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Objective (1) Examine the mobile applications that address lifestyles to improve the metabolic control of adult patients with diabetes mellitus. (2) Describe the characteristics of the used mobile applications, identify the healthy lifestyles they target, and describe any of their adverse effects. Methods Review systematic reviews. We included studies that used any mobile application to help patients improve diabetes mellitus self-management by focusing on healthy lifestyles. Studies needed to include a control group receiving regular care with no mobile devices. In May 2018, Medline, Embase, Cochrane, LILACS, PsychINFO, Cinahl and Science Direct were searched, updated in June 2021. The methodological quality of the studies was assessed by the Amstar-2 tool. Results First 804 articles were analyzed to select 17 systematic reviews, of which the methodological quality of seven was high or moderate. Interventions lasted 1−12 months. Twenty-three different mobile applications were identified that were all related to eating and physical activity. Significant changes were noted in HbA1c values. No clear improvement was observed for weight/BMI, lipid profile, quality of life or blood pressure. No adverse effects were found. Conclusions Managing the lifestyle of patients with diabetes using mobile applications improves short-term glycemic control, but the long-term results are not conclusive. The identified mobile applications focus on food and physical activity. Most are free. No adverse effects caused by using them were identified. PROSPERO register CRD42019133685
Francisco Jesús Represas-Carrera; Ángel Alfredo Martínez-Ques; Ana Clavería. Effectiveness of mobile applications in diabetic patients’ healthy lifestyles: A review of systematic reviews. Primary Care Diabetes 2021, 1 .
AMA StyleFrancisco Jesús Represas-Carrera, Ángel Alfredo Martínez-Ques, Ana Clavería. Effectiveness of mobile applications in diabetic patients’ healthy lifestyles: A review of systematic reviews. Primary Care Diabetes. 2021; ():1.
Chicago/Turabian StyleFrancisco Jesús Represas-Carrera; Ángel Alfredo Martínez-Ques; Ana Clavería. 2021. "Effectiveness of mobile applications in diabetic patients’ healthy lifestyles: A review of systematic reviews." Primary Care Diabetes , no. : 1.
Introduction: We evaluated the effectiveness of an individual, group and community intervention to improve the glycemic control of patients with diabetes mellitus aged 45–75 years with two or three unhealthy life habits. As secondary endpoints, we evaluated the inverventions’ effectiveness on adhering to Mediterranean diet, physical activity, sedentary lifestyle, smoking and quality of life. Method: A randomized clinical cluster (health centers) trial with two parallel groups in Spain from January 2016 to December 2019 was used. Patients with diabetes mellitus aged 45–75 years with two unhealthy life habits or more (smoking, not adhering to Mediterranean diet or little physical activity) participated. Centers were randomly assigned. The sample size was estimated to be 420 people for the main outcome variable. Educational intervention was done to improve adherence to Mediterranean diet, physical activity and smoking cessation by individual, group and community interventions for 12 months. Controls received the usual health care. The outcome variables were: HbA1c (main), the Mediterranean diet adherence score (MEDAS), the international diet quality index (DQI-I), the international physical activity questionnaire (IPAQ), sedentary lifestyle, smoking ≥1 cigarette/day and the EuroQuol questionnaire (EVA-EuroQol5D5L). Results: In total, 13 control centers (n = 356) and 12 intervention centers (n = 338) were included with similar baseline conditions. An analysis for intention-to-treat was done by applying multilevel mixed models fitted by basal values and the health center: the HbA1c adjusted mean difference = −0.09 (95% CI: −0.29–0.10), the DQI-I adjusted mean difference = 0.25 (95% CI: −0.32–0.82), the MEDAS adjusted mean difference = 0.45 (95% CI: 0.01–0.89), moderate/high physical activity OR = 1.09 (95% CI: 0.64–1.86), not living a sedentary lifestyle OR = 0.97 (95% CI: 0.55–1.73), no smoking OR = 0.61 (95% CI: 0.54–1.06), EVA adjusted mean difference = −1.26 (95% CI: −4.98–2.45). Conclusions: No statistically significant changes were found for either glycemic control or physical activity, sedentary lifestyle, smoking and quality of life. The multicomponent individual, group and community interventions only showed a statistically significant improvement in adhering to Mediterranean diet. Such innovative interventions need further research to demonstrate their effectiveness in patients with poor glycemic control.
