This systematic review reports the findings from 12 different studies that evaluated a range of different web-based resources in caring for people with diabetes.
The reviewers report favourable results for approaches that employed goal-setting, personalised coaching, interactive feedback and online peer support.
However, we recommend looking under the bonnet of this review as we suspect that heterogeneity between studies may be a serious issue. Whilst the findings appear consistent with other randomised trials and systematic reviews, there is evidence from other studies that some people benefit more than others from e-health interventions.
The search date for the review was June 2010.
Users of this research should consider:
- Possible sources of bias in the individual studies, particularly from small sample size, selection procedures, duration and completeness of follow-up.
- Whether the reviewers carried out blind, independent assessment of the quality of studies.
- What where the specific interventions and how did they achieve a benefit?
- What were the outcomes against which the interventions were evaluated?
- The specific patient groups in whom the interventions were tested.
Ramadas A, Quek KF, Chan CK, Oldenburg B. Web-based interventions for the management of type 2 diabetes mellitus: a systematic review of recent evidence. Int J Med Inform. 2011 Jun;80(6):389-405. Epub 2011 Apr 9.