Computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus

Pal, Kingshuk; Eastwood, Sophie V; Michie, Susan; Farmer, Andrew J; Barnard, Maria L; Peacock, Richard; Wood, Bindie; Inniss, Joni D; Murray, Elizabeth

doi:10.1002/14651858.cd008776.pub2

Cited by 344Diabetes Management and EducationMobile Health and mHealth ApplicationsDigital Mental Health Interventions

Computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus

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Pal, Kingshuk, Eastwood, Sophie V, Michie, Susan, Farmer, Andrew J, Barnard, Maria L, Peacock, Richard, Wood, Bindie, Inniss, Joni D +1 more·2013·Cochrane Database of Systematic Reviews

DOI 10.1002/14651858.cd008776.pub2PMC PMC6486319

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Abstract

BACKGROUND: Diabetes is one of the commonest chronic medical conditions, affecting around 347 million adults worldwide. Structured patient education programmes reduce the risk of diabetes-related complications four-fold. Internet-based self-management programmes have been shown to be effective for a number of long-term conditions, but it is unclear what are the essential or effective components of such programmes. If computer-based self-management interventions improve outcomes in type 2 diabetes, they could potentially provide a cost-effective option for reducing the burdens placed on patients and healthcare systems by this long-term condition. OBJECTIVES: To assess the effects on health status and health-related quality of life of computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus. SEARCH METHODS: We searched six electronic bibliographic databases for published articles and conference proceedings and three online databases for theses (all up to November 2011). Reference lists of relevant reports and reviews were also screened. SELECTION CRITERIA: Randomised controlled trials of computer-based self-management interventions for adults with type 2 diabetes, i.e. computer-based software applications that respond to user input and aim to generate tailored content to improve one or more self-management domains through feedback, tailored advice, reinforcement and rewards, patient decision support, goal setting or reminders. DATA COLLECTION AND ANALYSIS: Two review authors independently screened the abstracts and extracted data. A taxonomy for behaviour change techniques was used to describe the active ingredients of the intervention. MAIN RESULTS: We identified 16 randomised controlled trials with 3578 participants that fitted our inclusion criteria. These studies included a wide spectrum of interventions covering clinic-based brief interventions, Internet-based interventions that could be used from home and mobile phone-based interventions. The mean age of participants was between 46 to 67 years old and mean time since diagnosis was 6 to 13 years. The duration of the interventions varied between 1 to 12 months. There were three reported deaths out of 3578 participants.Computer-based diabetes self-management interventions currently have limited effectiveness. They appear to have small benefits on glycaemic control (pooled effect on glycosylated haemoglobin A1c (HbA1c): -2.3 mmol/mol or -0.2% (95% confidence interval (CI) -0.4 to -0.1; P = 0.009; 2637 participants; 11 trials). The effect size on HbA1c was larger in the mobile phone subgroup (subgroup analysis: mean difference in HbA1c -5.5 mmol/mol or -0.5% (95% CI -0.7 to -0.3); P < 0.00001; 280 participants; three trials). Current interventions do not show adequate evidence for improving depression, health-related quality of life or weight. Four (out of 10) interventions showed beneficial effects on lipid profile.One participant withdrew because of anxiety but there were no other documented adverse effects. Two studies provided limited cost-effectiveness data - with one study suggesting costs per patient of less than $140 (in 1997) or 105 EURO and another study showed no change in health behaviour and resource utilisation. AUTHORS' CONCLUSIONS: Computer-based diabetes self-management interventions to manage type 2 diabetes appear to have a small beneficial effect on blood glucose control and the effect was larger in the mobile phone subgroup. There is no evidence to show benefits in other biological outcomes or any cognitive, behavioural or emotional outcomes.

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Previous controlled studies have demonstrated the effectiveness of digital interventions in metabolic health.
“our findings build upon previous controlled studies demonstrating the effectiveness of digital interventions in metabolic health18.”
