Diabetes Management via Mobile Phones: A Systematic Review
Open accessAbstract
BACKGROUND: This study sought to understand the most common uses and functions of mobile phones in monitoring and managing diabetes, their potential role in a clinical setting, and the current state of research in this area. METHODS: We identified peer-reviewed articles published between 2000 and 2010. Twenty-one articles were analyzed for this systematic literature review. RESULTS: The majority of studies examined the use of mobile phones from the patient's perspective. Subjects with type 1 diabetes were enrolled exclusively in over 50% of the studies. Seventy-one percent of the studies used a study-specific application, which had supplemental features in addition to text messaging. The outcomes assessed varied considerably across studies, but some positive trends were noted, such as improved self-efficacy, hemoglobin A1c, and self-management behaviors. CONCLUSIONS: The studies evaluated showed promise in using mobile phones to help people with diabetes manage their condition effectively. However, many of these studies lacked sufficient sample sizes or intervention lengths to determine whether the results might be clinically or statistically significant. Future research should examine other key issues, such as provider perceptions, integration into a healthcare practice, and cost, which would provide important insight into the use of mobile phones for chronic disease management.
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Previous systematic reviews on telemedicine for diabetes often focused on a specific type of telemedicine, a specific outcome, and/or a specific comparator.
“However, these previous reviews have often focused on a specific type of telemedicine, a specific outcome, and/or a specific comparator, which calls for a more comprehensive and inclusive systematic review seeking to compare and synthesize findings for treatment outcomes while adjusting for different study characteristics.”
From The Effectiveness of Telemedicine Solutions for the Management of Type 2 Diabetes: A Systematic Review, Meta-Analysis, and Meta-Regression (2023) · cites this paper as [16]
Nineteen reviews included both type 1 and 2 diabetes in their analyses, or included RCTs that did not differentiate.
“In total, 19 reviews included both type 1 and 2 diabetes in their analyses, or included RCTs that did not differentiate [16,22,25,27,28,31,32,34-40,44,45,47,50,51].”
Three 1-star narrative syntheses suggested improved outcomes with mobile phone interventions.
“Three 1-star narrative syntheses suggested improved outcomes with mobile phone interventions [32,35,36], but others showed no overall benefit from teleconsultations [47,51] or telemonitoring [34,39].”
Recent reviews point out a lack of focus on detailed reporting on participants' long-term engagement with intervention tools.
“In addition, recent reviews [11,14,15] point out a lack of focus on detailed reporting on participants’ long-term engagement with the intervention tools.”
From Long-Term Engagement With a Mobile Self-Management System for People With Type 2 Diabetes (2013) · cites this paper as [11]
A growing number of studies report interventions using mobile phones and development projects of mobile self-management tools for people with diabetes.
“Reflecting this situation, a growing number of studies report interventions using mobile phones and development projects of mobile self-management tools for people with diabetes [9-11].”
From Long-Term Engagement With a Mobile Self-Management System for People With Type 2 Diabetes (2013) · cites this paper as [11]
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- Authors
- Holtz, B., & Lauckner, C.
- Affiliations
- VA Ann Arbor Healthcare System (US)
- Michigan State University (US)
- Corresponding author
- Holtz, Bree
- Venue
- Telemedicine and e-Health
- Publisher
- SAGE Publications
- Published
- 2012-04
- Volume
- 18
- Issue
- 3
- Pages
- 175-184
- ISSN
- 1530-5627 (ISSN-L)
- 1556-3669
- OpenAlex
- W2071914869
- Cited by
- 318
- References
- 34
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 11 · 2023: 11 · 2022: 20 · 2021: 20 · 2020: 21 · 2019: 26 · 2018: 42 · 2017: 39 · 2016: 28 · 2015: 35 · 2014: 27 · 2013: 22 · 2012: 4
- FWCI
- 4.26
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Telemedicine Journal and e-Health (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
- Keywords
- diabetes management, mobile devices, type 1 diabetes, text messaging, mobile health apps, self-management behavior, self-efficacy, glycemic control, chronic disease management, patient perspectives
- MeSH terms
- Diabetes Mellitus, Humans, Self Care, Telemedicine, Evidence-Based Medicine, Cell Phone
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