International Journal of Public Health Science (IJPHS),
Год журнала:
2023,
Номер
12(3), С. 1218 - 1218
Опубликована: Июль 26, 2023
Self-care
management
is
a
process
that
does
not
only
develop
over
time
but
evolves
along
with
the
experience
of
type
illness.
Successful
self-management
diabetes
mellitus
depends
on
self-care
motivation
and
self-awareness,
specifically
designed
to
control
symptoms
avoid
complications.
This
systematic
review
uses
telehealth
intervention
smartphone-based
applications
for
patients
randomized
trial,
qualitative,
cross-sectional
studies
obtained
from
six
databases.
included
inclusion
exclusion
criteria
established
using
population,
intervention,
comparison,
outcomes
study
(PICOS)
framework,
then
data
were
extracted,
reviewed,
assessed
Joanna
Briggs
Institute
(JBI)
tool.
Seventeen
selected
articles
met
passed
selection
through
shown
in
flow
chart,
which
all
research
results
show
an
impact
management.
The
use
technology
especially
applications,
very
influential
effective
increasing
knowledge
patients.
Besides
that,
it
can
also
save
operational
costs
providing
interventions
people
mellitus,
further
needed
look
at
sustainability
structured
educational
health
outcomes.
Journal of Clinical Medicine,
Год журнала:
2023,
Номер
12(5), С. 1981 - 1981
Опубликована: Март 2, 2023
Poor
adherence
to
oral
antidiabetic
drugs
(OADs)
in
patients
with
type
2
diabetes
(T2D)
can
lead
therapy
failure
and
risk
of
complications.
The
aim
this
study
was
produce
an
proportion
OADs
estimate
the
association
between
good
glycemic
control
T2D.
We
searched
MEDLINE,
Scopus,
CENTRAL
databases
find
observational
studies
on
therapeutic
OAD
users.
calculated
adherent
total
number
participants
for
each
pooled
study-specific
proportions
using
random
effect
models
Freeman–Tukey
transformation.
also
odds
ratio
(OR)
having
OR
generic
inverse
variance
method.
A
156
(10,041,928
patients)
were
included
systematic
review
meta-analysis.
54%
(95%
confidence
interval,
CI:
51–58%).
observed
a
significant
(OR:
1.33;
95%
1.17–1.51).
This
demonstrated
that
T2D
is
sub-optimal.
Improving
through
health-promoting
programs
prescription
personalized
therapies
could
be
effective
strategy
reduce
Abstract:
Diabetes
is
one
of
the
leading
non-communicable
diseases
globally,
adversely
impacting
an
individual's
quality
life
and
adding
a
considerable
burden
to
healthcare
systems.
The
necessity
for
frequent
blood
glucose
(BG)
monitoring
inconveniences
associated
with
self-monitoring
BG,
such
as
pain
discomfort,
has
motivated
development
non-invasive
BG
approaches.
However,
current
research
progress
slow,
only
few
devices
have
made
progress.
Hence,
we
evaluate
available
technologies
validated
against
recordings
provide
future
direction
design,
develop,
deploy
integrated
emerging
technologies.
We
searched
five
databases,
Embase,
MEDLINE,
Proquest,
Scopus,
Web
Science,
assess
technology's
scope
in
diabetes
management
paradigm
published
from
2000
2020.
A
total
three
approaches
screening,
including
saliva,
skin,
breath,
were
identified
discussed.
observed
statistical
relationship
between
measurements
obtained
methods
standard
clinical
measures.
Opportunities
exist
advance
facilitate
early
technology
adoption
practice.
results
promise
validity;
however,
formulating
regulatory
guidelines
could
foresee
deployment
approved
Further,
prospects
are
there
systems
mobile
technologies,
data
analytics,
internet
things
(IoT)
deliver
personalised
system.
BMJ Open,
Год журнала:
2025,
Номер
15(2), С. e091018 - e091018
Опубликована: Фев. 1, 2025
Background
The
ue
of
digital
health
interventions
(DHIs)
for
the
management
cardiometabolic
diseases
has
increased
but
may
exacerbate
existing
inequalities.
Healthcare
professionals
(HCPs)
play
a
vital
role
in
recommending
and
supporting
healthcare
users
to
use
these
tools.
There
is
need
understand
HCPs
managing
implementation
communities
at
risk
Objective
To
explore
views
regarding
its
impact
on
inequalities,
focusing
South
Asian
population
UK.
Design
We
conducted
online
semi-structured
interviews
focus
groups
with
HCPs.
These
explored
HCPs’
experiences
attitudes
towards
health,
their
perceptions
users’
barriers
facilitators
such
tools,
as
well
inequalities
among
specific
user
groups,
COVID-19
pandemic
practice
relation
health.
After
informed
consent,
transcription
coding,
reflexive
thematic
approach
was
taken
analysis.
Setting
Primary,
community
secondary
care
provided
disease
Participants
general
(n=3),
specialities
pharmacy
(n=4)
other
practices
(n=8).
Results
recognised
potential
benefits
DHIs
improve
access
delivery
outcomes
described
several
successful
implementation.
demonstrated
good
understanding
challenges
face
wider
behaviours
access,
Of
particular
concern
increasing
reliance
exclusion
some
groups.
recommended
improvement
design
offered
through
working
at-risk
populations
throughout
process.
Finally,
participants
emphasised
importance
ensuring
non-digital
services
remained
available
ensure
equitable
social
care.
Conclusions
complexities
delivering
underserved
communities.
were
identified
way
some,
while
over-reliance
risked
exacerbating
made
recommendations
related
design,
engaging
target
practical
examples
address
sectors
take
approach.
