Related Experiment Video
Updated: Jun 17, 2026
05:06
Effects of Mindfulness Training Combined with Tai Chi in Patients with Diabetic Peripheral Neuropathy
Published on: July 14, 2023
Assessing the Effectiveness of Digital Health Behavior Strategies on Type 2 Diabetes Management: Systematic Review
Min Li1, Shiyu Liu2, Binyang Yu3
1School of Nursing, Health Science Center, Xi 'an Jiaotong University, Xi 'an, China.
Journal of Medical Internet Research
|February 14, 2025
Summary
Digital health interventions (DHIs) effectively manage type 2 diabetes mellitus (T2DM). Combining strategies like communication, engagement, guidance, and management significantly improves HbA1c, fasting blood glucose, BMI, and weight loss.
Area of Science:
- Digital health interventions (DHIs)
- Type 2 Diabetes Mellitus (T2DM) management
- Behavior change strategies
Background:
- DHIs and mobile technologies are increasingly used for T2DM management.
- Effective strategies are crucial for DHI success.
- A clear categorization of T2DM DHI strategies is lacking.
Purpose of the Study:
- Identify and categorize DHI strategies for T2DM.
- Assess the effectiveness of these DHI strategies.
- Compare and rank strategy combinations for key health outcomes.
Main Methods:
- Systematic review of RCTs from major databases (PubMed, Scopus, Web of Science).
- Categorization of strategies based on behavior change principles.
- Network meta-analysis to evaluate efficacy of strategy combinations.
- Data quality assessed using Cochrane Risk of Bias tool.
Main Results:
- 52 RCTs identified 63 strategies across 19 themes; 'guide', 'monitor', 'management', and 'engagement' were most common.
- Studies using more strategies showed greater effectiveness.
- Specific combinations proved highly effective: communication, engagement, guide, and management for HbA1c; guide, management, and monitor for FBG; communication, engagement, goal setting, management, and support for BMI and weight loss.
Conclusions:
- Certain DHI strategy combinations significantly reduce HbA1c, FBG, BMI, and weight in T2DM.
- Healthcare professionals should adopt these effective DHI strategies in clinical practice.
- Further research is needed to optimize DHI strategy design and implementation.
Related Concept Videos
01:36Carbohydrate Metabolism
10.7K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
10.7K
01:22Diabetes Mellitus: Overview and Type I Subtype
2.4K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.4K
01:22Diabetes Mellitus: Type 2 and Gestational
2.1K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.1K
01:15Diabetes: Management and Pharmacotherapy
229
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
229
01:26Oral Hypoglycemic Agents: Biguanides and Glitazones
158
Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
158
01:30Stress Prevention and Stress Management Techniques VI
26
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
26