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Alberti (1998) · doi:10.1002/(sici)1096-9136(199807)15:7

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Evaluating Digital Health Interventions
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A Systematic Review of Reviews Evaluating Technology-Enabled Diabetes Self-Management Education and Support
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Do Mobile Phone Applications Improve Glycemic Control (HbA1c) in the Self-management of Diabetes? A Systematic Review, Meta-analysis, and GRADE of 14 Randomized Trials
Hou, C., Carter, B., Hewitt, J., Francisa, T., & Mayor, S. (2016) · Diabetes Care · doi:10.2337/dc16-0346 · Cited by 411 · see citing works
Effectiveness of mHealth interventions for patients with diabetes: An overview of systematic reviews
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2017 national standards for diabetes self-management education and support
Beck, J., Greenwood, D. A., Blanton, L., Bollinger, S. T., Butcher, M. K., Condon, J. E., Cypress, M., Faulkner, P., Fischl, A. H., Francis, T., et al. (2017) · Diabetes Care · doi:10.2337/dci17-0025 · Cited by 348 · see citing works
Behaviour change techniques targeting both diet and physical activity in type 2 diabetes: a systematic review and meta-analysis
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2017 National Standards for Diabetes Self-Management Education and Support
Beck, J. K., Greenwood, D. A., Blanton, L., Bollinger, S. T., Butcher, M. K., Condon, J. E., Cypress, M., Faulkner, P., Fischl, A. H., Francis, T., et al. (2018) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721718754797 · Cited by 289 · see citing works
“You Get Reminded You’re a Sick Person”: Personal Data Tracking and Patients With Multiple Chronic Conditions
Ancker, J. S., Witteman, H. O., Hafeez, B., Provencher, T., de Graaf, M. V., & Wei, E. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4209 · Cited by 277 · see citing works
The Effectiveness of Prompts to Promote Engagement With Digital Interventions: A Systematic Review
Alkhaldi, G., Hamilton, F. L., Lau, R., Webster, R., Michie, S., & Murray, E. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.4790 · Cited by 273 · see citing works
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Psychological therapies (Internet-delivered) for the management of chronic pain in adults
Eccleston, C., Fisher, E., Craig, L., Duggan, G. B., Rosser, B. A., & Keogh, E. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010152.pub2 · Cited by 271 · see citing works
Patient engagement in the inpatient setting: a systematic review
Prey, J. E., Woollen, J., Wilcox, L. G., Sackeim, A., Hripcsak, G. M., Henry, S. B., Restaino, S. W., Feiner, S., & Vawdrey, D. K. (2013) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2013-002141 · Cited by 265 · see citing works
Diabetes and COVID-19: Risks, Management, and Learnings From Other National Disasters
Hartmann‐Boyce, J., Morris, E. M., Goyder, C., Kinton, J., Perring, J. C., Nunan, D., Mahtani, K. R., Buse, J. B., Prato, S. D., Ji, L., et al. (2020) · Diabetes Care · doi:10.2337/dc20-1192 · Cited by 256 · see citing works
Cochrane reviews of educational and self-management interventions to guide nursing practice: A review
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Mobile app for improved self-management of type 2 diabetes: Multicenter pragmatic randomized controlled trial
Agarwal, P., Mukerji, G., Desveaux, L., Ivers, N. M., Bhattacharyya, O., Hensel, J. M., Shaw, J., Bouck, Z., Jamieson, T., Onabajo, N., et al. (2019) · JMIR mHealth and uHealth · doi:10.2196/10321 · Cited by 208 · see citing works
Clinical- and Cost-effectiveness of Telemedicine in Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis
Zhai, Y.-K., Zhu, W.-J., Cai, Y.-L., Sun, D.-X., & Zhao, J. (2014) · Medicine · doi:10.1097/md.0000000000000312 · Cited by 221 · see citing works
Using Mobile Technology for Cardiac Rehabilitation: A Review and Framework for Development and Evaluation
Beatty, A. L., Fukuoka, Y., & Whooley, M. A. (2013) · Journal of the American Heart Association · doi:10.1161/jaha.113.000568 · Cited by 200 · see citing works
The Usability and Effectiveness of Mobile Health Technology–Based Lifestyle and Medical Intervention Apps Supporting Health Care During Pregnancy: Systematic Review
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2022 National standards for diabetes self-management education and support
