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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

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  • Natalie Robson

    (School of Health and Society, University of Wollongong, Wollongong, NSW 2525, Australia)

  • Hassan Hosseinzadeh

    (School of Health and Society, University of Wollongong, Wollongong, NSW 2525, Australia)

Abstract

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.

Suggested Citation

  • Natalie Robson & Hassan Hosseinzadeh, 2021. "Impact of Telehealth Care among Adults Living with Type 2 Diabetes in Primary Care: A Systematic Review and Meta-Analysis of Randomised Controlled Trials," IJERPH, MDPI, vol. 18(22), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12171-:d:683298
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    2. Silvia Stringhini & G David Batty & Pascal Bovet & Martin J Shipley & Michael G Marmot & Meena Kumari & Adam G Tabak & Mika Kivimäki, 2013. "Association of Lifecourse Socioeconomic Status with Chronic Inflammation and Type 2 Diabetes Risk: The Whitehall II Prospective Cohort Study," PLOS Medicine, Public Library of Science, vol. 10(7), pages 1-15, July.
    3. Rashid M. Ansari & Mark Harris & Hassan Hosseinzadeh & Nicholas Zwar, 2021. "Healthcare Professionals’ Perspectives of Patients’ Experiences of the Self-Management of Type 2 Diabetes in the Rural Areas of Pakistan: A Qualitative Analysis," IJERPH, MDPI, vol. 18(18), pages 1-14, September.
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    Cited by:

    1. Anqi Zhang & Jinsong Wang & Xiaojuan Wan & Ziyi Zhang & Shuhan Zhao & Zihe Guo & Chufan Wang, 2022. "A Meta-Analysis of the Effectiveness of Telemedicine in Glycemic Management among Patients with Type 2 Diabetes in Primary Care," IJERPH, MDPI, vol. 19(7), pages 1-25, March.
    2. Hesti Platini & Artanti Lathifah & Sidik Maulana & Faizal Musthofa & Shakira Amirah & Muhammad Fahd Abdurrahman & Maria Komariah & Tuti Pahria & Kusman Ibrahim & Juan Alessandro Jeremis Maruli Nura Le, 2022. "Systematic Review and Meta-Analysis of Telecoaching for Self-Care Management among Persons with Type 2 Diabetes Mellitus," IJERPH, MDPI, vol. 20(1), pages 1-17, December.
    3. Hassan Hosseinzadeh & Zubair Ahmed Ratan & Kamrun Nahar & Ann Dadich & Abdullah Al-Mamun & Searat Ali & Marzieh Niknami & Iksheta Verma & Joseph Edwards & Mahmmoud Shnaigat & Md Abdul Malak & Md Musta, 2023. "Telemedicine Use and the Perceived Risk of COVID-19: Patient Experience," IJERPH, MDPI, vol. 20(4), pages 1-19, February.
    4. Nida Buawangpong & Wachiranun Sirikul & Chanya Anukhro & Mathuramat Seesen & Aroon La-up & Penprapa Siviroj, 2022. "Health Information Sources Influencing Health Literacy in Different Social Contexts across Age Groups in Northern Thailand Citizens," IJERPH, MDPI, vol. 19(10), pages 1-19, May.

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