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Online social networking services in the management of patients with diabetes mellitus: systematic review and meta-analysis of randomised controlled trials

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Title: Online social networking services in the management of patients with diabetes mellitus: systematic review and meta-analysis of randomised controlled trials
Authors: Toma, T
Athanasiou, T
Harling, L
Darzi, A
Ashrafian, H
Item Type: Journal Article
Abstract: Aims Social networking services (SNS) can facilitate real-time communication and feedback of blood glucose and other physiological data between patients and healthcare professionals. This systematic review and meta-analysis aims to summarise the current evidence surrounding the role of online social networking services in diabetes care. Methods We performed a systematic literature review of the Medline, EMBASE and PsychINFO databases of all studies reporting HbA1c (glycated haemoglobin) as a measure of glycaemic control for social networking services in diabetes care. HbA1c, clinical outcomes and the type of technology used were extracted. Study quality and publication bias were assessed. Results SNS interventions beneficially reduced HbA1c when compared to controls, which was confirmed by sensitivity analysis. SNS interventions also significantly improved systolic and diastolic blood pressure, triglycerides and total cholesterol. Subgroup analysis according to diabetes type demonstrated that Type 2 diabetes patients had a significantly greater reduction in HbA1c than those with Type 1 diabetes. Conclusions Online SNS provide a novel, feasible approach to improving glycaemic control, particularly in patients with Type 2 diabetes. Further mechanistic and cost-effectiveness studies are required to improve our understanding of SNS and its efficacy in diabetes care.
Issue Date: 1-Nov-2014
Date of Acceptance: 15-Jun-2014
URI: http://hdl.handle.net/10044/1/60540
DOI: https://dx.doi.org/10.1016/j.diabres.2014.06.008
ISSN: 0168-8227
Publisher: Elsevier
Start Page: 200
End Page: 211
Journal / Book Title: Diabetes Research and Clinical Practice
Volume: 106
Issue: 2
Copyright Statement: © 2014 Elsevier Ltd. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Sponsor/Funder: National Institute for Health Research
Funder's Grant Number: NF-SI-0510-10186
Keywords: Science & Technology
Life Sciences & Biomedicine
Endocrinology & Metabolism
Social networking services
Telemedicine
Diabetes
HbA1c
GLUCOSE MONITORING-SYSTEM
SHORT-MESSAGE SERVICE
SELF-MANAGEMENT
GLYCEMIC CONTROL
HEALTH-CARE
CELLULAR PHONE
INFORMATION-SYSTEM
INTERNET
SUPPORT
INTERVENTION
Diabetes Mellitus
Disease Management
Humans
Internet
Randomized Controlled Trials as Topic
Social Networking
1103 Clinical Sciences
Publication Status: Published
Online Publication Date: 2014-06-21
Appears in Collections:Division of Surgery
Faculty of Medicine



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