Davis, J., Fischl, A. H., Beck, J., Browning, L., Carter, A., Condon, J. E., Dennison, M., Francis, T., Hughes, P. J., Jaime, S., et al. (2022) · Diabetes Care · doi:10.2337/dc21-2396 · Cited by 191 · see citing works
An online positive affect skills intervention reduces depression in adults with type 2 diabetes
Cohn, M. A., Pietrucha, M. E., Saslow, L. R., Hult, J. R., & Moskowitz, J. T. (2014) · The Journal of Positive Psychology · doi:10.1080/17439760.2014.920410 · Cited by 188 · see citing works
Mobile Phone and Smartphone Technologies for Diabetes Care and Self-Management
Garabedian, L. F., Ross‐Degnan, D., & Wharam, J. F. (2015) · Current Diabetes Reports · doi:10.1007/s11892-015-0680-8 · Cited by 188 · see citing works
Telehealth methods to deliver dietary interventions in adults with chronic disease: a systematic review and meta-analysis
Kelly, J. T., Reidlinger, D. P., Hoffmann, T. C., & Campbell, K. L. (2016) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.116.136333 · Cited by 162 · see citing works
Digital Asthma Self-Management Interventions: A Systematic Review
Morrison, D., Wyke, S., Agur, K., Cameron, E. J., Docking, R. I., MacKenzie, A., McConnachie, A., Raghuvir, V., Thomson, N. C., & Mair, F. S. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.2814 · Cited by 177 · see citing works
The Effect of Online Health Information Seeking on Physician-Patient Relationships: Systematic Review
Luo, A., Qin, L., Yuan, Y., Yang, Z., Liu, F., Huang, P., & Xie, W. (2022) · Journal of Medical Internet Research · doi:10.2196/23354 · Cited by 176 · see citing works
Effectiveness of smartphone-based self-management interventions on self-efficacy, self-care activities, health-related quality of life and clinical outcomes in patients with type 2 diabetes: A systematic review and meta-analysis
Aminuddin, H. B., Jiao, N., Jiang, Y., Hong, J., & Wang, W. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.02.003 · Cited by 157 · see citing works
2022 National standards for diabetes self-management education and support
Davis, J., Fischl, A. H., Beck, J., Browning, L., Carter, A., Condon, J. E., Dennison, M., Francis, T., Hughes, P. J., Jaime, S., et al. (2022) · The Science of Diabetes Self-Management and Care · doi:10.1177/26350106211072203 · Cited by 169 · see citing works
Digital Health Interventions for Adults With Type 2 Diabetes: Qualitative Study of Patient Perspectives on Diabetes Self-Management Education and Support
Pal, K., Dack, C., Ross, J., Michie, S., May, C., Stevenson, F., Farmer, A., Yardley, L., Barnard, M., & Murray, E. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.8439 · Cited by 139 · see citing works
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Diabetes diagnosis and care in sub-Saharan Africa: pooled analysis of individual data from 12 countries
Manne‐Goehler, J., Atun, R. A., Stokes, A. C., Goehler, A., Houinato, D. S., Houéhanou, C., Hambou, M. M. S., Mbenza, B. L., Sobngwi, E., Balde, N. M., et al. (2016) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(16)30181-4 · Cited by 156 · see citing works
Supported self-management for people with type 2 diabetes: a meta-review of quantitative systematic reviews
Captieux, M., Pearce, G., Parke, H. L., Epiphaniou, E., Wild, S., Taylor, S. J. C., & Pinnock, H. (2018) · BMJ Open · doi:10.1136/bmjopen-2018-024262 · Cited by 132 · see citing works
Perspectives of people with aphasia post-stroke towards personal recovery and living successfully: A systematic review and thematic synthesis
Manning, M., MacFarlane, A. E., Hickey, A., & Franklin, S. (2019) · PLoS ONE · doi:10.1371/journal.pone.0214200 · Cited by 149 · see citing works
Effective Behavior Change Techniques in Digital Health Interventions for the Prevention or Management of Noncommunicable Diseases: An Umbrella Review
Mair, J. L., Salamanca-Sanabria, A., Augsburger, M., Frese, B. F., Abend, S., Jakob, R., Kowatsch, T., & Haug, S. (2023) · Annals of Behavioral Medicine · doi:10.1093/abm/kaad041 · Cited by 157 · see citing works
Wearable motion sensors to continuously measure real-world physical activities
Dobkin, B. H. (2013) · Current Opinion in Neurology · doi:10.1097/wco.0000000000000026 · Cited by 142 · see citing works
Psychological interventions for diabetes-related distress in adults with type 2 diabetes mellitus
Chew, B. H., Vos, R. C., Metzendorf, M.-I., Scholten, R. J., & Rutten, G. E. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011469.pub2 · Cited by 138 · see citing works
