Tecnologias educacionais utilizadas para promoção do autocuidado de pessoas com diabetes mellitus: revisão integrativa.
Jennyfer Soares de Sá, Martin Dharlle Oliveira Santana, Mayara Góes Dos Santos and 2 others
PMID 38088712WHAT IT FOUND
Most included studies validated or described diabetes self-care technologies, often focused on foot care.
One randomized trial decreased unhealthy snack caloric intake but not physical activity or oral hypoglycemic adherence.
Key findings
01Ten primary studies were eligible after screening 5,618 articles; the included studies were mostly methodological, design, descriptive or randomized trials.
02Five included articles focused on foot self-care to prevent diabetic foot complications; among four international studies, three addressed behavior change, medication adherence, healthy eating, and physical activity.
03The randomized eHealth trial found decreased caloric intake of unhealthy snacks compared with control, but no significant changes in adherence to physical activity or oral hypoglycemic agents.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review searched only articles published from 2012 to 2022, so older or newer work may be missing. Most included studies were methodological, design, descriptive or low-level evidence studies, so they do not show that educational technologies improve diabetes outcomes. The review included only ten primary studies, and their technologies, participants and outcomes varied widely. Only English, Portuguese or Spanish articles were included, which may limit the evidence base. The review did not combine results into a single effect estimate, so the overall benefit cannot be measured.
Declared interests
The work was financed in part by CAPES, Finance Code 001.
The easy way to misread this
Do not read this review as proof that educational technologies improve diabetes self-care. Many included studies were methodological or low-level evidence, and the randomized trial reporting behavioral outcomes found decreased unhealthy snack caloric intake but no significant changes in physical activity or oral hypoglycemic adherence.