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The effectiveness of text message-based self-management interventions for poorly-controlled diabetes: a systematic review

Maddison, Ralph, Dobson, Rosie, Whittaker, Robyn and Pfaeffli Dale, Leila 2017, The effectiveness of text message-based self-management interventions for poorly-controlled diabetes: a systematic review, Digital health, vol. 3, pp. 1-12, doi: 10.1177/2055207617740315.

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Title The effectiveness of text message-based self-management interventions for poorly-controlled diabetes: a systematic review
Author(s) Maddison, RalphORCID iD for Maddison, Ralph orcid.org/0000-0001-8564-5518
Dobson, Rosie
Whittaker, Robyn
Pfaeffli Dale, Leila
Journal name Digital health
Volume number 3
Start page 1
End page 12
Total pages 12
Publisher SAGE publications
Place of publication London, Eng.
Publication date 2017-11
ISSN 2055-2076
Summary Background
Poorly controlled diabetes leads to debilitating complications at a significant cost to health systems. Text messaging is an ideal platform for the delivery of self-management interventions to patients with poorly controlled diabetes due to the ubiquity of mobile phones, and the ability of text messaging to reach people in their everyday lives when self-management of the condition is vital. This systematic review aimed to assess the effectiveness of short message service-based diabetes self-management interventions on glycaemic control in adults with poorly controlled diabetes.

Methods/design
MEDLINE, PubMed, EMBASE, The Cochrane Library and PsychINFO were searched from inception through to 23 January 2017 for randomised controlled trials investigating the use of text messaging based self-management interventions on haemoglobin A1c for patients with poorly controlled diabetes.

Results
Seven studies met the inclusion criteria and were included in the review. Three of the studies reported a significant decrease in haemoglobin A1c from baseline to follow-up in the intervention group compared to the control group. No clear relationship between positive outcomes and intervention dose, content and functionality was seen.

Discussion
Evidence supporting text messaging for improvements in glycaemic control in people with poorly controlled diabetes is mixed. Previous reviews have reported positive impacts on glycaemic control for short message service interventions in patients with diabetes; however, when limited to those with poorly controlled diabetes the evidence is less clear. Large-scale studies with robust methodology and longer-term follow-up are needed to further understand the impact of text-messaging-based self-management interventions for people with poorly controlled diabetes.
Language eng
DOI 10.1177/2055207617740315
Field of Research 110699 Human Movement and Sports Science not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30105155

Document type: Journal Article
Collections: School of Exercise and Nutrition Sciences
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.