Staff View: Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis

Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis

BackgroundType 2 diabetes mellitus (T2DM) is a chronic metabolic condition that is associated with multiple comorbidities. Apart from pharmacological approaches, patient self-management remains the gold standard of care for diabetes. Improving patients' self-management among the elderly with mo...

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Main Authors:	Lee, Jovin Jie Ning, Aziz, Alia Abdul, Chan, Sok-Teng, Sahrizan, Raja Syazwani Farhanah Binti Raja Abdul, Ooi, Angeline Ying Ying, Teh, Yi-Ting, Iqbal, Usman, Ismail, Noor Azina, Yang, Aimin, Yang, Jingli, Teh, Daniel Boon Loong, Lim, Lee-Ling
Format:	Article
Published:	Wiley Open Access 2023
Subjects:	HQ The family. Marriage. Woman HV Social pathology. Social and public welfare R Medicine (General) RC Internal medicine
Online Access:	http://eprints.um.edu.my/38806/
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spelling	my.um.eprints.388062023-10-17T07:42:22Z http://eprints.um.edu.my/38806/ Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis Lee, Jovin Jie Ning Aziz, Alia Abdul Chan, Sok-Teng Sahrizan, Raja Syazwani Farhanah Binti Raja Abdul Ooi, Angeline Ying Ying Teh, Yi-Ting Iqbal, Usman Ismail, Noor Azina Yang, Aimin Yang, Jingli Teh, Daniel Boon Loong Lim, Lee-Ling HQ The family. Marriage. Woman HV Social pathology. Social and public welfare R Medicine (General) RC Internal medicine BackgroundType 2 diabetes mellitus (T2DM) is a chronic metabolic condition that is associated with multiple comorbidities. Apart from pharmacological approaches, patient self-management remains the gold standard of care for diabetes. Improving patients' self-management among the elderly with mobile health (mHealth) interventions is critical, especially in times of the COVID-19 pandemic. However, the extent of mHealth efficacy in managing T2DM in the older population remains unknown. Hence, the present review examined the effectiveness of mHealth interventions on cardiometabolic outcomes in older adults with T2DM. MethodsA systematic search from the inception till May 31, 2021, in the MEDLINE, Embase, and PubMed databases was conducted, and 16 randomized controlled trials were included in the analysis. ResultsThe results showed significant benefits on glycosylated hemoglobin (HbA1c) (mean difference -0.24%; 95% confidence interval CI]: -0.44, -0.05; p = 0.01), postprandial blood glucose (-2.91 mmol/L; 95% CI: -4.78, -1.03; p = 0.002), and triglycerides (-0.09 mmol/L; 95% CI: -0.17, -0.02; p = 0.010), but not on low-density lipoprotein cholesterol (-0.06 mmol/L; 95% CI: -0.14, 0.02; p = 0.170), high-density lipoprotein cholesterol (0.05 mmol/L; 95% CI: -0.03, 0.13; p = 0.220), and blood pressure (systolic blood pressure -0.82 mm Hg; 95% CI: -4.65, 3.00; p = 0.670; diastolic blood pressure -1.71 mmHg; 95% CI: -3.71, 0.29; p = 0.090). ConclusionsAmong older adults with T2DM, mHealth interventions were associated with improved cardiometabolic outcomes versus usual care. Its efficacy can be improved in the future as the current stage of mHealth development is at its infancy. Addressing barriers such as technological frustrations may help strategize approaches to further increase the uptake and efficacy of mHealth interventions among older adults with T2DM. Wiley Open Access 2023-01 Article PeerReviewed Lee, Jovin Jie Ning and Aziz, Alia Abdul and Chan, Sok-Teng and Sahrizan, Raja Syazwani Farhanah Binti Raja Abdul and Ooi, Angeline Ying Ying and Teh, Yi-Ting and Iqbal, Usman and Ismail, Noor Azina and Yang, Aimin and Yang, Jingli and Teh, Daniel Boon Loong and Lim, Lee-Ling (2023) Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis. Journal of Diabetes Investigation, 15 (1). pp. 47-57. ISSN 2040-1116, DOI https://doi.org/10.1111/1753-0407.13346 <https://doi.org/10.1111/1753-0407.13346>. 10.1111/1753-0407.13346
