Cited by 148Mobile Health and mHealth ApplicationsDiabetes Management and EducationDiabetes Management and Research

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A systematic review of IT for diabetes self-management: Are we there yet?

El-Gayar, Omar, Timsina, Prem, Nawar, Nevine, Eid, Wael·2013·International Journal of Medical Informatics

DOI 10.1016/j.ijmedinf.2013.05.006

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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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Authors: El-Gayar, O., Timsina, P., Nawar, N., & Eid, W.
Affiliations: Dakota State University (US)
St. Elizabeth Healthcare (US)
Corresponding author: El-Gayar, Omar
ORCID: El-Gayar, Omar
Timsina, Prem
Nawar, Nevine
Eid, Wael
Venue: International Journal of Medical Informatics
Publisher: Elsevier BV
Published: 2013-08
Volume: 82
Issue: 8
Pages: 637-652
ISSN: 1386-5056 (ISSN-L)
DOI: 10.1016/j.ijmedinf.2013.05.006
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
FWCI: 2.26
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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A systematic review of IT for diabetes self-management: Are we there yet?

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