Type 1 diabetes

Systematic review of technology‐mediated peer support interventions in paediatric type 1 diabetes care

Diabet MedPublished Systematic review

Authors' conclusion

Technology-mediated peer support interventions may have the potential to improve diabetes care and outcomes. However, further well-designed studies are necessary that address the needs of diverse populations and settings, and the sustainability of intervention effects.

Study context

Population
Randomised and non-randomised trials of technology-mediated peer support interventions for children with T1D, their caregivers and/or healthcare providers; CINAHL, Embase, MEDLINE, Jan 2007–June 202212 studies
Outcome
Technology-mediated peer support interventions
Methodological detailsQuality assessed with the Cochrane risk of bias tool
  • Quality assessed with the Cochrane risk of bias tool

Pooled result

As reported in the abstract

Studies included (of 308 retrieved)
12
Randomised trials
n = 8, 66.67%
Study duration range
3 weeks to 24 months
Technology-based interventions identified: phone-based text messages, video, web portal and social media, or hybrid peer support model
4
Studies exclusively targeting children with diabetes
58.6%, n = 7

Further pooled results

Psychosocial outcomes

No significant improvement in psychosocial outcomes (quality of life, n = 4; stress and coping, n = 4; social support, n = 2)

HbA1c

Mixed findings in HbA1c (studies)
n = 7

Hypoglycaemia incidence

Studies reporting reduced incidence of hypoglycaemia
28.5% (n = 2/7)

Original publication

Systematic review of technology‐mediated peer support interventions in paediatric type 1 diabetes care. Diabet Med. Published 20 July 2023. doi:10.1111/dme.15172

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