessed the impact of mHealth on disease-specific clinical outcomes (50,51). In addition, previous reviews focused on certain types of mHealth tools only (e.g., mobile phone messaging applications) (47,48,50,51) or focused only on specific populations, mHealth intervention methods (e.g., only on phone text messages), or outcomes (e.g., only on obesity or BMI) (52)(53)(54).…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Application and Effectiveness of mHealth Interventions for Obesity and Diabetes Treatment and Self-Management

Wang

Huang

et al. 2017

Advances in Nutrition

266

172

View full text Add to dashboard Cite

The use of mobile and wireless technologies and wearable devices for improving health care processes and outcomes (mHealth) is promising for health promotion among patients with chronic diseases such as obesity and diabetes. This study comprehensively examined published mHealth intervention studies for obesity and diabetes treatment and management to assess their effectiveness and provide recommendations for future research. We systematically searched PubMed for mHealth-related studies on diabetes and obesity treatment and management published during 2000-2016. Relevant information was extracted and analyzed. Twenty-four studies met inclusion criteria and varied in terms of sample size, ethnicity, gender, and age of the participating patients and length of follow-up. The mHealth interventions were categorized into 3 types: mobile phone text messaging, wearable or portable monitoring devices, and applications running on smartphones. Primary outcomes included weight loss (an average loss ranging from -1.97 kg in 16 wk to -7.1 kg in 5 wk) or maintenance and blood glucose reduction (an average decrease of glycated hemoglobin ranging from -0.4% in 10 mo to -1.9% in 12 mo); main secondary outcomes included behavior changes and patient perceptions such as self-efficacy and acceptability of the intervention programs. More than 50% of studies reported positive effects of interventions based on primary outcomes. The duration or length of intervention ranged from 1 wk to 24 mo. However, most studies included small samples and short intervention periods and did not use rigorous data collection or analytic approaches. Although some studies suggest that mHealth interventions are effective and promising, most are pilot studies or have limitations in their study designs. There is an essential need for future studies that use larger study samples, longer intervention (≥ 6 mo) and follow-up periods (≥ 6 mo), and integrative and personalized innovative mobile technologies to provide comprehensive and sustainable support for patients and health service providers.

show abstract

“…In der TeLiPro-Studie erhielten beide Gruppen die App, Wagen, Schrittzähler, Blutglukose-und RR-Messgeräte. Jedoch unterschieden sich die Gruppen insofern, als ein Diabetescoach nur den Patienten der Interventionsgruppe zur Verfügung stand [29].…”

Section: Kommentarunclassified

Empfehlungen zur Ernährung von Personen mit Typ-2-Diabetes mellitus

Skurk

Bosy‐Westphal

Grünerbel³

et al. 2021

Diabetologie und Stoffwechsel

View full text Add to dashboard Cite

Does nutritional counseling in telemedicine improve treatment outcomes for diabetes? A systematic review and meta-analysis of results from 92 studies

Abstract: The inclusion of nutritional counseling as part of a telemedicine program does not make a significant difference to diabetes outcomes. Incorporating nutritional counseling into telemedicine programs via SMS is at least as effective as counseling via telephone or videoconference.

Cited by 28 publications

References 125 publications

The clinical effectiveness of telehealth: A systematic review of meta-analyses from 2010 to 2019

The clinical effectiveness of telehealth: A systematic review of meta-analyses from 2010 to 2019

A Systematic Review of Application and Effectiveness of mHealth Interventions for Obesity and Diabetes Treatment and Self-Management

Empfehlungen zur Ernährung von Personen mit Typ-2-Diabetes mellitus

Contact Info

Product

Resources

About