Technology-Based Interventions to Promote Diabetes Self-Management Behaviors for Persons Newly Diagnosed with Type 2 Diabetes: A Scoping Review.

IF 5.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Current Diabetes Reports Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI:10.1007/s11892-024-01553-3
Eyitayo O Owolabi, Michelle D S Boakye, Shammah O Omololu, Brittany L Smalls, Gabriel Q Shaibi
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Abstract

Purpose of review: Type 2 diabetes (T2D) management is complex and requires daily personal involvement and self-management skills to maintain optimal glycemic levels and improve health outcomes. Engagement in self-management behaviors in the early years of diagnosis can be challenging due to prevailing psychosocial factors present during this critical transition period, coupled with a lack of information, support, and skills. Technology-based diabetes self-management interventions can improve access to needed education and support, and their effectiveness in the general T2D population is well documented. This scoping review synthesized evidence on the use of technology for promoting diabetes self-management behaviors and related outcomes among individuals newly diagnosed with T2D (within the first 12 months since diagnosis).

Recent findings: Twenty-five studies were included. Technology-based diabetes self-management interventions tailored to those newly diagnosed with T2D have grown exponentially in the past five years. Existing evidence, though limited, showed that technologies such as websites, mobile apps, and continuous glucose monitoring combined with other communication features, can facilitate patient education, patient-provider communication, and health data monitoring. However, these technologies less commonly involved social support functions. These technologies have the potential to improve diabetes knowledge and positively impact clinical, behavioral, and psychological outcomes. However, small sample sizes, use of non-experimental designs, and the absence of formative research and theoretical foundations limit the strength of existing studies. Technology-based self-management interventions for those newly diagnosed with T2D show promise in improving T2D-related outcomes. Future studies should include larger sample sizes, adopt rigorous study designs, and integrate formative work to enhance relevance, adoption, and impact.

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基于技术的干预措施,促进新诊断为 2 型糖尿病患者的糖尿病自我管理行为:范围综述》。
回顾的目的:2 型糖尿病(T2D)的管理非常复杂,需要日常的个人参与和自我管理技能,以维持最佳血糖水平并改善健康状况。在确诊后的最初几年,由于这一关键过渡时期普遍存在的社会心理因素,再加上缺乏信息、支持和技能,参与自我管理行为可能具有挑战性。以技术为基础的糖尿病自我管理干预措施可以改善获得所需教育和支持的途径,其在普通 T2D 患者中的有效性已得到充分证明。本范围综述综合了有关使用技术促进新确诊 T2D 患者(确诊后最初 12 个月内)的糖尿病自我管理行为及相关结果的证据:纳入了 25 项研究。在过去五年中,针对新诊断为 T2D 患者的技术型糖尿病自我管理干预措施急剧增加。现有的证据虽然有限,但表明网站、移动应用程序和连续血糖监测等技术与其他通信功能相结合,可以促进患者教育、患者与医护人员的沟通以及健康数据监测。然而,这些技术较少涉及社会支持功能。这些技术有可能提高糖尿病知识水平,并对临床、行为和心理结果产生积极影响。然而,样本量小、使用非实验设计、缺乏形成性研究和理论基础等因素限制了现有研究的力度。对新确诊的 T2D 患者进行基于技术的自我管理干预有望改善 T2D 相关结果。未来的研究应包括更大的样本量,采用严格的研究设计,并整合形成性工作,以提高相关性、采用率和影响力。
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来源期刊
CiteScore
9.80
自引率
0.00%
发文量
52
审稿时长
6-12 weeks
期刊介绍: The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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