How effective are computer-based self-management interventions (CBSMIs) for adults with type 2 diabetes mellitus?
The interventions appeared to be quite heterogeneous and the length of follow-up varied from 2 to 12 months. All the interventions looked at effects on HbA1c as an important outcome, but the other primary and secondary outcomes varied greatly and the instruments used to measure them were often different; this made it very difficult to compare or synthesise the results from different studies.
Diabetes is one of the commonest chronic medical conditions, affecting around 347 million adults worldwide. Structured patient education programmes reduce the risk of diabetes-related complications four-fold. Internet-based self-management programmes have been shown to be effective for a number of long-term conditions, but it is unclear what the essential or effective components of such programmes are.