Cited by 82Diabetes Management and EducationMobile Health and mHealth ApplicationsTelemedicine and Telehealth Implementation

Systematic review of communication technologies to promote access and engagement of young people with diabetes into healthcare

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Sutcliffe, Paul, Martin, Steven, Sturt, Jackie, Powell, John, Griffiths, Frances, Adams, Ann, Dale, Jeremy·2011·BMC Endocrine Disorders

Abstract

BACKGROUND: Research has investigated whether communication technologies (e.g. mobile telephony, forums, email) can be used to transfer digital information between healthcare professionals and young people who live with diabetes. The systematic review evaluates the effectiveness and impact of these technologies on communication. METHODS: Nine electronic databases were searched. Technologies were described and a narrative synthesis of all studies was undertaken. RESULTS: Of 20,925 publications identified, 19 met the inclusion criteria, with 18 technologies assessed. Five categories of communication technologies were identified: video-and tele-conferencing (n = 2); mobile telephony (n = 3); telephone support (n = 3); novel electronic communication devices for transferring clinical information (n = 10); and web-based discussion boards (n = 1). Ten studies showed a positive improvement in HbA1c following the intervention with four studies reporting detrimental increases in HbA1c levels. In fifteen studies communication technologies increased the frequency of contact between patient and healthcare professional. Findings were inconsistent of an association between improvements in HbA1c and increased contact. Limited evidence was available concerning behavioural and care coordination outcomes, although improvement in quality of life, patient-caregiver interaction, self-care and metabolic transmission were reported for some communication technologies. CONCLUSIONS: The breadth of study design and types of technologies reported make the magnitude of benefit and their effects on health difficult to determine. While communication technologies may increase the frequency of contact between patient and health care professional, it remains unclear whether this results in improved outcomes and is often the basis of the intervention itself. Further research is needed to explore the effectiveness and cost effectiveness of increasing the use of communication technologies between young people and healthcare professionals.

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Authors
Sutcliffe, P., Martin, S., Sturt, J., Powell, J., Griffiths, F., Adams, A., & Dale, J.
Affiliations
University of Warwick (GB)
Corresponding author
Sutcliffe, Paul
Venue
BMC Endocrine Disorders
Published
2011-01-06
Volume
11
Issue
1
Pages
1-1
ISSN
1472-6823 (ISSN-L)
OpenAlex
W2116542576
Cited by
82
References
57
Citations by year
2025: 1 · 2024: 7 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 5 · 2018: 6 · 2017: 12 · 2016: 14 · 2015: 7 · 2014: 4 · 2013: 5 · 2012: 7
FWCI
0.71
Type
journal article
Language
en
Open access
Locations
  • BMC Endocrine Disorders (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Warwick Research Archive Portal (University of Warwick) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Research Portal (King's College London) (submittedVersion)
Funders
  • National Institute for Health and Care Research (CSA03/003, RP-DG-0709-10147, PC6/CSA04/01)
  • University of Warwick
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
communication technology, youth with diabetes, diabetes self-management, patient-physician communication, mobile telephony, teleconferencing, telephone support, HbA1c, glycemic control, patient engagement, health care access, care coordination, quality of life, self-care

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