Effects of e-health educational interventions with patients as active participants on HbA level in type 1 diabetes on intensive insulin therapy: A systematic review and meta-analysis of randomized controlled trials.

Fiche publication

Date publication

mars 2020

Journal

Diabetes/metabolism research and reviews

Auteurs

Membres identifiés du Cancéropôle Est :
Pr GUEANT Jean-Louis , Dr OUSSALAH Abderrahim

Tous les auteurs :
Feigerlová E, Oussalah A, Zuily S, Sordet S, Braun M, Guéant JL, Guerci B

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/32212412

Résumé

Patient-centered education improves glycemic control in subjects with type 1 diabetes (T1D). E-health technologies are widely used to support medical decision-making, patient advising or teleconsultations; however, the active participation of a patient is missing. Challenges remain whether e-health education can be effectively incorporated into clinical pathways. The purpose of the study was to examine the effects of e-health education, compared to standard care, on HbA MATERIAL AND METHODS: We conducted a literature search (EMBASE, MEDLINE, The Cochrane Library and Web of Science) up to February 2018 for randomized controlled trials (RCTs) of Internet-/ mobile application-based educational interventions, with the active involvement of patients, provided in addition to, or substituting usual care in patients with T1D on intensive insulin therapy. The primary outcome was the standardized difference in means (SDM) of HbA change from baseline between intervention and comparator groups.