Abstract
Background
Although
availability
and
utilisation
of
digital
health
interventions
(DHIs)
for
management
diabetes
cardiovascular
disease
(“cardiometabolic
disease”)
have
increased,
they
may
exacerbate
inequalities.
South
Asians
increased
cardiometabolic
risk,
but
their
experiences
DHIs
are
poorly
investigated
characterised.
Objective
To
explore
facilitators
barriers
to
DHI
uptake
use
in
Asian
individuals
the
UK
with
disease.
Methods
Mixed-methods
approach
encompassing
online/face-to-face/individual
interviews
(
n
=
45)
survey
100).
After
informed
consent,
transcription
coding,
we
conducted
a
thematic
analysis
by
guide
understanding
inequalities
examine
perceptions
at
individual,
healthcare
professional,
societal
intervention
level.
Results
Participants
described
an
intersection
factors
resulting
varied
skills
confidence
within
community,
including
individual
characteristics,
awareness,
support.
COVID-19
restrictions
acted
as
both
positive
(use
online
shopping
social
media
increasing
confidence)
negative
(lack
access
services)
drivers
uptake.
made
recommendations
improving
service
policy
area,
such
promotion
upskilling
through
culturally
language-appropriate
avenues
community
organisations
outlets.
suggested
design
improvements
should
focus
on
literacy,
numeracy,
accessibility,
cultural
appropriateness.
Conclusions
potential
support
populations
prevent
manage
improve
uptake,
approaches
implementation
consider
diversity
provide
appropriate
promotion,
education,
Journal of Managed Care & Specialty Pharmacy,
Год журнала:
2025,
Номер
31(1), С. 33 - 41
Опубликована: Янв. 1, 2025
Improved
medication
adherence,
represented
as
an
increase
in
the
proportion
of
days
covered
(PDC),
to
chronic
medications
is
associated
with
better
patient
outcomes,
yet
effective
strategies
improve
adherence
are
often
resource
intensive.
Abstract
Objectives:
This
study
aimed
to
evaluate
antidiabetic
prescription
patterns
and
their
association
with
medication
adherence.
Methods:
A
cross-sectional
was
conducted
amongst
type
2
diabetes
(T2DM)
patients
attending
the
Bangladesh
Institute
of
Health
Science.
Logistic
Regression
(LR)
used
identify
factors
associated
Results:
Of
504
T2DM
patients,
metformin
(55.6%)
most
prescribed,
followed
by
DPP4i
(45.7%)
sulphonylurea
(44.6%).
The
overall
adherence
52.4%
(95%
condidence
interval
[CI]:
47.9%–56.8%).
LR
revealed
that
those
aged
40–59
years
(adjusted
odds
ratio
[aOR]:
1.8;
95%
CI:
1.1–3.2)
60
or
more
(aOR:
2.5;
1.3–4.9),
housewives
1.7;
1.1–2.6),
having
four
fewer
family
members
1.6;
1.1–2.3),
using
oral
hypoglycemic
agents
2.7,
1.1–6.7)
consume
single
drugs
4.1;
1.9–8.9)
were
significantly
higher
Diabetes
controlled
no-diabetic
retinopathy
group
showed
substantially
Conclusions:
Clinicians
should
prioritize
in
younger
adults
uncontrolled
diabetes,
utilising
single-pill
combinations
for
optimal
management.
Diabetes Obesity and Metabolism,
Год журнала:
2024,
Номер
26(S1), С. 14 - 29
Опубликована: Фев. 8, 2024
Abstract
Integrated
personalized
diabetes
management
(IPDM)
has
emerged
as
a
promising
approach
to
improving
outcomes
in
patients
with
mellitus
(DM).
This
care
emphasizes
the
integration
and
coordination
of
different
providers,
including
physicians,
nurses,
dietitians,
social
workers
pharmacists.
The
goal
IPDM
is
provide
that
tailored
their
needs.
review
addresses
concept
integrated
use
technology
(including
data,
software
applications
artificial
intelligence)
well
managerial,
regulatory
financial
aspects.
implementation
upscaling
digitally
enabled
are
discussed,
elaboration
successful
practices
related
evidence.
Finally,
recommendations
made.
It
concluded
adoption
on
global
level
inevitable,
considering
challenges
created
by
an
increasing
prevalence
DM
need
for
better
improvement
health
system
sustainability.
Revista Latino-Americana de Enfermagem,
Год журнала:
2024,
Номер
32
Опубликована: Янв. 1, 2024
Objective:
to
map
the
content
and
features
of
mobile
applications
on
management
Diabetes
Mellitus
their
usability
main
operating
systems.
Method:
benchmarking
research.
The
mapping
apps,
content,
resources
Play
Store
App
platforms
was
based
an
adaptation
Joanna
Briggs
Institute’s
scoping
review
framework.
For
analysis,
apps
were
tested
for
two
weeks
System
Usability
Scale
instrument
used,
with
scores
between
50-67
points
being
considered
borderline,
68-84,
products
acceptable
above
85,
excellent
user
acceptance
and,
descriptive
statistics.
Results:
most
prevalent
contents
capillary
blood
glucose
management,
diet,
oral
drug
therapy,
insulin
therapy.
As
resources,
diaries
graphs
common.
With
regard
usability,
have
usability;
34,
29,
resource
may
some
flaws
but
still
has
standards
6,
no
conditions.
Conclusion:
address
fundamental
managing
user-friendly
users
potential
assist
in
patients’
daily
lives.
