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