TY - JOUR AU - Arambepola, Carukshi AU - Ricci-Cabello, Ignacio AU - Manikavasagam, Pavithra AU - Roberts, Nia AU - French, David P AU - Farmer, Andrew PY - 2016 DA - 2016/04/19 TI -通过移动设备向2型糖尿病患者传递自动简短消息促进生活方式改变的影响:系统文献回顾和荟萃分析的对照试验乔- J地中海互联网Res SP - e86六世- 18 - 4 KW -糖尿病,类型2 KW -移动健康KW -短信千瓦系统回顾KW -饮食KW -身体活动KW -自我保健AB -背景:简短的自动化信息有可能在2型糖尿病患者自我管理的支持,但其效果与常规治疗相比,尚不清楚。目的:研究通过自动短信方式改变2型糖尿病患者生活方式行为的干预措施的有效性。方法:对对照试验进行了系统的文献回顾，研究了通过简短的信息传递，旨在促进2型糖尿病患者改变生活方式的干预措施对行为和临床结果的影响。检索的书目数据库包括Medline、Embase、CINAHL、PsycINFO和ISI WoK。两名审稿人独立筛选引文。我们提取了关于研究偏倚风险、环境(高、低和中等收入国家)和干预特征(包括理论和行为改变技术的使用)的信息。结果测量包括干预措施的可接受性及其对以下因素的影响:1)生活方式行为的决定因素(糖尿病知识、自我效能、自我管理态度);2)生活方式行为(饮食、体育活动);3)临床和患者报告的结果。在可能的情况下，我们使用随机效应荟萃分析汇集数据，以获得干预与常规护理相比的效应大小估计。结果:我们确定了15项试验(15项干预措施)符合我们的纳入标准。 Most interventions were delivered via short message service text messaging (n=12) and simultaneously targeted diet and physical activity (n=11). Nine interventions consisted of unidirectional messages, whereas six consisted of bidirectional messages, with patients receiving automated tailored feedback based on self-reported data. The acceptability of the interventions, and their impact on lifestyle behavior and its determinants, were examined in a low proportion of trials, with heterogeneous results being observed. In 13 trials (1155 patients) where data were available, there was a difference in glycated hemoglobin of -0.53% (95% CI -0.59% to -0.47%) between intervention groups compared to usual care. In five trials (406 patients) there was a non-significant difference in body mass index of -0.25 kg/m2 (95% CI -1.02 to 0.52). Interventions based on unidirectional messages produced similar effects in the outcomes examined, compared to those based on bidirectional messages. Interventions conducted in low- and middle-income countries showed a greater impact than those conducted in high-income countries. In general, trials were not free of bias and did not use explicit theory. Conclusions: Automated brief messages strategies can improve health outcomes in people with type 2 diabetes. Larger, methodologically robust trials are needed to confirm these positive results. SN - 1438-8871 UR - //www.mybigtv.com/2016/4/e86/ UR - https://doi.org/10.2196/jmir.5425 UR - http://www.ncbi.nlm.nih.gov/pubmed/27095386 DO - 10.2196/jmir.5425 ID - info:doi/10.2196/jmir.5425 ER -