Do health information technology self-management interventions improve glycemic control in medically underserved adults with diabetes? A systematic review and meta-analysis
Heitkemper, E. M., Mamykina, L., Travers, J., & Smaldone, A. (2017) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocx025 · Cited by 130 · see citing works
Dropout from an eHealth intervention for adults with type 2 diabetes: a qualitative study
Lie, S. S., Karlsen, B., Oord, E. R., Graue, M., & Oftedal, B. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7479 · Cited by 136 · see citing works
Effectiveness of internet-based interventions for children, youth, and young adults with anxiety and/or depression: a systematic review and meta-analysis
Ye, X., Bapuji, S. B., Winters, S. E., Struthers, A., Raynard, M., Metge, C. J., Kreindler, S. A., Charette, C., Lemaire, J. A., Synyshyn, M., et al. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-313 · Cited by 134 · see citing works
Technology and diabetes self-management: an integrative review
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A Low-Intensity Mobile Health Intervention With and Without Health Counseling for Persons With Type 2 Diabetes, Part 1: Baseline and Short-Term Results From a Randomized Controlled Trial in the Norwegian Part of RENEWING HEALTH
Torbjørnsen, A., Jenum, A. K., Småstuen, M. C., Årsand, E., Holmen, H., Wahl, A. K., & Ribu, L. (2014) · JMIR mHealth and uHealth · doi:10.2196/mhealth.3535 · Cited by 117 · see citing works
Web-Based Interventions Targeting Cardiovascular Risk Factors in Middle-Aged and Older People: A Systematic Review and Meta-Analysis
Beishuizen, C. R., Stephan, B. C., van Gool, W. A., Brayne, C., Peters, R. J., Andrieu, S., Kivipelto, M., Soininen, H., Busschers, W. B., Moll van Charante, E. P., et al. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5218 · Cited by 128 · see citing works
The Current Status of mHealth for Diabetes: Will it Be the Next Big Thing?
Klonoff, D. C. (2013) · Journal of Diabetes Science and Technology · doi:10.1177/193229681300700321 · Cited by 122 · see citing works
Use of Behavioral Change Techniques in Web-Based Self-Management Programs for Type 2 Diabetes Patients: Systematic Review
van Vugt, M., de Wit, M., Cleijne, W., & Snoek, F. J. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2800 · Cited by 112 · see citing works
Efficacy of a Self-Regulation–Based Electronic and Mobile Health Intervention Targeting an Active Lifestyle in Adults Having Type 2 Diabetes and in Adults Aged 50 Years or Older: Two Randomized Controlled Trials
Poppe, L., De Bourdeaudhuij, I., Verloigne, M., Shadid, S., Van Cauwenberg, J., Compernolle, S., & Crombez, G. (2019) · Journal of Medical Internet Research · doi:10.2196/13363 · Cited by 104 · see citing works
Using New Technologies to Improve the Prevention and Management of Chronic Conditions in Populations
Oldenburg, B. F., Taylor, C. B., O'Neil, A. E., Cocker, F., & Cameron, L. D. (2015) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031914-122848 · Cited by 104 · see citing works
Identifying components of self-management interventions that improve health-related quality of life in chronically ill patients: Systematic review and meta-regression analysis
Jonkman, N. H., Schuurmans, M. J., Groenwold, R. H. H., Hoes, A. W., & Trappenburg, J. C. A. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.01.022 · Cited by 101 · see citing works
Web-based self-management support for people with type 2 diabetes (HeLP-Diabetes): randomised controlled trial in English primary care
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A Narrative Review of Patient and Family Engagement
Cené, C. W., Johnson, B., Wells, N., Baker, B., Davis, R., & Turchi, R. M. (2016) · Medical Care · doi:10.1097/mlr.0000000000000548 · Cited by 95 · see citing works
Patients’ and healthcare professionals’ perspectives towards technology-assisted diabetes self-management education. A qualitative systematic review
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Application and Effectiveness of Telehealth to Support Severe Mental Illness Management: Systematic Review
Lawes-Wickwar, S., McBain, H., & Mulligan, K. (2018) · JMIR Mental Health · doi:10.2196/mental.8816 · Cited by 78 · see citing works
“We were surprised to find the limited use of these more advanced technologies in an SMI context given the rise in their use to support broader health care in recent years, for example, Web-based self-management programs for diabetes [67].”
