Type 2 & other diabetes

Diabetes self‐management education and support delivered by mobile health (mHealth) interventions for adults with type 2 diabetes—A systematic review and meta‐analysis

Diabet MedPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

mHealth interventions delivering self management education with or without support to adults with type 2 diabetes appear to have a modest beneficial effect on HbA1c. Only a few trials investigated patient-reported outcomes.

Study context

Population
Adults with T2D; RCTs searched from 2000 to January 31, 2023
Participants
9,328 adults43 trials
Comparison
Diabetes self-management education (DSME), DSMS or DSME/S delivered by mHealth vs usual care or attention placebo control
Outcome
HbA1c
Methodological detailsrandom-effects model
  • Random-effects model

Pooled result

As reported in the abstract

MD

−4 mmol/mol (−0.3%) (95% CI −6 mmol/mol (−0.6%) to −1 mmol/mol (−0.1))

P = 0.002

DSME vs usual care (UC) or attention placebo control (APC)

MD

−4 mmol/mol (−0.4%) (95% CI 7 mmol/mol (−0.6%) to −2 mmol/mol (−0.2))

P < 0.001

Between DSMS and UC or APC

MD

−2 mmol/mol (−0.2%) (95% CI −3 mmol/mol (−0.3%) to −0 mmol/mol (−0.0%))

P < 0.001

DSME/S vs UC or APC

Further pooled results

Uncertain effects on other outcomes

Original publication

Diabetes self‐management education and support delivered by mobile health (mHealth) interventions for adults with type 2 diabetes—A systematic review and meta‐analysis. Diabet Med. Published 26 February 2025. doi:10.1111/dme.70002

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