Could Online Education Replace Face-to-Face Education in Diabetes? A Systematic Review.

IF 3.8 3区 医学 Q2 Medicine Diabetes Therapy Pub Date : 2024-07-01 Epub Date: 2024-05-14 DOI:10.1007/s13300-024-01595-6
Núria Alonso-Carril, Silvia Rodriguez-Rodríguez, Carmen Quirós, Belén Berrocal, Antonio J Amor, Maria-José Barahona, Davinia Martínez, Carme Ferré, Verónica Perea
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Abstract

Objective: Diabetes Self-Management Education and Support (DSMES) is a critical component of diabetes care. This study aims to examine the effect of online-based educational interventions on diabetes management compared to face-to-face interventions.

Methods: A systematic review was conducted by searching three databases for studies in English or Spanish between December 2023 and March 2024. The inclusion criteria were studies that compared face-to-face DSMES with online interventions.

Results: The follow-up duration of the trials ranged from 1 to 12 months. Multidisciplinary teams delivered online DSMES through various means, including Short Message Service (SMS), telephone calls, video calls, websites, and applications. Online DSMES was found to be comparable to face-to-face interventions in terms of glycated hemoglobin (HbA1c) levels in people with type 1 diabetes (T1D). In contrast, online interventions that focus on weight management in people with type 2 diabetes (T2D) have shown a significant reduction in HbA1c compared to face-to-face interventions. Online DSMES was found to be superior in terms of quality of life and cost-effectiveness in both T1D and T2D. None of the analyzed studies explored the differences between individual and group methodologies.

Conclusions: The current evidence indicates that online DSMES services provide at least comparable biomedical benefits to face-to-face interventions, suggesting that online interventions could be incorporated into clinical practice as a complement or reinforcement. However, further research is needed to explore the potential benefits and effectiveness of online group sessions in DSMES.

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在线教育能否取代糖尿病面对面教育?系统综述。
目的:糖尿病自我管理教育和支持(DSMES)是糖尿病护理的重要组成部分。本研究旨在探讨与面对面干预相比,在线教育干预对糖尿病管理的影响:方法:通过检索三个数据库,对 2023 年 12 月至 2024 年 3 月期间的英文或西班牙文研究进行了系统综述。纳入标准是将面对面的 DSMES 与在线干预进行比较的研究:试验的随访时间从 1 个月到 12 个月不等。多学科团队通过短信服务(SMS)、电话、视频通话、网站和应用程序等多种方式提供在线DSMES。研究发现,就 1 型糖尿病患者的糖化血红蛋白 (HbA1c) 水平而言,在线 DSMES 与面对面干预效果相当。 相反,与面对面干预相比,侧重于 2 型糖尿病患者体重管理的在线干预可显著降低 HbA1c。研究发现,在线 DSMES 在 T1D 和 T2D 患者的生活质量和成本效益方面都更胜一筹。所分析的研究均未探讨个人方法与小组方法之间的差异:目前的证据表明,在线 DSMES 服务至少能提供与面对面干预相当的生物医学效益,这表明在线干预可作为补充或加强措施纳入临床实践。然而,还需要进一步的研究来探索 DSMES 在线小组会议的潜在益处和有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Diabetes Therapy
Diabetes Therapy Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
6.90
自引率
7.90%
发文量
130
审稿时长
6 weeks
期刊介绍: Diabetes Therapy is an international, peer reviewed, rapid-publication (peer review in 2 weeks, published 3–4 weeks from acceptance) journal dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of therapeutics and interventions (including devices) across all areas of diabetes. Studies relating to diagnostics and diagnosis, pharmacoeconomics, public health, epidemiology, quality of life, and patient care, management, and education are also encouraged. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, communications and letters. The journal is read by a global audience and receives submissions from all over the world. Diabetes Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research.
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