Timely Digital Patient-Clinician Communication in Specialist Clinical Services for Young People: A Mixed-Methods Study (The LYNC Study)
Griffiths, F., Bryce, C., Cave, J., Dritsaki, M., Fraser, J., Hamilton, K., Huxley, C., Ignatowicz, A., Kim, S. W., Kimani, P. K., et al. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7154 · Cited by 85 · see citing works
The Effectiveness of Web-Based Asthma Self-Management System, My Asthma Portal (MAP): A Pilot Randomized Controlled Trial
Ahmed, S., Ernst, P., Bartlett, S. J., Valois, M., Zaihra, T., Paré, G., Grad, R. M., Eilayyan, O., Perreault, R. B., & Tamblyn, R. M. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5866 · Cited by 85 · see citing works
Going Mobile With Diabetes Support: A Randomized Study of a Text Message–Based Personalized Behavioral Intervention for Type 2 Diabetes Self-Care
Capozza, K., Woolsey, S., Georgsson, M., Black, J., Bello, N., Lence, C. T., Oostema, S. J., & North, C. (2015) · Diabetes Spectrum · doi:10.2337/diaspect.28.2.83 · Cited by 81 · see citing works
Evaluating Self-Management Behaviors of Diabetic Patients in a Telehealthcare Program: Longitudinal Study Over 18 Months
Chen, L., Chuang, L., Chang, C., Wang, C.-S., Wang, I.-C., Chung, Y., Peng, H.-Y., Chen, H.-C., Hsu, Y.-L., Lin, Y., et al. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2699 · Cited by 81 · see citing works
The Effects of a Mobile Phone Application on Quality of Life in Patients With Type 1 Diabetes Mellitus: A Randomized Controlled Trial
Drion, I., Pameijer, L. R., van Dijk, P. R., Groenier, K. H., Kleefstra, N., & Bilo, H. J. G. (2015) · Journal of Diabetes Science and Technology · doi:10.1177/1932296815585871 · Cited by 74 · see citing works
eHealth interventions for people with chronic kidney disease
Stevenson, J. K., Campbell, Z. C., Webster, A. C., Chow, C. K., Campbell, K. L., & Lee, V. W. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012379 · Cited by 77 · see citing works
A research and development agenda for systematic reviews that ask complex questions about complex interventions
Noyes, J., Gough, D., Lewin, S. A., Mayhew, A., Michie, S., Tomás Pantoja, C., Petticrew, M. P., Pottie, K. C., Rehfuess, E. A., Shemilt, I., et al. (2013) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2013.07.003 · Cited by 75 · see citing works
Self-citation
Usability of an Intelligent Virtual Assistant for Promoting Behavior Change and Self-Care in Older People with Type 2 Diabetes
Balsa, J., Félix, I. B., Cláudio, A. P., Carmo, M. B., Silva, I. C. E., Guerreiro, A., Guedes, M. J., Henriques, M. A., & Guerreiro, M. P. (2020) · Journal of Medical Systems · doi:10.1007/s10916-020-01583-w · Cited by 74 · see citing works
Effectiveness of a Web-Based Tailored Interactive Health Communication Application for Patients With Type 2 Diabetes or Chronic Low Back Pain: Randomized Controlled Trial
Weymann, N., Dirmaier, J., von Wolff, A., Kriston, L., & Härter, M. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3904 · Cited by 73 · see citing works
Clinical decision support directed to primary care patients and providers reduces cardiovascular risk: a randomized trial
Sperl‐Hillen, J. M., Crain, A. L., Margolis, K. L., Ekstrom, H. L., Appana, D., Amundson, G. H., Sharma, R., DESAI, J. R., & O’Connor, P. J. (2018) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocy085 · Cited by 73 · see citing works
A web-based intervention to support self-management of patients with type 2 diabetes mellitus: effect on self-efficacy, self-care and diabetes distress
Yu, C. H. Y., Parsons, J. A., Mamdani, M., Lebovic, G., Hall, S., Newton, D. C., Shah, B. R., Bhattacharyya, O. K., Laupacis, A., & Straus, S. E. (2014) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-014-0117-3 · Cited by 73 · see citing works
Cost-Effectiveness of Facilitated Access to a Self-Management Website, Compared to Usual Care, for Patients With Type 2 Diabetes (HeLP-Diabetes): Randomized Controlled Trial
Li, J., Parrott, S., Sweeting, M. J., Farmer, A. A., Ross, J., Dack, C., Pal, K., Yardley, L., Barnard, M., Hudda, M. T., et al. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9256 · Cited by 72 · see citing works
