Review
Computer Science, Interdisciplinary Applications
Dumisani Enricho Nkhoma, Charles Jenya Soko, Pierre Bowrin, Yankuba B. Manga, David Greenfield, Mowafa Househ, Yu-Chuan Li (Jack), Usman Iqbal
Summary: Digital health-led diabetes self-management education and support (DSMES) has been effective in improving glycemic control and diabetes knowledge among diabetes patients, especially for Type 2 Diabetes. However, research shows non-significant changes in health-related quality of life (HrQoL). Furthermore, intervention delivered through mobile apps or patient portals has shown more impressive effects on reducing HbA1c levels.
COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
(2021)
Review
Health Care Sciences & Services
Roman Keller, Sven Hartmann, Gisbert Wilhelm Teepe, Kim-Morgaine Lohse, Aishah Alattas, Lorainne Tudor Car, Falk Muller-Riemenschneider, Florian von Wangenheim, Jacqueline Louise Mair, Tobias Kowatsch
Summary: This study aims to identify the top-funded companies offering digital behavior change interventions (DBCIs) for type 2 diabetes management and prevention. The level of scientific evidence supporting these interventions and the use of novel automated approaches are examined. The results indicate that the funding received by these companies does not align with the evidence of intervention effectiveness. There is limited evidence supporting the different DBCIs, and there is a need for more rigorous trials and transparent reporting. The use of automated approaches such as conversational agents and just-in-time adaptive interventions is currently limited.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Health Care Sciences & Services
Frida Jarl, Anna Davelid, Katarina Hedin, Andreas Stomby, Christina Petersson
Summary: This study investigated the needs of patients with type 2 diabetes mellitus (T2DM) and diabetes specialist nurses (DSN) in Sweden regarding the use of digital health interventions (DHI) for diabetes self-management education and support (DSMES). The findings suggest that a successful DHI for DSMES needs to be integrated into routine care, provide structured and high-quality information, suggest tasks for behavioral changes, and offer feedback from the DSN to the patient.
BMC HEALTH SERVICES RESEARCH
(2023)
Review
Health Care Sciences & Services
Linda Ossenbrink, Tina Haase, Patrick Timpel, Olaf Schoffer, Madlen Scheibe, Jochen Schmitt, Stefanie Deckert, Lorenz Harst
Summary: This systematic review evaluated the effectiveness of digital health interventions containing game components on behavioral, patient-reported, and clinical outcomes for patients with type 2 diabetes. The findings suggest that these interventions can significantly improve motivation for physical activity, exercise intensity, dietary behavior, health literacy, mental quality of life, glycated hemoglobin level, BMI, fasting plasma glucose level, waist circumference, and aerobic capacity.
JMIR SERIOUS GAMES
(2023)
Article
Public, Environmental & Occupational Health
Vincenzo De Luca, Lutgarda Bozzetto, Clemente Giglio, Giovanni Tramontano, Giuseppina De Simone, Antonio Luciano, Luigi Lucibelli, Ada Maffettone, Michele Riccio, Geremia Romano, Ernesto Rossi, Carlos Juan Chiatti, Alexander Berler, Guido Iaccarino, Maddalena Illario, Giovanni Annuzzi
Summary: This study developed two digital solutions for self-management of Type 2 diabetes mellitus, and found that after an 8-month trial, the use of these solutions significantly improved patients' blood sugar control, body weight, blood pressure, and blood lipids.
FRONTIERS IN PUBLIC HEALTH
(2023)
Review
Public, Environmental & Occupational Health
Abdullah N. N. Almulhim, Hannah Hartley, Paul Norman, Samantha J. J. Caton, Onur Cem Dogru, Elizabeth Goyder
Summary: Given the high rates of Type 2 Diabetes Mellitus globally, there is a need to target health behaviors through person-centered interventions. Health coaching has been recognized as a tool to foster positive behavior change, but its use has been inconsistent and results mixed. This systematic review aimed to explore the use of behavior change techniques in health coaching interventions and identify their effectiveness in relation to HbA1C reductions. The results showed a small but significant effect of health coaching interventions on HbA1C reduction, but the number of techniques used was not related to intervention effectiveness.
