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Titre : | Telehealth delivery of motivational interviewing for diabetes management: A systematic review of randomized controlled trials (2022) |
Auteurs : | Cassidi C. McDaniel, Auteur ; Jan Kavookjian, Auteur ; Heather P. Whitley, Auteur |
Type de document : | Article : texte imprimé |
Dans : | Patient Education and Counseling (Vol. 105 issue 4, April 2022) |
Article en page(s) : | pp. 805-820 |
Langues: | Anglais |
Catégories : | |
Résumé : |
"Objectives
The objective of this systematic review was to explore and report the evidence and gaps in the literature for randomized controlled trials (RCTs) studying the effects of motivational interviewing (MI)-based telehealth interventions on outcomes among persons with diabetes (PWD) or prediabetes. Methods Following a modified Cochrane approach, we searched Pubmed, CENTRAL, CINAHL, PsycINFO, and Clinicaltrials.gov. Included studies were RCTs published in English before March 25, 2021 evaluating MI-based telehealth on outcomes for adults with diabetes or prediabetes. Results: A total of 21 retained articles captured results for 6436 PWD. Among the most commonly investigated outcomes, 60% of articles documented A1C reductions (ranging from<1% to>3%), 56% documented systolic blood pressure reductions, 57% documented diabetes self-efficacy/empowerment improvements, and 40% documented physical activity improvements. Conversely, diastolic blood pressure, lipid panels, body mass index, depressive symptoms, and quality of life were frequently measured outcomes, where MI-based telehealth yielded minor effects (<30% of articles demonstrating improvements). Conclusions MI-based telehealth seems most effective for improving A1C, systolic blood pressure, diabetes self-efficacy, and physical activity behaviors. Variability in outcome assessment and intervention heterogeneity were key challenges impeding comparisons across retained articles. Practice implications MI-based telehealth interventions demonstrate promising results for improving outcomes in PWD." |
Catalogueur : | RESOdoc |
Exemplaires (1)
Cote | Code-barres | Support | Localisation | Disponibilité |
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RESO P.12 | RE65682274 | Bulletin | RESOdoc | Consultation sur place Disponible |