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Characterizing Active Ingredients of eHealth Interventions Targeting Persons With Poorly Controlled Type 2 Diabetes Mellitus Using the Behavior Change Techniques Taxonomy: Scoping Review
Kebede, M. M., Liedtke, T. P., Möllers, T., & Pischke, C. R. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7135 · Cited by 69 · see citing works
Self management interventions for type 2 diabetes in adult people with severe mental illness
McBain, H. B., Mulligan, K., Haddad, M., Flood, C., Jones, J., & Simpson, A. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011361.pub2 · Cited by 67 · see citing works
Outpatient diabetes clinical decision support: current status and future directions
O’Connor, P. J., Sperl‐Hillen, J. M., Fazio, C. J., Averbeck, B. M., Rank, B. H., & Margolis, K. L. (2016) · Diabetic Medicine · doi:10.1111/dme.13090 · Cited by 64 · see citing works
Mobile Support for Older Adults and Their Caregivers: Dyad Usability Study
Quinn, C. C., Staub, S., Barr, E. A., & Gruber‐Baldini, A. L. (2019) · JMIR Aging · doi:10.2196/12276 · Cited by 61 · see citing works
Type 2 Diabetes Self-management Education Programs in High and Low Mortality Developing Countries
Dube, L., den Broucke, S. V., Housiaux, M., D’Hoore, W., & Rendall‐Mkosi, K. (2014) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721714558305 · Cited by 59 · see citing works
Chronic care management of globesity: promoting healthier lifestyles in traditional and mHealth based settings
Castelnuovo, G., Pietrabissa, G., Manzoni, G. M., Corti, S. P., Ceccarini, M., Borrello, M., Giusti, E. M., Novelli, M., Cattivelli, R., Middleton, N. A., et al. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01557 · Cited by 61 · see citing works
Examining Factors of Engagement With Digital Interventions for Weight Management: Rapid Review
Sharpe, E. E., Karasouli, E., & Meyer, C. (2017) · JMIR Research Protocols · doi:10.2196/resprot.6059 · Cited by 58 · see citing works
The impact of telemedicine on patient self-management processes and clinical outcomes for patients with Types I or II Diabetes Mellitus in the United States: A scoping review
Borries, T. M., Dunbar, A., Bhukhen, A., Rismany, J., Kilham, J. P., Feinn, R., & Meehan, T. P. (2019) · Diabetes & Metabolic Syndrome Clinical Research & Reviews · doi:10.1016/j.dsx.2019.02.014 · Cited by 55 · see citing works
Characterizing patient-oriented tools that could be packaged with guidelines to promote self-management and guideline adoption: a meta-review
the members of the Guidelines International Network Implementation Working Group, Vernooij, R. W. M., Willson, M. L., & Gagliardi, A. R. (2015) · Implementation Science · doi:10.1186/s13012-016-0419-1 · Cited by 56 · see citing works
Cochrane reviews of educational and self-management interventions to guide nursing practice: A review
Coster, S., Li, Y., & Norman, I. J. (2020) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2020.103698 · Cited by 58 · see citing works
Mobile phone intervention for increasing adherence to treatment for type 2 diabetes in an urban area of Bangladesh: protocol for a randomized controlled trial
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Preliminary Outcomes of a Digital Therapeutic Intervention for Smoking Cessation in Adult Smokers: Randomized Controlled Trial
Webb, J., Peerbux, S., Smittenaar, P., Siddiqui, S., Sherwani, Y., Ahmed, M., MacRae, H., Puri, H., Bhalla, S., & Majeed, A. (2020) · JMIR Mental Health · doi:10.2196/22833 · Cited by 56 · see citing works
Web-based interventions for dietary behavior in adults with type 2 diabetes: systematic review of randomized controlled trials
Dening, J., Islam, S. M. S., George, E., & Maddison, R. (2020) · Journal of Medical Internet Research · doi:10.2196/16437 · Cited by 50 · see citing works
Personal health technology: A new era in cardiovascular disease prevention
Franklin, N. C., Lavie, C. J., & Arena, R. A. (2015) · Postgraduate Medicine · doi:10.1080/00325481.2015.1015396 · Cited by 53 · see citing works
Haematology patients and the internet – The use of on-line health information and the impact on the patient–doctor relationship
Rider, T. G., Malik, M., & Chevassut, T. J. T. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.06.018 · Cited by 52 · see citing works