Article
Health Care Sciences & Services
Lei Hu, Xiaoyuan Jin, Yundong Li, Hongmei Wang, Dan Yang, Ziqing Zhang, Xiaoyu He, Jing Liao, Weiju Chen, Ni Gong
Summary: This study collected text data from online health communities of Chinese patients with diabetes, revealing that patients mainly focus on disease treatment, disease etiology and knowledge, and lifestyle changes. The findings indicate a gap between medical standards such as guidelines and patient needs, highlighting the importance of improving diabetes health education, guideline development strategies, and health management strategies from a patient perspective.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Urvashi Rohilla, Jayashanthi P. Ramarao, Jared Lane, Neha N. Khatri, James Smith, Kathleen Yin, Annie Y. S. Lau
Summary: This study analyzed general practitioner-patient consultations about type 2 diabetes mellitus or cardiovascular diseases in the UK. It revealed that there is a discord between the self-management actions required of patients during and after consultations. Digital technology has the potential to support self-management concerns and bridge this gap.
Article
Medicine, General & Internal
Maxi Pia Bretschneider, Lena Roth, Peter E. H. Schwarz
Summary: This study aimed to provide preliminary evidence for the effectiveness of the mebix app-based treatment program in patients with type II diabetes mellitus. The results showed that after 3 months of using mebix, participants significantly reduced their HbA1c levels and experienced improvements in weight, well-being, and self-management. The app-generated data supported the finding that higher baseline HbA1c values led to greater reductions.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Eun-Hyun Lee, Young Whee Lee, Duckhee Chae, Kwan-Woo Lee, Seongbin Hong, So Hun Kim, Jin Ook Chung
Summary: This study found that health literacy positively affects self-management in patients with type 2 diabetes, with social isolation and self-efficacy playing important mediating roles. The findings suggest that comprehensive interventions targeting health literacy, social networks, and self-efficacy can improve clinical practice in diabetes management.
Article
Endocrinology & Metabolism
Callahan N. Clark, Elizabeth L. Eby, Cody J. Lensing, Elena Fultz, Brian Hart, Lilian Lingcaro, Ron Hoffner, Nanette C. Schloot, Brian D. Benneyworth
Summary: This study investigated the diabetes empowerment and health behavior motivation of participants in a T2D specialty care organization in the USA. The results showed that the survey respondents had high motivation and empowerment scores, but these scores had weak correlations with engagement measures and glycemic control. Further research is needed to validate the sensitivity of these scores and determine if they can be used for personalized interventions.
Editorial Material
Urology & Nephrology
Matthew P. M. Graham-Brown, Alice C. Smith, Sharlene A. Greenwood
Summary: Digital health interventions (DHIs) have the potential to improve access to healthcare, but their translation into clinical practice for patients with chronic kidney disease (CKD) poses challenges. Patients from lower socio-economic and educational backgrounds, minority ethnic groups, elderly patients, and those facing digital poverty are least likely to access and benefit from DHIs, despite being the ones who stand to gain the most. This article discusses the potential of DHIs to level the playing field for CKD patients and suggests strategies for inclusive and effective development, as well as supporting translation into practice.
CLINICAL KIDNEY JOURNAL
(2023)
Review
Endocrinology & Metabolism
David Kerr, Steven Edelman, Giacomo Vespasiani, Kamlesh Khunti
Summary: New and future technologies may provide opportunities to overcome barriers to the initiation and/or optimization of insulin therapy. Currently available software tools for smartphone platforms have shown equivalent or improved glycemic outcomes compared to standard care, with additional benefits such as reduced time burden and improved knowledge of diabetes among healthcare providers. However, more high-quality evidence is needed to support the use of these technologies.
ENDOCRINE PRACTICE
(2022)
Review
Health Care Sciences & Services
Claudia Eberle, Stefanie Stichling
Summary: Telemedical interventions may effectively improve diabetes control and significantly reduce HbA(1c) concentrations. The benefits of telemedicine could be greater for patients with T2DM compared to those with T1DM.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Review
Endocrinology & Metabolism
Jamila Butayeva, Zubair Ahmed Ratan, Sue Downie, Hassan Hosseinzadeh
Summary: Diabetes imposes a significant burden on individuals and societies, and self-management is essential for controlling and managing the condition. Health literacy plays a crucial role in promoting self-management behaviors. This review evaluated the impact of health literacy interventions on glycemic control and self-management outcomes among type 2 diabetes patients, and found that such interventions had a positive effect, improving glycemic control and self-management skills. Individual and telephone-based interventions improved glycemic control, while community worker-led interventions were effective in improving diabetes knowledge and self-care behaviors. Nurse-led interventions were effective in glycemic control.
