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Navigating Diabetes Online Communities in Clinical Practice.

Meghan McLarney1, Michelle L Litchman2, Deborah Greenwood3,4

  • 1Department of Internal Medicine, Diabetes and Endocrinology Center, University of Nebraska Medical Center, Omaha, NE, USA.

Journal of Diabetes Science and Technology
|February 7, 2022
PubMed
Summary

Diabetes online communities show potential for improving health outcomes. Further research is needed to confirm benefits, but these diverse platforms offer personalized support for individuals with diabetes.

Keywords:
PWD and DOCclinical impact of diabetes online communitiesdiabetes online communitydiabetes peer supportsocial media and diabetes

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Area of Science:

  • Digital Health
  • Community Health
  • Endocrinology

Background:

  • Diabetes online communities (DOCs) are increasingly utilized by patients.
  • Understanding their clinical impact and guiding healthcare providers is crucial.

Purpose of the Study:

  • To conduct a rapid review and environmental scan of DOCs.
  • To highlight the clinical impact of DOC engagement.
  • To provide guidance for healthcare providers on using DOCs.

Main Methods:

  • Two-phase review: rapid clinical outcomes review and DOC content assessment.
  • Literature search for studies on DOC use and glucometric, behavioral, and psychosocial outcomes.
  • Environmental scan of DOC sites for features, platforms, and target populations.

Main Results:

  • Twelve papers included: 8 on DIY closed-loop systems, 4 on non-DIY DOCs.
  • Non-DIY studies showed patient-reported outcomes, A1C lowering, improved self-efficacy, self-care, and quality of life.
  • DIY studies demonstrated improved glucometrics with DOC support and technology.

Conclusions:

  • DOCs show potential for improving clinical, behavioral, and psychosocial outcomes.
  • Further randomized controlled trials and longitudinal studies are needed.
  • Diverse DOCs offer opportunities for personalized clinician recommendations.