Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

Primary health care physicians are increasingly offering telehealth services to patients not only for its cost and time saving advantages but for the additional benefits telehealth can provide for patients with type 2 diabetes (T2D) such as improved self-management behaviours. To support the develop...

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Autores principales:	Natalie Robson, Hassan Hosseinzadeh
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	type 2 diabetes diabetes mellitus telehealth telemedicine telecare Medicine R
Acceso en línea:	https://doaj.org/article/2f4d1a83e7a24d79989eda65000d9595
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spelling	oai:doaj.org-article:2f4d1a83e7a24d79989eda65000d95952021-11-25T17:51:41ZImpact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials10.3390/ijerph1822121711660-46011661-7827https://doaj.org/article/2f4d1a83e7a24d79989eda65000d95952021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12171https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Primary health care physicians are increasingly offering telehealth services to patients not only for its cost and time saving advantages but for the additional benefits telehealth can provide for patients with type 2 diabetes (T2D) such as improved self-management behaviours. To support the development of telehealth based T2D clinical care models in primary health care settings, a narrative synthesis and meta-analysis of randomised controlled trial studies was completed for 29 studies that evaluated the effect of one or more types of telehealth interventions on HbA1c levels compared to usual care alone. Results from the random effects meta-analysis demonstrated that telehealth interventions had a stronger influence on HbA1c compared to usual care with a mean difference in HbA1c \% −0.18 (CI −0.35, −0.01), <i>p</i> = 0.04. Results from the subgroup meta-analysis demonstrated that telehealth interventions, when grouped by type of telemonitoring (mHealth and telephone communication), all have a stronger effect on lowering HbA1c levels; however, none of these findings were significant. Key findings from this review demonstrate that telehealth interventions that address T2D self-management behaviours and have higher levels of health care provider engagement, have greater effects on lowering HbA1c levels compared to usual care alone.Natalie RobsonHassan HosseinzadehMDPI AGarticletype 2 diabetesdiabetes mellitustelehealthtelemedicinetelecareMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12171, p 12171 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	type 2 diabetes diabetes mellitus telehealth telemedicine telecare Medicine R
spellingShingle	type 2 diabetes diabetes mellitus telehealth telemedicine telecare Medicine R Natalie Robson Hassan Hosseinzadeh Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
description	Primary health care physicians are increasingly offering telehealth services to patients not only for its cost and time saving advantages but for the additional benefits telehealth can provide for patients with type 2 diabetes (T2D) such as improved self-management behaviours. To support the development of telehealth based T2D clinical care models in primary health care settings, a narrative synthesis and meta-analysis of randomised controlled trial studies was completed for 29 studies that evaluated the effect of one or more types of telehealth interventions on HbA1c levels compared to usual care alone. Results from the random effects meta-analysis demonstrated that telehealth interventions had a stronger influence on HbA1c compared to usual care with a mean difference in HbA1c \% −0.18 (CI −0.35, −0.01), <i>p</i> = 0.04. Results from the subgroup meta-analysis demonstrated that telehealth interventions, when grouped by type of telemonitoring (mHealth and telephone communication), all have a stronger effect on lowering HbA1c levels; however, none of these findings were significant. Key findings from this review demonstrate that telehealth interventions that address T2D self-management behaviours and have higher levels of health care provider engagement, have greater effects on lowering HbA1c levels compared to usual care alone.
format	article
author	Natalie Robson Hassan Hosseinzadeh
author_facet	Natalie Robson Hassan Hosseinzadeh
author_sort	Natalie Robson
title	Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
title_short	Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
title_full	Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
title_fullStr	Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
title_full_unstemmed	Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
title_sort	impact of telehealth care among adults living with type 2 diabetes in primary care: a systematic review and meta-analysis of randomised controlled trials
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/2f4d1a83e7a24d79989eda65000d9595
work_keys_str_mv	AT natalierobson impactoftelehealthcareamongadultslivingwithtype2diabetesinprimarycareasystematicreviewandmetaanalysisofrandomisedcontrolledtrials AT hassanhosseinzadeh impactoftelehealthcareamongadultslivingwithtype2diabetesinprimarycareasystematicreviewandmetaanalysisofrandomisedcontrolledtrials
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Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

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