Comparative efficacy of digitally assisted interventions for glycated haemoglobin levels among patients with type 2 diabetes: A systematic review and component network Meta‐Analysis
Pooled result · HbA1c (standard network meta-analysis of 17 interventions)Result — go to the resultEstimate −1.98 95% CI −2.90 to −1.06Authors' conclusion
SMS and MA are the optimal digitally assisted interventions for reducing HbA1c levels. Educators can integrate digitally assisted interventions complemented by educational programmes, particularly MA combined with professional education programme and PSE, into daily care to control HbA1c. The limitations of included trials include a lack of information on allocation concealment and blinding and the fact that long-term follow-up effects were not investigated.
Study context
- Population
- Patients with T2D in RCTs evaluating HbA1c; 6 databases searched to 17 March 2023
- Participants
- 9,764 patients75 trials
- Comparison
- Digitally assisted interventions vs standard care
- Outcome
- HbA1c levels
Methodological detailsrandom-effects model, frequentist framework, Confidence in Network MetaAnalysis (CINeMA) certainty assessment
- Random-effects model
- Frequentist framework
- CINeMA certainty assessment
Pooled result
As reported in the abstract
HbA1c (standard network meta-analysis of 17 interventions)
Estimate
−1.98
95% CI −2.90 to −1.06
Further pooled results
HbA1c, component network meta-analysis
- PSE
- −1.50, −2.36 to −0.64
- SMS
- −0.33, −0.56 to −0.11
- Mobile application (MA)
- −0.30, −0.56 to −0.04
- Telephone calls
- −0.30, −0.53 to −0.06
Original publication
Comparative efficacy of digitally assisted interventions for glycated haemoglobin levels among patients with type 2 diabetes: A systematic review and component network Meta‐Analysis. Diabetes Obes Metab. Published 31 July 2023. doi:10.
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