A systematic review of IT for diabetes self-management: Are we there yet?
Abstract
Background Recent advances in information technology (IT) coupled with the increased ubiquitous nature of information technology (IT) present unique opportunities for improving diabetes self-management. The objective of this paper is to determine, in a systematic review, how IT has been used to improve self-management for adults with Type 1 and Type 2 diabetes.Methods The review covers articles extracted from relevant databases using search terms related information technology and diabetes self-management published after 1970 until August 2012. Additional articles were extracted using the citation map in Web of Science. Articles representing original research describing the use of IT as an enabler for self-management tasks performed by the patient are included in the final analysis.Results Overall, 74% of studies showed some form of added benefit, 13% articles showed no-significant value provided by IT, and 13% of articles did not clearly define the added benefit due to IT. Information technologies used included the Internet (47%), cellular phones (32%), telemedicine (12%), and decision support techniques (9%). Limitations and research gaps identified include usability, real-time feedback, integration with provider electronic medical record (EMR), as well as analytics and decision support capabilities.Conclusion There is a distinct need for more comprehensive interventions, in which several technologies are integrated in order to be able to manage chronic conditions such as diabetes. Such IT interventions should be theoretically founded and should rely on principles of user-centered and socio-technical design in its planning, design and implementation. Moreover, the effectiveness of self-management systems should be assessed along multiple dimensions: motivation for self-management, long-term adherence, cost, adoption, satisfaction and outcomes as a final result.
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Tailored design and personalized contents for patients is a facilitator, and one-for-all unified contents and designs could be a barrier.
“Tailored design and personalized contents for patients is a facilitator, and one-for-all unified contents and designs could be a barrier.”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [34]
Technical constraints (e.g., cell phone unavailability, internet instability) in marginal and remote regions limit the coverage of digital health.
“Technical constraints (e.g., cell phone unavailability, internet instability) in marginal and remote regions limit the coverage of digital health.”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [34]
Designing incentives/motivations for primary healthcare providers and patients to use digital health facilitates the uptake, while lack of that could be a barrier.
“Designing incentives/motivations for primary healthcare providers and patients to use digital health facilitates the uptake, while lack of that could be a barrier.”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [34]
Digital health tools that enable two-way human interactions are better accepted, while replacing human communications with automatic responses is less favored.
“Digital health tools that enable two-way human interactions are better accepted while replacing human communications with automatic responses is less favored.”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [34]
Easily navigable interface is a facilitator, and poor/complicated interface is a barrier for the uptake of digital health tools.
“Easily navigable interface is a facilitator, and poor/complicated interface is a barrier for the uptake of digital health tools.”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [34]
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“However, these areas have been raised in other studies as requiring regular monitoring and attention [34,35].”
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- Authors
- El-Gayar, O., Timsina, P., Nawar, N., & Eid, W.
- Affiliations
- Dakota State University (US)
- St. Elizabeth Healthcare (US)
- Corresponding author
- El-Gayar, Omar
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2013-08
- Volume
- 82
- Issue
- 8
- Pages
- 637-652
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W2050896776
- Cited by
- 148
- References
- 121
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 12 · 2020: 11 · 2019: 13 · 2018: 19 · 2017: 22 · 2016: 25 · 2015: 22 · 2014: 8 · 2013: 1 · 2012: 1
- FWCI
- 2.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes self-management, information technology, type 1 diabetes, type 2 diabetes, telemedicine, mobile health, online intervention, clinical decision support, electronic health records, usability, real-time feedback, user-centered design, socio-technical design, chronic disease management
- MeSH terms
- Adult, Diabetes Mellitus, Humans, Medical Informatics, Self Care
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