Francisco Represas-Carrera; Sabela Couso-Viana; Fátima Méndez-López; Bárbara Masluk; Rosa Magallón-Botaya; Jose Recio-Rodríguez; Haizea Pombo; Alfonso Leiva-Rus; Montserrat Gil-Girbau; Emma Motrico; Ruth Martí-Lluch; Francisco Gude; Ana Clavería. Effectiveness of a Multicomponent Intervention in Primary Care That Addresses Patients with Diabetes Mellitus with Two or More Unhealthy Habits, Such as Diet, Physical Activity or Smoking: Multicenter Randomized Cluster Trial (EIRA Study). International Journal of Environmental Research and Public Health 2021, 18, 5788 .
AMA StyleFrancisco Represas-Carrera, Sabela Couso-Viana, Fátima Méndez-López, Bárbara Masluk, Rosa Magallón-Botaya, Jose Recio-Rodríguez, Haizea Pombo, Alfonso Leiva-Rus, Montserrat Gil-Girbau, Emma Motrico, Ruth Martí-Lluch, Francisco Gude, Ana Clavería. Effectiveness of a Multicomponent Intervention in Primary Care That Addresses Patients with Diabetes Mellitus with Two or More Unhealthy Habits, Such as Diet, Physical Activity or Smoking: Multicenter Randomized Cluster Trial (EIRA Study). International Journal of Environmental Research and Public Health. 2021; 18 (11):5788.
Chicago/Turabian StyleFrancisco Represas-Carrera; Sabela Couso-Viana; Fátima Méndez-López; Bárbara Masluk; Rosa Magallón-Botaya; Jose Recio-Rodríguez; Haizea Pombo; Alfonso Leiva-Rus; Montserrat Gil-Girbau; Emma Motrico; Ruth Martí-Lluch; Francisco Gude; Ana Clavería. 2021. "Effectiveness of a Multicomponent Intervention in Primary Care That Addresses Patients with Diabetes Mellitus with Two or More Unhealthy Habits, Such as Diet, Physical Activity or Smoking: Multicenter Randomized Cluster Trial (EIRA Study)." International Journal of Environmental Research and Public Health 18, no. 11: 5788.
Background: Diabetes mellitus (DM) is currently a major public health problem worldwide. It is traditionally approached by a clinical inpatient relationship between patients and healthcare professionals. However, the rise in of the use of new technologies, particularly mobile applications, is revolutionizing the traditional healthcare model with the introduction of telehealthcare.Objective: (1) Examine the mobile applications that address lifestyles to improve the metabolic control of adult patients with Diabetes Mellitus. (2) Describe the characteristics of the used mobile applications, identify the healthy lifestyles they target, and describe any of their adverse effects.Methods: Review of systematic reviews following Cochrane Collaboration and Joanna Briggs Institute guidelines. We included studies that used any mobile application to help patients improve DM self-management by focusing on healthy lifestyles. Studies needed to include a control group receiving regular care without using mobile devices. In May 2018, Medline, Embase, Cochrane, LILACS, PsychINFO, Cinahl and Science Direct were searched, updated in May 2019. The methodological quality of the studies was assessed by the Amstar-2 tool.Results: Seven systematic reviews of 798 articles were initially selected for the analysis. Interventions lasted 1-12 months. Twenty-three different mobile applications were identified. They were all related to eating and physical activity. Significant changes were found in HbA1c values, body weight and BMI, but no clear improvement was observed in others like lipid profile, quality of life or blood pressure. No significant adverse effects were identified.Conclusions: Clearly evidence appeared for using mobile applications to improve glycemic control in diabetic patients in the short term, but not for long-term benefits. Thus carrying out further studies is necessary to learn about the long-term effectiveness of mobile applications to promote DM patients’ healthy lifestyles. PROSPERO Register: CRD42019133685
Francisco Jesús Represas Carrera; Ángel Alfredo Martínez Ques; Ana Clavería Fontán. Effectiveness of mobile applications in diabetic patients’ healthy lifestyles: review of systematic reviews. 2020, 1 .
AMA StyleFrancisco Jesús Represas Carrera, Ángel Alfredo Martínez Ques, Ana Clavería Fontán. Effectiveness of mobile applications in diabetic patients’ healthy lifestyles: review of systematic reviews. . 2020; ():1.
Chicago/Turabian StyleFrancisco Jesús Represas Carrera; Ángel Alfredo Martínez Ques; Ana Clavería Fontán. 2020. "Effectiveness of mobile applications in diabetic patients’ healthy lifestyles: review of systematic reviews." , no. : 1.
