An Umbrella Review of Text Message Programs for Adults With Type 2 Diabetes.

IF 3.9 Q1 Health Professions

Diabetes Educator Pub Date : 2020-12-01 DOI:10.1177/0145721720965464

Robin Whittemore, Lauren Siverly, Dora Lendvai Wischik, Christina R Whitehouse

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引用次数: 6

Abstract

Purpose: The purpose of this umbrella review was to synthesize the evidence from published systematic reviews on the effectiveness of text message programs for adults with type 2 diabetes (T2DM) on glycemic management (A1C), self-management, and other clinical outcomes. The effect of directionality of the program was also explored.

Methods: A systematic search was conducted using multiple databases. Inclusion criteria were systematic review of text message programs for adults with T2DM, evaluated A1C, and English language. Quality assessment was completed using AMSTAR-2 guidelines. Data were extracted by multiple coders, and results were synthesized.

Results: The final sample included 9 systematic reviews published between 2011 and 2019, with 72 unique international studies. Text message programs focused on diabetes self-management and reducing health risks through educational and motivational content with some providing personalized feedback. A meta-analysis of program effect on A1C was conducted in 5 reviews with a pooled difference in A1C from -0.38% to -0.8%. Adults with T2DM of shorter duration and lower A1C had better treatment effects. Evidence on unidirectional versus bidirectional programs is conflicting; however, both improve outcomes. Evidence of text message programs targeting medication engagement was inconclusive. Some programs improved blood pressure, lipids, self-management, self-efficacy, and health behaviors. High satisfaction and an average of 9.6% to 18.7% attrition was reported.

Conclusions: Text messaging programs can improve T2DM outcomes, are a highly accessible mode of communication, are relatively inexpensive, and are an underutilized adjunct to clinical care.

查看原文本刊更多论文

对成人2型糖尿病患者短信项目的综述。

目的:本综述的目的是综合已发表的关于2型糖尿病(T2DM)患者短信程序在血糖控制(A1C)、自我管理和其他临床结果方面有效性的系统综述的证据。探讨了程序的方向性的影响。方法:利用多个数据库进行系统检索。纳入标准是对T2DM成人短信项目进行系统评价，评估A1C和英语水平。使用AMSTAR-2指南完成质量评估。通过多个编码器提取数据，并对结果进行综合。结果:最终样本包括2011年至2019年间发表的9篇系统综述，其中包括72项独特的国际研究。通过教育和激励内容以及一些提供个性化反馈的短信程序，重点关注糖尿病的自我管理和降低健康风险。对5篇综述进行了A1C影响的荟萃分析，A1C的总差异从-0.38%到-0.8%。病程短、糖化血红蛋白较低的成人T2DM患者治疗效果较好。单向和双向程序的证据是相互矛盾的;然而，两者都能改善结果。针对服药的短信程序的证据尚无定论。一些项目改善了血压、血脂、自我管理、自我效能和健康行为。满意度高，平均流失率为9.6%至18.7%。结论:短信程序可以改善2型糖尿病的预后，是一种高度可及的交流方式，相对便宜，是一种未充分利用的临床护理辅助手段。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Educator 医学-内分泌学与代谢

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Diabetes Educator (TDE) is the official journal of the American Association of Diabetes Educators (AADE). It is a peer-reviewed journal intended to serve as a reference source for the science and art of diabetes management. TDE publishes original articles that relate to aspects of patient care and education, clinical practice and/or research, and the multidisciplinary profession of diabetes education as represented by nurses, dietitians, physicians, pharmacists, mental health professionals, podiatrists, and exercise physiologists.

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