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Systematic Review and Meta-Analysis of Telecoaching for Self-Care Management among Persons with Type 2 Diabetes Mellitus

International journal of environmental research and public health, 2022-12, Vol.20 (1), p.237 [Peer Reviewed Journal]

2022 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. ;2022 by the authors. 2022 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph20010237 ;PMID: 36612560

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  • Title:
    Systematic Review and Meta-Analysis of Telecoaching for Self-Care Management among Persons with Type 2 Diabetes Mellitus
  • Author: Platini, Hesti ; Lathifah, Artanti ; Maulana, Sidik ; Musthofa, Faizal ; Amirah, Shakira ; Abdurrahman, Muhammad Fahd ; Komariah, Maria ; Pahria, Tuti ; Ibrahim, Kusman ; Lele, Juan Alessandro Jeremis Maruli Nura
  • Subjects: Applications programs ; Bias ; Blood pressure ; Body mass ; Body mass index ; Body size ; Cholesterol ; Clinical trials ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - therapy ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - therapy ; Glycated Hemoglobin ; High density ; High density lipoprotein ; Humans ; Lipoproteins, LDL ; Meta-analysis ; Nurses ; Pandemics ; Quality assessment ; Quality control ; Self Care - methods ; Statistical analysis ; Systematic Review ; Telemedicine ; Triglycerides
  • Is Part Of: International journal of environmental research and public health, 2022-12, Vol.20 (1), p.237
  • Description: In response to the need for safe care for people with diabetes mellitus in the current outbreak of COVID-19, it is critical to evaluate the model, service delivery, feasibility, and efficiency of diabetes mellitus telecoaching. This study aimed to conduct a systematic review and meta-analysis of the model and efficacy of telecoaching to improve self-care and clinical outcomes. This study uses the Preferred Reporting Item for Systematic Review and Meta-Analysis (PRISMA). We searched on 22 March 2022, using keywords that matched the MeSH browser in four databases to find relevant studies, namely, PubMed/Medline, Proquest, Scopus, and EBSCOhost. Additionally, we collected randomized controlled trials (RCTs) on Google Scholar using the snowball technique. A quality assessment was performed using the Cochrane Collaboration's Risk of Bias tool (RoB)2. The meta-analysis used the DerSimonian-Laird random-effects model to analyze the pooled mean difference (MD) and its -value. Thirteen RCT studies were included for the systematic review and meta-analysis with a total number of participants of 3300. The model of telecoaching is a form of using nurses-led telephone and mobile apps, which are relatively cost-effective. The meta-analysis showed a positively improved statistically significance in clinical outcomes, including in HbA1c (a pooled MD of -0.33; 95% CI: -0.51--0.15; = 0.0003), blood glucose (-18.99; 95% CI: -20.89--17.09; = 0.00001), systolic blood pressure (-2.66; 95% CI: -3.66--1.66; = 0.00001), body mass index (-0.79; 95% CI: -1.39--0.18; = 0.01), and weight (-2.16 kg; 95% CI: -3.95--0.38; = 0.02). It was not, however, statistically significant in diastolic blood pressure (-0.87; 95% CI: -2.02-0.28; = 0.14), total cholesterol (-0.07; 95% CI: -0.26-0.12; = 0.46), low-density lipoprotein (-2.19; 95% CI: -6.70-2.31; = 0.34), triglycerides (-13.56; 95% CI: -40.46-13.35; = 0.32) and high-density protein (0.40; 95% CI: -1.12-1.91; = 0.61). The telecoaching with nurses-led telephone and mobile apps significantly affected clinical outcomes on HbA1c, systolic blood pressure, weight, and BMI. Moreover, there was no significant effect on the total cholesterol, low-density lipoprotein, triglycerides, and high-density lipoprotein. Thus, telecoaching has the potential as a care model in diabetes mellitus during COVID-19 and similar pandemics to improve self-care and clinical outcomes, but all the studies analyzed involved non-COVID-19 patients, limiting the generalizability of the results to COVID-19.
  • Publisher: Switzerland: MDPI AG
  • Language: English
  • Identifier: ISSN: 1660-4601
    ISSN: 1661-7827
    EISSN: 1660-4601
    DOI: 10.3390/ijerph20010237
    PMID: 36612560
  • Source: Geneva Foundation Free Medical Journals
    MEDLINE
    PubMed Central
    Coronavirus Research Database
    ProQuest Central
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