The Use of Mobile Health Interventions for Outcomes among Middle-Aged and Elderly Patients with Prediabetes: A Systematic Review

Jeem, Yaltafit Abror; Andriani, Russy Novita; Nabila, Refa; Emelia, Dwi Ditha; Lazuardi, Lutfan; Kusnanto, Hari

doi:10.3390/ijerph192013638

Cited by 5 publications

(3 citation statements)

References 76 publications

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“…Health coaching through video conferencing has shown positive effects on physical activity, metabolic markers, and weight loss [24]. In contrast to the above research, a systematic review of 25 studies did not reveal a significant association between mobile app use and weight loss in middle-aged or elderly patients with prediabetes [25].…”

Section: Thematic Analysismentioning

confidence: 87%

Research Trends in Motivation and Weight Loss: A Bibliometric-Based Review

Železnik,

Kokol,

Starc

et al. 2023

Healthcare

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Obesity is a complex disease that, like COVID-19, has reached pandemic proportions. Consequently, it has become a rapidly growing scientific field, represented by an extensive body of research publications. Therefore, the aim of this study was to present the research trends in the scientific literature on motivation and weight loss. Because traditional knowledge synthesis approaches are not appropriate for analyzing large corpora of research evidence, we utilized a novel knowledge synthesis approach called synthetic knowledge synthesis (SKS) to generate new holistic insights into obesity research focusing on motivation. SKS is a triangulation of bibliometric analysis, bibliometric mapping, and content analysis. Using it, we analyzed the corpus of publications retrieved from the Scopus database, using the search string TITLE-ABS-KEY((obesity or overweight) and “weight loss” and motiv*) in titles, keywords, and abstracts, without any additional inclusion or exclusion criteria. The search resulted in a corpus of 2301 publications. The United States of America, the United Kingdom, and Australia were the most productive countries. Four themes emerged, namely, weight loss and weight-loss maintenance through motivational interventions, lifestyle changes supported by smart ICT, maintaining sustainable weight with a healthier lifestyle, and weight management on the level of primary healthcare and bariatric surgery. Further, we established that the volume of research literature is growing, as is the scope of the research. However, we observed a regional concentration of research and its funding in developed countries and almost nonexistent research cooperation between developed and less-developed countries.

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Section: Thematic Analysismentioning

confidence: 87%

Research Trends in Motivation and Weight Loss: A Bibliometric-Based Review

Železnik,

Kokol,

Starc

et al. 2023

Healthcare

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“…This research provides an overview of current evidence about digital interventions to promote health and support self-management among adults with prediabetes. This review is an important contribution to the literature as the majority of reviews in this area were published prior to the Covid-19 pandemic [11,[53][54][55]; other recent work has had a narrower scope in terms of study population or design [14,56]. Furthermore, more than half of included studies in this review were published in 2020 or later, meaning that the evidence presented is current.…”

Section: Discussionmentioning

confidence: 98%

“…However, there is less evidence regarding the outcomes of digital interventions targeting adults with prediabetes, and more clarity is needed about the specific mechanisms most effective in multi-faceted programs such as those with digital and non-digital components [11]. More evidence is also needed to understand which sub-groups of adults are more or less likely to see positive outcomes from participation in such interventions [11,14], particularly given that underlying disparities in access to care may persist in the digital health sphere [15]. This is especially important in a post-Covid-19 context in which a rapid and necessary transformation to digital health service provision has highlighted the need for more evidence about best practices to achieve value, equity, and quality of services in this sphere [16].…”

Section: Introductionmentioning

confidence: 99%

Digital interventions for self-management of prediabetes: A scoping review

Stowell,

Dobson,

Garner

et al. 2024

PLoS ONE

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Background Rates of prediabetes, which can lead to type 2 diabetes, are increasing worldwide. Interventions for prediabetes mainly focus on lifestyle changes to diet and exercise. While these interventions are effective, they are often delivered face-to-face, which may pose a barrier to those with limited access to healthcare. Given the evidence for digital interventions addressing other noncommunicable diseases, these may also be effective for prediabetes self-management. The aim of this scoping review was to assess the breadth of evidence around digital interventions for prediabetes self-management. Methods We developed a targeted search strategy and relevant studies were identified through searches conducted in four bibliographic databases (Medline, Embase, PsycInfo, and Scopus). Published studies were eligible if they included a digital intervention to support adults aged 18+ with prediabetes self-management. Titles and abstracts were first screened for relevance by one researcher. Full texts of selected records were assessed against the review criteria independently by two researchers for inclusion in the final analysis. Results Twenty-nine studies were included, of which nine were randomised controlled trials. Most efficacy studies reported significant changes in at least one primary and/or secondary outcome, including participants’ glycaemic control, weight loss and/or physical activity levels. About one-third of studies reported mixed outcomes or early significant outcomes that were not sustained at long-term follow-up. Interventions varied in length, digital modalities, and complexity. Delivery formats included text messages, mobile apps, virtually accessible dietitians/health coaches, online peer groups, and web-based platforms. Approximately half of studies assessed participant engagement/acceptability outcomes. Conclusion Whilst the evidence here suggests that digital interventions to support prediabetes self-management are acceptable and have the potential to reduce one’s risk of progression to type 2 diabetes, more research is needed to understand which interventions, and which components specifically, have the greatest reach to diverse populations, are most effective at promoting user engagement, and are most effective in the longer term.

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