Cited by 239Telemedicine and Telehealth ImplementationDiabetes Management and EducationMobile Health and mHealth Applications

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Home telehealth for diabetes management: a systematic review and meta‐analysis

Polisena, J., Tran, K., Cimon, K., Hutton, B., McGill, S., Palmer, K.·2009·Diabetes, Obesity and Metabolism

DOI 10.1111/j.1463-1326.2009.01057.x

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Abstract

Aim: It is estimated that more than 180 million people worldwide have diabetes. Health‐care providers can remotely deliver health services to this patient population using information and communication technology, also known as home telehealth. Home telehealth may be classified into two subtypes: home telemonitoring (HTM) and telephone support (TS). The research objective was to systematically review the literature and perform meta‐analyses to assess the potential benefits of home telehealth compared with usual care (UC) for patients with diabetes. Methods: An electronic literature search was conducted to identify studies on home telehealth and patients with diabetes that were published between 1998 and 2008 using Medline, Medline In‐Process & Other Non‐Indexed Citations, BIOSIS Previews and EMBASE. Results: Twenty‐six studies (n = 5069 patients) on home telehealth for diabetes were selected. Twenty‐one studies evaluated HTM and 5 randomized controlled trials assessed TS. HTM had a positive effect on glycaemic control [as measured by lower glycated haemoglobin level] compared with UC (weighted mean difference =−0.21; 95% confidence interval −0.35 to −0.08), but the results were mixed for TS. Study results indicated that home telehealth helps to reduce the number of patients hospitalized, hospitalizations and bed days of care. Home telehealth was similar or favourable to UC across studies for quality‐of‐life and patient satisfaction outcomes. Conclusions: In general, home telehealth had a positive impact on the use of numerous health services and glycaemic control. More studies of higher methodological quality are required to give more precise insights into the potential clinical effectiveness of home telehealth interventions.

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Authors: Polisena, J., Tran, K., Cimon, K., Hutton, B., McGill, S., & Palmer, K.
Affiliations: Canada's Drug Agency (CA)
Corresponding author: Polisena, J.
ORCID: Polisena, J.
Tran, K.
Hutton, B.
McGill, S.
Venue: Diabetes, Obesity and Metabolism
Publisher: Wiley
Published: 2009-09-11
Volume: 11
Issue: 10
Pages: 913-930
ISSN: 1462-8902 (ISSN-L)
1463-1326
DOI: 10.1111/j.1463-1326.2009.01057.x
OpenAlex: W2106144638
Cited by: 239
References: 45
Citations by year: 2026: 5 · 2025: 7 · 2024: 5 · 2023: 14 · 2022: 12 · 2021: 11 · 2020: 14 · 2019: 13 · 2018: 12 · 2017: 12 · 2016: 24 · 2015: 18 · 2014: 25 · 2013: 23 · 2012: 16
FWCI: 1.99
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Diabetes Obesity and Metabolism (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords: home telehealth, diabetes management, home health monitoring, telephone support, glycemic control, HbA1c, hospitalization, quality of life, patient satisfaction, remote care, usual care comparison
MeSH terms: Diabetes Mellitus, Home Care Services, Humans, Quality of Life, Patient Satisfaction, Outcome Assessment, Health Care, Telemedicine

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Home telehealth for diabetes management: a systematic review and meta‐analysis

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