JOURNAL OF DIABETES
(2023)
Article
Orthopedics
Tobias Worner, Kristian Thorborg, Frida Eek
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2020)
Article
Orthopedics
Tobias Worner, Kristian Thorborg, Kate E. Webster, Anders Stalman, Frida Eek
Summary: The study modified the Swedish version of the ACL-RSI scale to create a 6-item Hip-RSI scale for HA patients, which demonstrated adequate content and construct validity. Higher Hip-RSI scores were associated with increasing levels of return to sports following HA, indicating higher psychological readiness to RTS.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Andrea Dell'Isola, Therese Jonsson, Hakan Nero, Frida Eek, Leif Dahlberg
Article
Endocrinology & Metabolism
Emelia Mellergard, Per Johnsson, Frida Eek
Summary: This study aimed to investigate how psychological factors influence glycemic control in individuals with type 2 diabetes, showing that negative appraisal of diabetes was associated with higher HbA1c variability, while greater perceived competence was associated with lower HbA1c variability.
PRIMARY CARE DIABETES
(2021)
Article
Environmental Sciences
Frida Eek, Caroline Larsson, Anita Wisen, Eva Ekvall Hansson
Summary: 65% of participants reported changes in physical activity during the COVID-19 pandemic, with 36% reporting an increase and 29% reporting a decrease. Those with decreased PA showed lower life satisfaction and aerobic capacity than other groups.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Medicine, General & Internal
Sameer Akram Gohir, Frida Eek, Anthony Kelly, Abhishek Abhishek, Ana M. Valdes
Summary: The study showed that internet-based treatment for knee osteoarthritis was more effective than routine self-management care, without causing harm to arthritis patients. The intervention group experienced significant improvements in pain relief, physical function, and muscle strength compared to the control group.
Article
Orthopedics
Elin Ostlind, Anita Sant'Anna, Frida Eek, Kjerstin Stigmar, Eva Ekvall Hansson
Summary: The study found that the majority of working-age participants with hip and/or knee OA were able to reach the daily activity goal of 7,000 steps and the recommended 150 minutes of moderate to vigorous physical activity per week. However, physical activity slightly but gradually decreased over time.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Editorial Material
Orthopedics
Tobias Worner, Kristian Thorborg, Kate E. Webster, Anders Stalman, Frida Eek
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Ida Lindman, Josefin Abrahamsson, Axel Ohlin, Tobias Worner, Frida Eek, Olufemi R. Ayen, Eric Hamrin Senorski, Mikael Sansone
Summary: The study evaluated the patient-reported outcomes in high-level ice hockey players undergoing arthroscopic treatment for FAIS, showing significant improvements 2 years post-surgery. Player position and stick handedness did not have an impact on the surgical outcomes.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2021)
Article
Orthopedics
Tobias Worner, Frida Eek, Jesper Kraus-Schmitz, Mikael Sansone, Anders Stalman
Summary: This study investigated the time trends of hip arthroscopy procedures in Sweden from 2006 to 2018, focusing on procedure rates, surgical procedures, and patient demographics such as age and sex distribution. The results showed a peak in HA procedure rates in 2014 followed by a steady decline, with the majority of procedures being performed in male patients who were typically younger.
Article
Environmental Sciences
Christina Brogardh, Catharina Sjodahl Hammarlund, Frida Eek, Kjerstin Stigmar, Ingrid Lindgren, Anna Trulsson Schouenborg, Eva Ekvall Hansson
Summary: This study explored self-reported life satisfaction during the first wave of the COVID-19 pandemic in Sweden, and found that a majority of respondents were satisfied with life as a whole but not with contact with friends and sexual life. Those who perceived a deterioration in life satisfaction mainly attributed it to the pandemic, with certain sociodemographic factors influencing the likelihood of experiencing reduced satisfaction. The Swedish strategy may have contributed to the high overall satisfaction, but individuals experiencing a decline may require attention from welfare authorities.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Rehabilitation
Tobias Worner, Kristian Thorborg, Benjamin Clarsen, Frida Eek
Summary: Hip and groin muscle strength, groin pain, and self-reported function seem to remain stable throughout the season in male ice hockey players. Remaining impairments in players with problems in the previous season suggest that function does not recover by ice hockey participation alone.
PHYSICAL THERAPY IN SPORT
(2021)
Article
Orthopedics
Tobias Worner, Ryan J. Frayne, Thomas Magnusson, Frida Eek
Summary: The study explored the perceived demands of common ice hockey goaltending techniques on the hip and groin region by elite goaltenders and goaltending coaches. The results showed that the post-play and the butterfly were the goaltending techniques most frequently perceived as demanding, and more coaches than goaltenders perceived these techniques as demanding.
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE
(2021)
Correction
Medicine, General & Internal
S. A. Gohir, F. Eek, A. Kelly, A. Abhishek, A. M. Valdes