SEARCHSYSTEMATIC_REVIEWendocrinology, pediatrics

systematic_review·endocrinology, pediatrics, systematic review, clinical trial, public health·PMC10064727

Impact of digital health interventions for adolescents with type 1 diabetes mellitus on health literacy: a systematic review

BMC Endocrine Disorders · 4 authors, 4 centres

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The authors employed a qualitative synthesis to map outcomes to dimensions of health literacy, particularly the 'communication and interactions' dimension.

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The authors employed a qualitative synthesis to map outcomes to dimensions of health literacy, particularly the 'communication and interactions' dimension. The review found that most included primary studies had a moderate risk of bias and secondary studies were of critically low quality. The central finding is that the interplay between healthcare providers and patients through social media may facilitate disease management and improve this specific health literacy dimension. Limitations include a restricted language search and reliance on published articles.

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systematic_review

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endocrinology

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ORIGINAL PAPER

PMC10064727

Impact of digital health interventions for adolescents with type 1 diabetes mellitus on health literacy: a systematic review

BMC Endocrine Disorders

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ABSTRACT

Abstract Background Evidence shows that living with diabetes mellitus type 1 (T1DM) in adolescent age is particularly challenging and difficult to manage. A high level of health literacy is important to prevent and avoid debilitating complications. Despite the increasing prevalence and incidence of T1DM by adolescent and the large use of digital health interventions, little is known about the association between this use and health literacy. This systematic review provides an overview on the impact of digital health interventions for adolescents with type 1 diabetes on health literacy and derive recommendations for further research. Methods Electronic searches were performed in five databases in Medline (Medline, PubMed + via PubMed), The Cochrane Library, EMBASE (via Ovid), Web of Science and PsycINFO from 2011 to 2021. In addition, grey literature searches were conducted in Google Scholar, OAlster and Trip. Relevant studies that have been missed by electronic and hand-searching strategies were searched in the reference lists of all included studies. The review followed PRISMA guidelines. Two researchers independently screened abstracts for initial eligibility and applied the inclusion and exclusion criteria to the relevant full-text articles. Quality was assessed using the tools RoB2 Cochrane, ROBINS I, NOS (Newcastle–Ottawa Scale), CASP (Critical Appraisal Skills Programme) for primary studies and Amstar-2 for secondary studies. Results Out of 981 studies, 22 were included in the final review. Most primary studies included in this review were judged as moderate overall risk of bias or with some concerns and most of the secondary studies as critically low quality reviews. Our findings suggest that the interplay of health care providers (HCP) and patients through social media helps the management of the disease. This corroborates Bröder et al.’ (2017) dimension of ‘communication and interactions’ in their concept of health literacy. Conclusions For adolescents with T1DM, social media may be a specific and beneficial intervention for an improved communication and interaction with their HCP. Further research should investigate what specific form of social media suits best for which adolescents. Trial registration The study protocol was registered on the 15th of November 2021 on Prospero (reg. NR: CRD42021282199). Supplementary Information The online version contains supplementary material available at 10.1186/s12902-023-01321-6. Keywords: Type one diabetes mellitus, Adolescents, Digital health interventions, Health literacy, Compliance

CITATION EXPORT

Aurélia Naoko Naef, Christoph Wilhelm, Hürrem Tezcan-Güntekin et al.. Impact of digital health interventions for adolescents with type 1 diabetes mellitus on health literacy: a systematic review. BMC Endocrine Disorders. (2023). https://doi.org/10.1186/s12902-023-01321-6

AUTHORS

4 · 4 CENTRES

Aurélia Naoko Naef, Christoph Wilhelm, Hürrem Tezcan-Güntekin, Volker Eric Amelung

1Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hannover, Germany
2Harding Center for Risk Literacy, Faculty of Health Sciences, University of Potsdam, Potsdam, Germany
3Department of Health and Education, Alice Salomon Hochschule Berlin, Berlin, Germany
4Berlin School of Public Health, Charité Universitätsmedizin Berlin, Berlin, Germany