چکیده مقاله
Background: This meta analysis study aims to evaluate the Diabetes Self Management Education and Support DSMES online application for reducing glycated hemoglobin levels among patients with type 1 diabetes mellitus T1DM patients Main text: The Web of Science WoS , Cochrane Library, PubMed, Scopus, PROSPERO, and EMBASE databases were searched with Medical Subject Headings MeSH terms without minimum time limitation until February 2024 To be eligible, all the following predefined inclusion criteria must have been met in the original randomized controlled trial RCT studies without language limitation including T1DM, patients, online digital interventions such as web based, mobile health applications, or e health, 3 or more months follow up, and measuring HbA1c Finally, 10 studies were conducted, 1195 T1DM patients were included in this study of which 421 35 2% were adults and 774 64 8% were adolescents Overall, the mean differences for HbA1c at 6 months between baseline and follow up groups was 0 27% 0 76, 1 31 P < 0 001 in adolescents and 0 92% 0 34, 1 5 P < 0 001 in adults Moreover, the mean differences for HbA1c at 12 months between baseline and follow up groups was 0 02% 0 31, 0 26 P = 0 85 in adults Conclusions: This meta analysis provides robust evidence that online DSMES applications are effective in HbA1c levels among patients with T1DM, particularly in adults and adolescents The findings suggest that online DSMES interventions can lead to significant improvements in glycemic control, with a mean difference in HbA1c levels of 0 27% at 6 months in adolescents and 0 92% in adults Notably, the effect persisted at 12 months in adults, with a mean difference of 0 02% These results have important implications for clinical practice, suggesting that online DSMES can be a valuable adjunct to traditional diabetes management strategies
کلیدواژهها
نویسندگان
Ali Ahmadikia
Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Ghazal Hayati
Jundishapur University of Medical Sciences, Ahvaz, Iran
Saba Moradi
Faculty of Midwifery and Nursing, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
Mehrshad Mohebifar
BSc in Nursing, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
شیوه ارجاع
Ahmadikia, Ali and Hayati, Ghazal and Moradi, Saba and Mohebi Far, Mehrshad,1404,Online diabetes self-management education application for reducing glycated hemoglobin level among patients with type 1 diabetes mellitus: a systematic review and metaanalysis,19th International Conference on Health, Treatment and Health Promotion
ارائهشده در
مجموعه مقالات نوزدهمین کنفرانس بین المللی بهداشت، درمان و ارتقای سلامت20 فروردین 1404