Supporting Self-Care for Families of Children With Eczema With a Web-Based Intervention Plus Health Care Professional Support: Pilot Randomized Controlled Trial
Santer, M., Muller, I., Yardley, L., Burgess, H., Selinger, H., Stuart, B. L., & Little, P. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3035 · Cited by 52 · see citing works
The Effectiveness of Technology-Based Strategies to Promote Engagement With Digital Interventions: A Systematic Review Protocol
Alkhaldi, G., Hamilton, F. L., Lau, R., Webster, R., Michie, S., & Murray, E. (2015) · JMIR Research Protocols · doi:10.2196/resprot.3990 · Cited by 46 · see citing works
Self-citation
Economic evaluation of chronic disease self-management for people with diabetes: A systematic review
Teljeur, C., Moran, P. S., Walshe, S., Smith, S. M., Cianci, F., Murphy, L., Harrington, P., & Ryan, M. (2017) · Diabetic Medicine · doi:10.1111/dme.13281 · Cited by 44 · see citing works
Targeting Medication Non-Adherence Behavior in Selected Autoimmune Diseases: A Systematic Approach to Digital Health Program Development
van Mierlo, T., Fournier, R., & Ingham, M. (2015) · PLoS ONE · doi:10.1371/journal.pone.0129364 · Cited by 47 · see citing works
A digital self-management intervention for adults with type 2 diabetes: Combining theory, data and participatory design to develop HeLP-Diabetes
Dack, C., Ross, J., Stevenson, F. A., Pal, K., Gubert, E., Michie, S., Yardley, L., Barnard, M., May, C. R., Farmer, A. A., et al. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100241 · Cited by 47 · see citing works
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2017 National Standards for Diabetes Self-Management Education and Support
Beck, J. K., Greenwood, D. A., Blanton, L., Bollinger, S. T., Butcher, M. K., Condon, J. E., Cypress, M., Faulkner, P., Fischl, A. H., Francis, T., et al. (2019) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721719897952 · Cited by 50 · see citing works
Determining Acceptance of e-Mental Health Interventions in Digital Psychodiabetology Using a Quantitative Web-Based Survey: Cross-sectional Study
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Computer-based interventions to improve self-management in adults with type 2 diabetes: A systematic review and meta-analysis
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Authors: Pal, K., Eastwood, S. V., Michie, S., Farmer, A. J., Barnard, M. L., Peacock, R., Wood, B., Inniss, J. D., & Murray, E.
Affiliations: The Royal Free Hospital (GB)
University of Oxford; Department of Primary Care Health Sciences; Radcliffe Observatory Quarter, Walton Street Oxford UK OX2 6GG
Whittington Hospital (GB)
Archway Healthcare Library; Holborn Union Building Archway Campus, Highgate Hill London UK N19 5LW
ORCID: Pal, Kingshuk
Eastwood, Sophie V
Michie, Susan
Barnard, Maria L
Murray, Elizabeth
Venue: Cochrane Database of Systematic Reviews
Publisher: Wiley
Published: 2013-03-28
Volume: 2013
Issue: 3
Pages: CD008776-CD008776
ISSN: 1361-6137 (ISSN-L)
1465-1858
DOI: 10.1002/14651858.cd008776.pub2
PMC: PMC6486319
OpenAlex: W2031205218
Cited by: 344
References: 167
Citations by year: 2026: 10 · 2025: 9 · 2024: 21 · 2023: 23 · 2022: 27 · 2021: 14 · 2020: 29 · 2019: 31 · 2018: 39 · 2017: 35 · 2016: 38 · 2015: 25 · 2014: 25 · 2013: 14 · 2012: 2
FWCI: 5.02
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Cochrane Database of Systematic Reviews (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
Funders: National Institute for Health and Care Research (RP-PG-0609-10135)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords: type 2 diabetes, diabetes self-management, computer-based intervention, online intervention, mobile phone intervention, glycemic control, HbA1c, health-related quality of life, behaviour change techniques, patient education, patient decision support, goal setting, tailored advice, feedback and reinforcement, cost-effectiveness, chronic disease, diabetes complications
MeSH terms: Adult, Aged, Diabetes Mellitus, Type 2, Health Status, Glycated Hemoglobin, Humans, Middle Aged, Quality of Life, Self Care, Therapy, Computer-Assisted, Randomized Controlled Trials as Topic, Internet

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