Effectiveness of telemonitoring intervention on glycaemic control in patients with type 2 diabetes mellitus: A systematic review and meta-analysis.

Cai, J; Xu, H; Jiang, S; Sung, J; Sawhney, R; Broadley, S; Sun, J

Effectiveness of telemonitoring intervention on glycaemic control in patients with type 2 diabetes mellitus: A systematic review and meta-analysis.

Cai, J Xu, H Jiang, S Sung, J Sawhney, R Broadley, S Sun, J

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Publisher:: ELSEVIER IRELAND LTD
Publication Type:: Journal Article
Citation:: Diabetes Res Clin Pract, 2023, 201, pp. 110727
Issue Date:: 2023-07

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Field	Value	Language
dc.contributor.author	Cai, J
dc.contributor.author	Xu, H
dc.contributor.author	Jiang, S
dc.contributor.author	Sung, J
dc.contributor.author	Sawhney, R
dc.contributor.author	Broadley, S
dc.contributor.author	Sun, J https://orcid.org/0000-0002-0097-2438
dc.date.accessioned	2024-03-27T03:56:49Z
dc.date.available	2023-05-18
dc.date.available	2024-03-27T03:56:49Z
dc.date.issued	2023-07
dc.identifier.citation	Diabetes Res Clin Pract, 2023, 201, pp. 110727
dc.identifier.issn	0168-8227
dc.identifier.issn	1872-8227
dc.identifier.uri	http://hdl.handle.net/10453/177248
dc.description.abstract	BACKGROUND: Type 2 diabetes mellitus (T2DM) is a rising global health concern that requires long-term treatment and close monitoring. Telemonitoring has been shown to be a promising tool to facilitate patient-physician interaction and improve glycaemic control. METHOD: Randomised controlled trials (RCT) of telemonitoring in T2DM published between 1990 and 2021 were searched through multiple electronic databases. The primary outcome variables included HbA1c and fasting blood glucose (FBG), and BMI was a secondary outcome variable. RESULTS: Thirty RCT with a total of 4,678 participants were included in this study. Twenty-six studies reported on HbA1c, which was shown to be significantly lower in participants on telemonitoring when compared to conventional care. Ten studies investigated FBG which collectively showed no statistically significant difference. Subgroup analysis demonstrated the effect of telemonitoring on glycaemic control is influenced by a range of factors concerning system practicality, user engagement, patient characteristics and disease education. CONCLUSION: Telemonitoring exhibited a great potential to improve T2DM management. Several technical features and patient factors may influence the effectiveness of telemonitoring. Further studies are needed to verify the findings and address limitations before its implementation into routine practice.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER IRELAND LTD
dc.relation.ispartof	Diabetes Res Clin Pract
dc.relation.isbasedon	10.1016/j.diabres.2023.110727
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1701 Psychology
dc.subject.classification	Endocrinology & Metabolism
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	4206 Public health
dc.subject.classification	5203 Clinical and health psychology
dc.subject.mesh	Humans
dc.subject.mesh	Glycated Hemoglobin
dc.subject.mesh	Glycemic Control
dc.subject.mesh	Diabetes Mellitus, Type 2
dc.subject.mesh	Blood Glucose
dc.subject.mesh	Humans
dc.subject.mesh	Diabetes Mellitus, Type 2
dc.subject.mesh	Blood Glucose
dc.subject.mesh	Glycemic Control
dc.subject.mesh	Glycated Hemoglobin
dc.subject.mesh	Humans
dc.subject.mesh	Glycated Hemoglobin
dc.subject.mesh	Glycemic Control
dc.subject.mesh	Diabetes Mellitus, Type 2
dc.subject.mesh	Blood Glucose
dc.title	Effectiveness of telemonitoring intervention on glycaemic control in patients with type 2 diabetes mellitus: A systematic review and meta-analysis.
dc.type	Journal Article
utslib.citation.volume	201
utslib.location.activity	Ireland
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Engineering and Information Technology
pubs.organisational-group	University of Technology Sydney/Faculty of Engineering and Information Technology/School of Computer Science
utslib.copyright.status	closed_access	*
dc.date.updated	2024-03-27T03:56:48Z
pubs.publication-status	Published
pubs.volume	201

Abstract:

BACKGROUND: Type 2 diabetes mellitus (T2DM) is a rising global health concern that requires long-term treatment and close monitoring. Telemonitoring has been shown to be a promising tool to facilitate patient-physician interaction and improve glycaemic control. METHOD: Randomised controlled trials (RCT) of telemonitoring in T2DM published between 1990 and 2021 were searched through multiple electronic databases. The primary outcome variables included HbA1c and fasting blood glucose (FBG), and BMI was a secondary outcome variable. RESULTS: Thirty RCT with a total of 4,678 participants were included in this study. Twenty-six studies reported on HbA1c, which was shown to be significantly lower in participants on telemonitoring when compared to conventional care. Ten studies investigated FBG which collectively showed no statistically significant difference. Subgroup analysis demonstrated the effect of telemonitoring on glycaemic control is influenced by a range of factors concerning system practicality, user engagement, patient characteristics and disease education. CONCLUSION: Telemonitoring exhibited a great potential to improve T2DM management. Several technical features and patient factors may influence the effectiveness of telemonitoring. Further studies are needed to verify the findings and address limitations before its implementation into routine practice.

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http://hdl.handle.net/10453/177248