Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/148324
Title: EFFECTIVENESS OF SMARTPHONE-BASED SELF-MANAGEMENT INTERVENTIONS ON SELF-CARE AND HEALTH-RELEVANT OUTCOMES IN PATIENTS WITH TYPE 2 DM: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: HAZIQAH BTE AMINUDDIN
Keywords: type 2 diabetes mellitus, self-management, smartphone, self-efficacy, self-care, systematic review
Issue Date: 21-Jun-2018
Citation: HAZIQAH BTE AMINUDDIN (2018-06-21). EFFECTIVENESS OF SMARTPHONE-BASED SELF-MANAGEMENT INTERVENTIONS ON SELF-CARE AND HEALTH-RELEVANT OUTCOMES IN PATIENTS WITH TYPE 2 DM: A SYSTEMATIC REVIEW AND META-ANALYSIS. ScholarBank@NUS Repository.
Abstract: Background: Type 2 Diabetes Mellitus (T2DM) is a major health problem worldwide. However, proper self-management can improve health outcomes and reduce risk of diabetic complications. Recently, smartphone-based technology has been used for self-management programs but their effectiveness in improving self-efficacy, self-care activities, health-related quality of life (HRQoL) and clinical outcomes for patients with T2DM is poorly understood. Objectives: To review the evidence and determine the effectiveness of smartphone-based self-management interventions on self-efficacy, self-care activities, HRQoL, glycated haemoglobin (HbA1c), body mass index (BMI), blood pressure (BP) levels of adults with T2DM. Methods: A systematic search of five databases (PubMed, Embase, Cochrane, CINAHL and Scopus) was conducted. Only randomised controlled trials of smartphone-based self-management interventions for patients with T2DM that reported any of the study outcomes were included. Two reviewers independently screened the studies, extracted data and assessed the quality of the studies. Meta-analyses were conducted for the different study outcomes. Results: 22 studies were included in the review. A meta-analysis conducted on self-efficacy revealed a large improvement of 0.98 (95% confidence interval [CI] 0.42 to 1.55; p = 0.0007) with smartphone-based self-management interventions. The effect size on self-care activities was also large (d = 0.90; 95% CI 0.24 to 1.57; p = 0.0008). Smartphone-based self-management interventions gave a small improvement on HRQoL (d = 0.26; 95% CI 0.06 to 0.47; p = 0.01) and a moderate reduction in HbA1c (d = 0.55; 95% CI -0.60 to -0.40; p < 0.00001). The effect on BMI and BP were statistically insignificant. ix Conclusion & Implications of the Study: Smartphone-based self-management interventions appear to have beneficial effects on self-care and health-relevant outcomes for patients with T2DM. However, more research with good study designs and theoretical basis is needed to evaluate the effectiveness of smartphone-based self-care interventions for T2DM.
URI: http://scholarbank.nus.edu.sg/handle/10635/148324
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