Kingshuk Pal|Sophie V. Eastwood|Susan Michie|Andrew Farmer|Maria Barnard|Richard Peacock|Bindie Wood|Phil Edwards|Elizabeth Murray
Computer-Based Interventions to Improve Self-management in Adults With Type 2 Diabetes: A Systematic Review and Meta-analysis
University College London|Imperial College London|University College London|University of Oxford|Whittington Hospital|University College London|London Library|London School of Hygiene & Tropical Medicine|University College London
structured patient education programs reduce risk diabetesrelated complications however people appear difficulties attending facetoface education alternatives needed review looked impact computerbased diabetes selfmanagement interventions health status cardiovascular risk factors quality life adults type 2 diabeteswe searched cochrane library medline embase psycinfo web science cinahl relevant trials inception november 2011 reference lists relevant published studies screened authors contacted information required two authors independently extracted relevant data using standard data extraction templatessixteen randomized controlled trials 3578 participants met inclusion criteria interventions delivered via clinics internet mobile phones computerbased diabetes selfmanagement interventions appear small benefits glycemic control pooled effect hba1c 02 23 mmolmol 95 ci 04 01 subgroup analysis mobile phonebased interventions showed larger effect pooled effect hba1c three studies 050 546 mmolmol 95 ci 07 03 evidence improvement depression quality life blood pressure serum lipids weight evidence significant adverse effectscomputerbased diabetes selfmanagement interventions manage type 2 diabetes appear small beneficial effect blood glucose control effect larger mobile phone subgroup evidence benefit biological cognitive behavioral emotional outcomes