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	HQ The family. Marriage. Woman HV Social pathology. Social and public welfare R Medicine (General) RC Internal medicine
spellingShingle	HQ The family. Marriage. Woman HV Social pathology. Social and public welfare R Medicine (General) RC Internal medicine Lee, Jovin Jie Ning Aziz, Alia Abdul Chan, Sok-Teng Sahrizan, Raja Syazwani Farhanah Binti Raja Abdul Ooi, Angeline Ying Ying Teh, Yi-Ting Iqbal, Usman Ismail, Noor Azina Yang, Aimin Yang, Jingli Teh, Daniel Boon Loong Lim, Lee-Ling Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis
description	BackgroundType 2 diabetes mellitus (T2DM) is a chronic metabolic condition that is associated with multiple comorbidities. Apart from pharmacological approaches, patient self-management remains the gold standard of care for diabetes. Improving patients' self-management among the elderly with mobile health (mHealth) interventions is critical, especially in times of the COVID-19 pandemic. However, the extent of mHealth efficacy in managing T2DM in the older population remains unknown. Hence, the present review examined the effectiveness of mHealth interventions on cardiometabolic outcomes in older adults with T2DM. MethodsA systematic search from the inception till May 31, 2021, in the MEDLINE, Embase, and PubMed databases was conducted, and 16 randomized controlled trials were included in the analysis. ResultsThe results showed significant benefits on glycosylated hemoglobin (HbA1c) (mean difference -0.24%; 95% confidence interval CI]: -0.44, -0.05; p = 0.01), postprandial blood glucose (-2.91 mmol/L; 95% CI: -4.78, -1.03; p = 0.002), and triglycerides (-0.09 mmol/L; 95% CI: -0.17, -0.02; p = 0.010), but not on low-density lipoprotein cholesterol (-0.06 mmol/L; 95% CI: -0.14, 0.02; p = 0.170), high-density lipoprotein cholesterol (0.05 mmol/L; 95% CI: -0.03, 0.13; p = 0.220), and blood pressure (systolic blood pressure -0.82 mm Hg; 95% CI: -4.65, 3.00; p = 0.670; diastolic blood pressure -1.71 mmHg; 95% CI: -3.71, 0.29; p = 0.090). ConclusionsAmong older adults with T2DM, mHealth interventions were associated with improved cardiometabolic outcomes versus usual care. Its efficacy can be improved in the future as the current stage of mHealth development is at its infancy. Addressing barriers such as technological frustrations may help strategize approaches to further increase the uptake and efficacy of mHealth interventions among older adults with T2DM.
format	Article
author	Lee, Jovin Jie Ning Aziz, Alia Abdul Chan, Sok-Teng Sahrizan, Raja Syazwani Farhanah Binti Raja Abdul Ooi, Angeline Ying Ying Teh, Yi-Ting Iqbal, Usman Ismail, Noor Azina Yang, Aimin Yang, Jingli Teh, Daniel Boon Loong Lim, Lee-Ling
author_facet	Lee, Jovin Jie Ning Aziz, Alia Abdul Chan, Sok-Teng Sahrizan, Raja Syazwani Farhanah Binti Raja Abdul Ooi, Angeline Ying Ying Teh, Yi-Ting Iqbal, Usman Ismail, Noor Azina Yang, Aimin Yang, Jingli Teh, Daniel Boon Loong Lim, Lee-Ling
author_sort	Lee, Jovin Jie Ning
title	Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis
title_short	Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis
title_full	Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis
title_fullStr	Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis
title_full_unstemmed	Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis
title_sort	effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: a systematic review and meta-analysis
publisher	Wiley Open Access
publishDate	2023
url	http://eprints.um.edu.my/38806/
_version_	1781704509151510528
score	13.211869

Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis

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