Is Web-Based Diabetes Training Effective or Ineffective on the Quality of Life of Individuals with Type 2 Diabetes Mellitus?: A Systematic Review

Elyeli, K., Esmaeilzadeh, S., & Bebiş, H. (2024). Is Web-Based Diabetes Training Effective or Ineffective on the Quality of Life of Individuals with Type 2 Diabetes Mellitus?: A Systematic Review. Journal of Medical Systems, 48(1), 92.

 

Diabetes mellitus, often referred to as the “pandemic of the era,” is a chronic disease with a rapidly increasing prevalence worldwide. Type 2 diabetes mellitus (T2DM), in particular, significantly impacts individuals’ quality of life due to its effects on various aspects of daily living. This systematic review investigates the effectiveness of web-based diabetes training programs on the quality of life of individuals with T2DM.

 

The study utilized the PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) framework for the literature review process. A comprehensive search was conducted across multiple databases, including PubMed, Web of Science, Science Direct, Medline, CINAHL, EBSCO host, Cochrane Library, and Google Scholar, using the [MeSH] keywords Web-based Intervention, Randomised Controlled Trial, HRQOL, and Type 2 Diabetes. The search covered studies published up to May 8, 2024. Zotero software was employed to manage and eliminate duplicate entries, resulting in seven randomized controlled trials (RCTs) being included in the review.

 

The findings reveal mixed results. While the majority of studies indicated no statistically significant improvement in overall quality of life scores, all experimental groups demonstrated positive trends in quality-of-life levels. Furthermore, studies with durations ranging from 1.5 to 3 months highlighted that web-based training programs could effectively enhance quality of life during this timeframe.

 

The review emphasizes the importance of designing web-based interventions that are sufficiently engaging and long enough to maintain participant adherence. Features such as online individual consultations and follow-up periods of 1.5 to 3 months are recommended for achieving optimal outcomes. In conclusion, web-based diabetes training programs hold promise as effective tools for improving the quality of life in individuals with T2DM, particularly when tailored to meet patient needs and designed with structured follow-up periods.

 

Abstract

Diabetes mellitus is called as the “pandemic of the era” due to its rising prevalence. Since it is a disease that affects all spheres of life, it has an impact on the quality of life of individuals. This systematic review aims to examine the effect of web-based diabetes training programmes prepared for individuals with type 2 diabetes mellitus on their quality of life. The PRISMA-P (Preferred Reporting Items for Systematic Review and Meta Analysis Protocols) flowchart was used in the literature search stage. A comprehensive search was performed through the [MeSH] keywords (Web-based Intervention, Randomised Controlled Trial, HRQOL, Type 2 Diabetes) until May 8, 2024 in databases of PubMed, Web of Science, Science Direct, Medline, CINAHL, EBSCO host, Cochrane Library, and Google Scholar. Zotero software program was used to identify duplications of the obtained studies. Seven randomised controlled studies were included in the review. It was found that, most of the studies that were included in review showed that quality of life did not cause any significant difference in the level of quality of life; whereas, improvement was observed in quality-of-life levels in all of the experimental groups. Also, studies conducted for 1.5 to 3 months showed that web-based training was effective in improving the quality of life. Consequently, it is recommended that web-based trainings be long enough to prevent patients from dropping out of training, with possibility of an online individual interview, and follow-up periods of 1.5 to 3 months in order to achieve effective results.

 

For further details, access the original paper from the publisher’s link: Is Web-Based Diabetes Training Effective or Ineffective on the Quality of Life of Individuals with Type 2 Diabetes Mellitus?: A Systematic Review