Clinical and patient-centered implementation outcomes of mHealth interventions for type 2 diabetes in low-and-middle income countries: a systematic review

The prevalence of Type 2 Diabetes is rising in Low- and Middle-Income Countries (LMICs), affecting all age categories and resulting in huge socioeconomic implications. Mobile health (mHealth) is a potential high-impact approach to improve clinical and patient-centered outcomes despite the barriers o...

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Bibliographic Details
Published in:The international journal of behavioral nutrition and physical activity 2022-01, Vol.19 (1), p.1-20, Article 1
Main Authors: Mokaya, Moses, Kyallo, Florence, Vangoitsenhoven, Roman, Matthys, Christophe
Format: Article
Language:English
Subjects:
Activities of daily living
Bias
Boolean
Care and treatment
Cellular telephones
Clinical outcomes
Clinical trials
Data collection
Developing Countries
Diabetes
Diabetes Mellitus, Type 2 - therapy
Diabetes therapy
E-health
Feasibility studies
Health aspects
Health care
Humans
Income
Intervention
Management
mHealth
Patient outcomes
Patient-Centered Care
patient-centered implementation outcomes
Problem solving
Public health
Review
Sustainability
Systematic review
Technology application
Telemedicine
Type 2 diabetes
type 2 diabetes mellitus
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Summary:The prevalence of Type 2 Diabetes is rising in Low- and Middle-Income Countries (LMICs), affecting all age categories and resulting in huge socioeconomic implications. Mobile health (mHealth) is a potential high-impact approach to improve clinical and patient-centered outcomes despite the barriers of cost, language, literacy, and internet connectivity. Therefore, it is valuable to examine the clinical and implementation outcomes of mHealth interventions for Type 2 Diabetes in LMICs. The Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) guidelines were applied in framing and reporting the review criteria. A systematic search of Cochrane Library, Web of Science, PubMed, Scopus, and Ovid databases was performed through a combination of search terms. Randomized Controlled Trials (RCTs) and cohort studies published in English between January 2010 and August 2021 were included. Risk of bias for missing results in the included studies was assessed using the Cochrane risk-of-bias tool for randomized trials (RoB 2). Quantitative and qualitative methods were used to synthesize the results. The search identified a total of 1161 articles. Thirty studies from 14 LMICs met the eligibility criteria. On clinical outcomes, 12 and 9 studies reported on glycated hemoglobin (HbA1c )and fasting blood glucose (FBG) respectively. Text messages was the most commonly applied mHealth approach, used in 19 out of the 30 studies. Ten out of the 12 studies (83.3%) that reported on HbA1c had a percentage difference of
ISSN:1479-5868
1479-5868
DOI:10.1186/s12966-021-01238-0