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Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

International journal of environmental research and public health, 2021-11, Vol.18 (22), p.12171 [Peer Reviewed Journal]

2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2021 by the authors. 2021 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph182212171 ;PMID: 34831925

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  • Title:
    Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
  • Author: Robson, Natalie ; Hosseinzadeh, Hassan
  • Subjects: Bias ; Clinical trials ; Cost control ; Diabetes mellitus (non-insulin dependent) ; Family physicians ; Gestational diabetes ; Health care ; Health services ; Lifestyles ; Meta-analysis ; Pandemics ; Patients ; Physicians ; Primary care ; Review ; Severe acute respiratory syndrome coronavirus 2 ; Software ; Subgroups ; Systematic review ; Telemedicine
  • Is Part Of: International journal of environmental research and public health, 2021-11, Vol.18 (22), p.12171
  • Description: Primary health care physicians are increasingly offering telehealth services to patients not only for its cost and time saving advantages but for the additional benefits telehealth can provide for patients with type 2 diabetes (T2D) such as improved self-management behaviours. To support the development of telehealth based T2D clinical care models in primary health care settings, a narrative synthesis and meta-analysis of randomised controlled trial studies was completed for 29 studies that evaluated the effect of one or more types of telehealth interventions on HbA1c levels compared to usual care alone. Results from the random effects meta-analysis demonstrated that telehealth interventions had a stronger influence on HbA1c compared to usual care with a mean difference in HbA1c \% −0.18 (CI −0.35, −0.01), p = 0.04. Results from the subgroup meta-analysis demonstrated that telehealth interventions, when grouped by type of telemonitoring (mHealth and telephone communication), all have a stronger effect on lowering HbA1c levels; however, none of these findings were significant. Key findings from this review demonstrate that telehealth interventions that address T2D self-management behaviours and have higher levels of health care provider engagement, have greater effects on lowering HbA1c levels compared to usual care alone.
  • Publisher: Basel: MDPI AG
  • Language: English
  • Identifier: ISSN: 1660-4601
    ISSN: 1661-7827
    EISSN: 1660-4601
    DOI: 10.3390/ijerph182212171
    PMID: 34831925
  • Source: GFMER Free Medical Journals
    PubMed Central
    Coronavirus Research Database
    ProQuest Central
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