Scholarlink

Background <p>Adolescents with diabetes face challenges in self-management and glycemic control, with traditional care offering limited support.</p> Objective <p>To evaluate the effects of digital interventions on adolescents with diabetes and their feature preferences.</p> Methods <p>Six English-language databases (PubMed, Web of Science, Embase, Cochrane Library, CINAHL, and PsycINFO), two Chinese-language databases (China National Knowledge Infrastructure and Wanfang), and other relevant sources were searched from inception to June 20, 2023. Randomized controlled trials involving adolescents with diabetes that evaluated digital interventions and reported at least one clinical outcome were included. Key intervention features, including parental involvement and individualization, were summarized.</p> Results <p>Nineteen studies with 1726 adolescents were analyzed. The duration and functions of digital interventions varied. Only four studies incorporated parental involvement, and none provided individualized interventions. Adolescents preferred smartphone-based interventions due to their convenience. Analysis of HbA1c at baseline, 3, 6, and 12 months showed no significant differences (<i>Z</i> = 1.11, <i>P</i> = 0.27; <i>Z</i> = 1.48, <i>P</i> = 0.14; <i>Z</i> = 1.41, <i>P</i> = 0.16; <i>Z</i> = 0.68, <i>P</i> = 0.49) with digital interventions. However, smartphone applications demonstrated a significant improvement in HbA1c level (0.46 [95%CI -0.86 to -0.07]), while websites and digital videos did not. Self-management behavior and quality of life showed borderline significance (0.45 [95%CI −&#xa0;0.01 to 0.91]; 1.12 [95%CI −&#xa0;0.05 to 2.29]).</p> Conclusion <p>Digital interventions can improve self-management behaviors and quality of life among adolescents with diabetes, and smartphone applications may enhance glycemic control. These interventions can complement traditional face-to-face care, particularly for those with limited access to healthcare resources. Future studies should consider integrating artificial intelligence for tailored support and increasing parental engagement.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Digital Interventions for Adolescents with Diabetes: A Systematic Review

  • 期刊论文

  • 发表日期：

    2026年1月3日

查看全文
  • Dan Zhang,
  • Yi Wu,
  • Jing Huang,
  • Tian-Xue Long,
  • Qi Zhang,
  • Xinying Sun,
  • Shanshan Lin,
  • Mingzi Li

摘要

Background

Adolescents with diabetes face challenges in self-management and glycemic control, with traditional care offering limited support.

Objective

To evaluate the effects of digital interventions on adolescents with diabetes and their feature preferences.

Methods

Six English-language databases (PubMed, Web of Science, Embase, Cochrane Library, CINAHL, and PsycINFO), two Chinese-language databases (China National Knowledge Infrastructure and Wanfang), and other relevant sources were searched from inception to June 20, 2023. Randomized controlled trials involving adolescents with diabetes that evaluated digital interventions and reported at least one clinical outcome were included. Key intervention features, including parental involvement and individualization, were summarized.

Results

Nineteen studies with 1726 adolescents were analyzed. The duration and functions of digital interventions varied. Only four studies incorporated parental involvement, and none provided individualized interventions. Adolescents preferred smartphone-based interventions due to their convenience. Analysis of HbA1c at baseline, 3, 6, and 12 months showed no significant differences (Z = 1.11, P = 0.27; Z = 1.48, P = 0.14; Z = 1.41, P = 0.16; Z = 0.68, P = 0.49) with digital interventions. However, smartphone applications demonstrated a significant improvement in HbA1c level (0.46 [95%CI -0.86 to -0.07]), while websites and digital videos did not. Self-management behavior and quality of life showed borderline significance (0.45 [95%CI − 0.01 to 0.91]; 1.12 [95%CI − 0.05 to 2.29]).

Conclusion

Digital interventions can improve self-management behaviors and quality of life among adolescents with diabetes, and smartphone applications may enhance glycemic control. These interventions can complement traditional face-to-face care, particularly for those with limited access to healthcare resources. Future studies should consider integrating artificial intelligence for tailored support and increasing parental engagement.