BACKGROUND Diabetes mellitus is currently a major public health problem worldwide. It is traditionally approached in a clinical inpatient relationship between the patient and the healthcare professional. However, the rise of new technologies, particularly mobile applications, is revolutionizing the traditional healthcare model through the introduction of telehealthcare. OBJECTIVE (1) To assess the effects of mobile applications for improving healthy lifestyles on the quality of life and metabolic control of diabetes mellitus in adult patients. (2) To describe the characteristics of the mobile applications used, identify the healthy lifestyles they target, and describe any adverse effects their use may have. METHODS Review of systematic reviews and meta-analysis, following the guidelines of the Cochrane Collaboration and the Joanna Briggs Institute. We included studies that used any mobile application aimed at helping patients improve self-management of diabetes mellitus by focusing on healthy lifestyles. Studies needed to include a control group receiving regular care without the use of mobile devices. In May 2018, a search was conducted in Medline, Embase, Cochrane, LILACS, PsychINFO, Cinahl and Science Direct, updated in May 2019. The methodological quality of the studies was assessed using the Amstar-2 tool. RESULTS Seven systematic reviews of 798 articles were initially selected for analysis. The interventions had a duration of between 1 and 12 months. Mobile applications focused singly or simultaneously on different lifestyles aspects (diet, physical exercise, motivation, blood glucose levels, etc.). There are significant changes in HbA1c values, body weight and BMI, although in others, such as lipid profile, quality of life, or blood pressure, there is no clear improvement. CONCLUSIONS There is clear evidence that the use of mobile applications improves glycemic control in diabetic patients in the short term. There is a lack of evidence in its long-term benefits. It is thus necessary to carry out further studies to learn about the long-term effectiveness of mobile applications aimed at promoting the healthy lifestyles of diabetic patients. CLINICALTRIAL PROSPERO Register: CRD42019133685
Francisco Jesús Represas Carrera Sr; Ángel Alfredo Martínez Ques Sr; Ana Clavería Fontán Sr. Effectiveness of mobile applications on healthy lifestyles aimed at diabetic patients: review of systematic reviews. (Preprint). 2019, 1 .
AMA StyleFrancisco Jesús Represas Carrera Sr, Ángel Alfredo Martínez Ques Sr, Ana Clavería Fontán Sr. Effectiveness of mobile applications on healthy lifestyles aimed at diabetic patients: review of systematic reviews. (Preprint). . 2019; ():1.
Chicago/Turabian StyleFrancisco Jesús Represas Carrera Sr; Ángel Alfredo Martínez Ques Sr; Ana Clavería Fontán Sr. 2019. "Effectiveness of mobile applications on healthy lifestyles aimed at diabetic patients: review of systematic reviews. (Preprint)." , no. : 1.
To determine the percentage of patients with Pulmonary Obstructive Chronic Disease who doing of incorrect form the inhaler technique. Descriptive transversal study made in the Primary Care Center "Antón de Borja" of Rubi (in Barcelona) during the period between May and December 2013, where it was studied a representative sample of 200 patients. To assess the inhaler technique was performed a personal interview with the patient in which it was requested him to carry out a demonstration of how he was using his inhaler regularly evaluating his inhaler technique by means of the regulations established by Spanish Society of Pneumology and Thoracic Surgery. 43% of the patients carry out inhaler technique incorrectly. The percentage of inadequate use of inhalers of dry powder was 26%, of the pressurized cartridge 38% and the inhaler chamber 10%. 82% of patients ≥ 65 years who have prescribed a pressurized inhaler cartridge do not perform accompanied by an inhaler chamber. A high percentage of patients do not correctly carry out inhaler technique, pointing the rare use made of the inhaler chamber despite its proven efficacy and the high number of patients with pressurized inhaler cartridge. These results reflect the need for the implementation of an educational program in our Primary Care Center to teach patients to use inhaler devices.
Francisco Jesús Represas-Carrera. WITHDRAWN: ¿Utilizan correctamente los inhaladores los pacientes con Enfermedad Pulmonar Obstructiva Crónica del centro de Atención Primaria Antón Borja? Enfermería Clínica 2015, 25, 3 -8.
AMA StyleFrancisco Jesús Represas-Carrera. WITHDRAWN: ¿Utilizan correctamente los inhaladores los pacientes con Enfermedad Pulmonar Obstructiva Crónica del centro de Atención Primaria Antón Borja? Enfermería Clínica. 2015; 25 (1):3-8.
Chicago/Turabian StyleFrancisco Jesús Represas-Carrera. 2015. "WITHDRAWN: ¿Utilizan correctamente los inhaladores los pacientes con Enfermedad Pulmonar Obstructiva Crónica del centro de Atención Primaria Antón Borja?" Enfermería Clínica 25, no. 1: 3-8.