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Web-Based Remote Monitoring Systems for Self-Managing Type 2 Diabetes: A Systematic Review

Mushcab, Hayat, Kernohan, W.George, Wallace, Jonathan and Martin, Suzanne (2015) Web-Based Remote Monitoring Systems for Self-Managing Type 2 Diabetes: A Systematic Review. Journal of Diabetes Technology and Therapeutics, 17 (7). [Journal article]

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URL: http://www.ncbi.nlm.nih.gov/pubmed/25830528

DOI: 10.1089/dia.2014.0296

Abstract

This systematic review aims to evaluate evidence for viability and impact of Web-based telemonitoring for managing type 2 diabetes mellitus. A review protocol included searching Medline, EMBASE, CINAHL, AMED, the Cochrane Library, and PubMed using the following terms: telemonitoring, type 2 diabetes mellitus, self-management, and web-based Internet solutions. The technology used, trial design, quality of life measures, and the glycated hemoglobin (HbA1c) levels were extracted. This review identified 426 publications; of these, 19 met preset inclusion criteria. Ten quasi-experimental research designs were found, of which seven were pre-posttest studies, two were cohort studies, and one was an interrupted time-series study; in addition, there were nine randomized controlled trials. Web-based remote monitoring from home to hospital is a viable approach for healthcare delivery and enhances patients' quality of life. Six of these studies were conducted in South Korea, five in the United States, three in the United Kingdom, two in Taiwan, and one each in Spain, Poland, and India. The duration of the studies varied from 4 weeks to 18 months, and the participants were all adults. Fifteen studies showed positive improvement in HbA1c levels. One study showed high acceptance of the technology among participants. It remains challenging to identify clear evidence of effectiveness in the rapidly changing area of remote monitoring in diabetes care. Both the technology and its implementations are complex. The optimal design of a telemedicine system is still uncertain, and the value of the real-time blood glucose transmissions is still controversial.

Item Type:Journal article
Keywords:Type 2 diabetes; self-management; telemonitoring; telehealth; telemedicine; connected health technology; blood glucose monitoring
Faculties and Schools:Faculty of Computing & Engineering
Faculty of Computing & Engineering > School of Computing and Mathematics
Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
Institute of Nursing and Health Research
Institute of Nursing and Health Research > Managing Chronic Illness Research Centre
ID Code:31468
Deposited By: Professor Suzanne Martin
Deposited On:20 May 2015 10:21
Last Modified:20 May 2015 10:21

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