Systematic review of communication technologies to promote access and engagement of young people with diabetes into healthcare
Open accessAbstract
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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Five reviews focused on type 1 diabetes and one analyzed type 1 diabetes within a mixed review.
“A total of 5 reviews focused on type 1 diabetes [23,24,41,48,49] and 1 analyzed type 1 diabetes within a mixed review [19].”
Three 1-star narrative syntheses showed improvement in HbA1c limited to only a few RCTs, and all concluded that further evaluation was required.
“Three 1-star narrative syntheses showed improvement in HbA1c limited to only a few RCTs, and all concluded that further evaluation was required [19,23,48].”
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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)
- PMC
- PMC3024230
- 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
- gold
- doi.org
- Licence
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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