| Autor: |
Gurcay B; Faculty of Health Sciences, Sakarya University of Applied Sciences, Sakarya, Turkey., Yilmaz FT; Faculty of Health Sciences, Sakarya University of Applied Sciences, Sakarya, Turkey., Bilgin A; Faculty of Health Sciences, Sakarya University of Applied Sciences, Sakarya, Turkey. |
| Jazyk: |
angličtina |
| Zdroj: |
Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2024 Jan; Vol. 30 (1), pp. 3-20. Date of Electronic Publication: 2023 May 19. |
| DOI: |
10.1089/tmj.2023.0088 |
| Abstrakt: |
Objective: Diabetes mellitus (DM) is a global health issue with an increasing frequency across the world and is an important disease in which medication adherence is a priority component for disease management. Several interventions are implemented to increase medication adherence in patients with type 2 DM, and telehealth interventions have become widespread thanks to technological advancements. This meta-analysis aims at reviewing the telehealth interventions applied to patients with type 2 DM and examining their effects on medication adherence. Methods: Relevant studies published in ScienceDirect, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL) and PubMed from 2000 to December 2022 were searched in this meta-analysis. Their methodological quality was assessed using the Modified Jadad scale. Total score for each study ranged from 0 (low quality) to 8 (high quality). Studies with four or more were of good quality. Standardized mean difference (SMD) and 95% confidence intervals (CI) were used for statistical analysis. Publication bias was assessed using the funnel plot and Egger regression test. Both subgroup analysis and meta-regression analysis were performed in the study. Results: A total of 18 studies were analyzed in this meta-analysis. All studies scored 4 or above in their methodological quality assessment and were of good quality. The combined results have shown that telehealth interventions significantly increased medication adherence in the intervention group (SMD = 0.501; 95% CI 0.231-0.771; Z = 3.63, p < 0.001). Our subgroup analysis has revealed that HbA1c value, mean age, and duration of intervention significantly affected the study results. Conclusion: Telehealth interventions are an effective method to increase medication adherence in patients with type 2 DM. It is recommended that telehealth interventions be expanded in clinical practices and included in disease management. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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