Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis
Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis
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DOI：
10.1111/j.1464-5491.2010.03180.x
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发表时间：
2011-04-01
影响因子：
3.5
通讯作者：
Gu, D.
中科院分区：
文献类型：
--
作者：
Liang, X.;Wang, Q.;Gu, D.
目的评价移动的电话干预对糖尿病自我管理患者血糖控制的影响。方法我们使用以下术语检索了三个电子数据库（PubMed、EMBASE和科克伦图书馆）：糖尿病或糖尿病和移动的电话或手机，或短信。我们还手动检索了相关论文的参考文献列表，以确定其他研究。回顾了使用移动的电话干预并报告糖尿病患者糖化血红蛋白（HbA（1c））值变化的临床研究。从每个试验中提取研究设计、干预方法、样本量和临床结局。HbA（1c）的变化在试验中的结果汇总使用荟萃分析methods.ResultsA共22项试验被选中进行审查。在1657名参与者中进行的荟萃分析显示，移动的电话干预用于糖尿病自我管理，在中位6个月的随访时间内，HbA（1c）值平均降低0.5% [6 mmol/mol; 95%置信区间，0.3-0.7%（4-8 mmol/mol）]。在亚组分析中，2型糖尿病患者中的11项研究报告HbA（1c）降低幅度显著大于1型糖尿病患者中的研究[0.8（9 mmol/mol）vs. 0.3%（3 mmol/mol）; P = 0.02]。移动的电话干预的效果并没有显着不同的其他参与者的特征或干预strategy.ConclusionsResults汇总从纳入的试验提供了有力的证据表明，移动的电话干预导致统计学显着改善血糖控制和自我管理的糖尿病护理，特别是2型糖尿病患者。
P>AimsTo assess the effect of mobile phone intervention on glycaemic control in diabetes self-management. Methods We searched three electronic databases (PubMed, EMBASE and Cochrane Library) using the following terms: diabetes or diabetes mellitus and mobile phone or cellular phone, or text message. We also manually searched reference lists of relevant papers to identify additional studies. Clinical studies that used mobile phone intervention and reported changes in glycosylated haemoglobin (HbA(1c)) values in patients with diabetes were reviewed. The study design, intervention methods, sample size and clinical outcomes were extracted from each trial. The results of the HbA(1c) change in the trials were pooled using meta-analysis methods.ResultsA total of 22 trials were selected for the review. Meta-analysis among 1657 participants showed that mobile phone interventions for diabetes self-management reduced HbA(1c) values by a mean of 0.5% [6 mmol/mol; 95% confidence interval, 0.3-0.7% (4-8 mmol/mol)] over a median of 6 months follow-up duration. In subgroup analysis, 11 studies among Type 2 diabetes patients reported significantly greater reduction in HbA(1c) than studies among Type 1 diabetes patients [0.8 (9 mmol/mol) vs. 0.3% (3 mmol/mol); P = 0.02]. The effect of mobile phone intervention did not significantly differ by other participant characteristics or intervention strategies.ConclusionsResults pooled from the included trials provided strong evidence that mobile phone intervention led to statistically significant improvement in glycaemic control and self-management in diabetes care, especially for Type 2 diabetes patients.