Internet interventions to support lifestyle modification for diabetes management: A systematic review of the evidence
Open accessAbstract
Background The Internet presents a widely accessible, 24-h means to promote chronic disease management. The objective of this review is to identify studies that used Internet based interventions to promote lifestyle modification among adults with type 2 diabetes.Methods We searched PubMed using the terms: [internet, computer, phone, smartphone, mhealth, mobile health, web based, telehealth, social media, text messages] combined with [diabetes management and diabetes control] through January 2013. Studies were included if they described an Internet intervention, targeted adults with type 2 diabetes, focused on lifestyle modification, and included an evaluation component with behavioral outcomes.Results Of the 2803 papers identified, nine met inclusion criteria. Two studies demonstrated improvements in diet and/or physical activity and two studies demonstrated improvements in glycemic control comparing web-based intervention with control. Successful studies were theory-based, included interactive components with tracking and personalized feedback, and provided opportunities for peer support. Website utilization declined over time in all studies that reported on it. Few studies focused on high risk, underserved populations.Conclusion Web-based strategies provide a viable option for facilitating diabetes self-management. Future research is needed on the use of web-based interventions in underserved communities and studies examining website utilization patterns and engagement over time.
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Diabetes is directly influenced by various lifestyle factors, and lifestyle modifications are the cornerstones of nonpharmacological management of T2DM.
“Given that diabetes is directly influenced by various lifestyle factors, lifestyle modifications, including dietary changes, weight management, increased physical activity, smoking cessation, and psychological support, are the cornerstones of nonpharmacological management of the condition [4,6-10].”
From Evaluation of the Impact of Mobile Health App Vitadio in Patients With Type 2 Diabetes: Randomized Controlled Trial (2025) · cites this paper as [7]
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- Authors
- Cotter, A. P., Durant, N., Agne, A. A., & Cherrington, A. L.
- Affiliations
- University of Alabama at Birmingham (US)
- Corresponding author
- Cherrington, Andrea L.
- Venue
- Journal of Diabetes and its Complications
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 28
- Issue
- 2
- Pages
- 243-251
- ISSN
- 0891-6632 (ISSN-L)
- 1056-8727
- PMC
- PMC3943472
- OpenAlex
- W2007124379
- Cited by
- 239
- References
- 31
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 15 · 2023: 19 · 2022: 20 · 2021: 23 · 2020: 18 · 2019: 20 · 2018: 34 · 2017: 26 · 2016: 31 · 2015: 18 · 2014: 4
- FWCI
- 2.12
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Diabetes and its Complications (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Sanofi
- National Institutes of Health (5p60dk079626-05)
- Agency for Healthcare Research and Quality (K12HS019465)
- National Institute of Diabetes and Digestive and Kidney Diseases (P60-DK-079626, P30DK079626)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- online intervention, type 2 diabetes, lifestyle modification, diabetes self-management, glycemic control, diet, physical activity, personalized feedback, peer support, mobile health, website utilization, underserved populations
- MeSH terms
- Adult, Counseling, Diabetes Mellitus, Type 2, Humans, Life Style, Self Care, Telemedicine, Internet, Risk Reduction Behavior
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