Effects of mobile health interventions on improving glycemic stability and quality of life in patients with type 1 diabetes: A meta‐analysis

• Published in: Research in nursing & health 2021-02, Vol.44 (1), p.187-200
• Main Authors: Chin‐Jung, Liu, Hsiao‐Yean, Chiu, Yeu‐Hui, Chuang, Kuan‐Chia, Lin, Hui‐Chuan, Huang
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Adults; Bias; China; Diabetes; Diabetes Mellitus, Type 1 - drug therapy; Diabetes Mellitus, Type 1 - physiopathology; Glycated Hemoglobin A - analysis; Glycemic control; Glycemic Control - psychology; Glycemic Control - standards; glycemic stability; Health care; Hemoglobin; Humans; Intervention; Life satisfaction; Medical personnel; Mental health; Meta-analysis; mobile health; Nursing; Quality Improvement; Quality of life; Quality of Life - psychology; Telemedicine - methods; Telemedicine - standards; Type 1 diabetes mellitus; Worry
• ISSN: 0160-6891; 1098-240X
• DOI: 10.1002/nur.22094

This meta‐analysis aimed to examine the effects of mobile‐health‐based (mHealth) interventions on improving glycemic stability and quality of life (QOL) in patients with type 1 diabetes (T1D). Various databases, including PubMed, Embase, CINAHL, Cochrane Library, ProQuest, Chinese Electronic Periodical Services, and China Knowledge Resource Integrated, were used to search for relevant articles. A fixed‐effects model or random‐effects model was used to examine the overall effect. Various methods, including Egger's test, Begg's test, and trim‐and‐fill, were adopted to examine publication bias. In total, 26 studies were recruited. Results of the random‐effects model showed that the use of mHealth‐based interventions significantly decreased glycated hemoglobin (HbA1c) (mean difference = −0.37, 95% confidence interval (CI) = −0.53 to −0.22, p