Role of Caregivers in Remote Management of Patients With Type 2 Diabetes Mellitus: Systematic Review of Literature

Overview

Journal J Med Internet Res

Publisher JMIR Publications

Specialty Medical Informatics

Date 2023 Sep 11

PMID 37695663

Authors

Jun Jie Benjamin Seng

Meng Ferng Ryan Gwee

Mei Hui Amanda Yong

Yu Heng Kwan

Julian Thumboo

Lian Leng Low

Affiliations

Soon will be listed here.

Abstract

Background: With the growing use of remote monitoring technologies in the management of patients with type 2 diabetes mellitus (T2DM), caregivers are becoming important resources that can be tapped into to improve patient care.

Objective: This review aims to summarize the role of caregivers in the remote monitoring of patients with T2DM.

Methods: We performed a systematic review in MEDLINE, Embase, Scopus, PsycINFO, and Web of Science up to 2022. Studies that evaluated the role of caregivers in remote management of adult patients with T2DM were included. Outcomes such as diabetes control, adherence to medication, quality of life, frequency of home glucose monitoring, and health care use were evaluated.

Results: Of the 1198 identified citations, 11 articles were included. The majority of studies were conducted in North America (7/11, 64%) and South America (2/11, 18%). The main types of caregivers studied were family or friends (10/11, 91%), while the most common remote monitoring modalities evaluated were interactive voice response (5/11, 45%) and phone consultations (4/11, 36%). With regard to diabetes control, 3 of 6 studies showed improvement in diabetes-related laboratory parameters. A total of 2 studies showed improvements in patients' medication adherence rates and frequency of home glucose monitoring. Studies that evaluated patients' quality of life showed mixed evidence. In 1 study, increased hospitalization rates were noted in the intervention group.

Conclusions: Caregivers may play a role in improving clinical outcomes among patients with T2DM under remote monitoring. Studies on mobile health technologies are lacking to understand their impact on Asian populations and long-term patient outcomes.

Citing Articles

Does integrated health management within a county medical consortium improve rural type 2 diabetic patients' self-management behavior and quality of life? An empirical analysis from Eastern China.

Peng M, Li L, Shi X, Wang Z BMC Public Health. 2024; 24(1):1439.

PMID: 38811921 PMC: 11138014. DOI: 10.1186/s12889-024-18885-0.

Older Chinese and Filipino American Immigrants with Type 2 Diabetes and their Adult Child: A Qualitative Dyadic Exploration of Family Support.

Peregrina H, Bayog M, Pagdilao A, Bender M, Doan T, Yoo G J Cross Cult Gerontol. 2024; 39(2):151-172.

PMID: 38720112 PMC: 11093813. DOI: 10.1007/s10823-024-09505-w.

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