Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis

Lee, Jovin Jie Ning and Aziz, Alia Abdul and Chan, Sok-Teng and Sahrizan, Raja Syazwani Farhanah Binti Raja Abdul and Ooi, Angeline Ying Ying and Teh, Yi-Ting and Iqbal, Usman and Ismail, Noor Azina and Yang, Aimin and Yang, Jingli and Teh, Daniel Boon Loong and Lim, Lee-Ling (2023) Effects of mobile health interventions on health-related outcomes in older adults with type 2 diabetes: A systematic review and meta-analysis. Journal of Diabetes Investigation, 15 (1). pp. 47-57. ISSN 2040-1116, DOI https://doi.org/10.1111/1753-0407.13346.

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BackgroundType 2 diabetes mellitus (T2DM) is a chronic metabolic condition that is associated with multiple comorbidities. Apart from pharmacological approaches, patient self-management remains the gold standard of care for diabetes. Improving patients' self-management among the elderly with mobile health (mHealth) interventions is critical, especially in times of the COVID-19 pandemic. However, the extent of mHealth efficacy in managing T2DM in the older population remains unknown. Hence, the present review examined the effectiveness of mHealth interventions on cardiometabolic outcomes in older adults with T2DM. MethodsA systematic search from the inception till May 31, 2021, in the MEDLINE, Embase, and PubMed databases was conducted, and 16 randomized controlled trials were included in the analysis. ResultsThe results showed significant benefits on glycosylated hemoglobin (HbA1c) (mean difference -0.24%; 95% confidence interval CI]: -0.44, -0.05; p = 0.01), postprandial blood glucose (-2.91 mmol/L; 95% CI: -4.78, -1.03; p = 0.002), and triglycerides (-0.09 mmol/L; 95% CI: -0.17, -0.02; p = 0.010), but not on low-density lipoprotein cholesterol (-0.06 mmol/L; 95% CI: -0.14, 0.02; p = 0.170), high-density lipoprotein cholesterol (0.05 mmol/L; 95% CI: -0.03, 0.13; p = 0.220), and blood pressure (systolic blood pressure -0.82 mm Hg; 95% CI: -4.65, 3.00; p = 0.670; diastolic blood pressure -1.71 mmHg; 95% CI: -3.71, 0.29; p = 0.090). ConclusionsAmong older adults with T2DM, mHealth interventions were associated with improved cardiometabolic outcomes versus usual care. Its efficacy can be improved in the future as the current stage of mHealth development is at its infancy. Addressing barriers such as technological frustrations may help strategize approaches to further increase the uptake and efficacy of mHealth interventions among older adults with T2DM.

Item Type: Article
Funders: Southeast and South Asia and Taiwan Universities (SATU) Joint Research Scheme ST018-2020
Uncontrolled Keywords: Digital health intervention; Older adults; Type 2 diabetes mellitus
Subjects: H Social Sciences > HQ The family. Marriage. Woman
H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Medicine Department
Faculty of Business and Economics
Depositing User: Ms Zaharah Ramly
Date Deposited: 17 Oct 2023 07:42
Last Modified: 17 Oct 2023 07:42
URI: http://eprints.um.edu.my/id/eprint/38806

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