The narrative synthesis provided mixed effects of CHITs on other clinical , psychosocial , behavioral , and knowledge outcomes .
Conclusions The use of CHITs appears to be more effective than usual care in improving glycemic control for patients with diabetes .
However , their effectiveness did not remain consistent over time and in other patient outcomes .
Objective To reveal the effects of consumer-oriented health information technologies ( CHITs ) on patient outcomes in diabetes management over time through systematic review and meta- analysis .
Robustness of a computer-assisted diabetes self-management intervention across patient characteristics, healthcare settings, and intervention staff.
BACKGROUND A major problem in the dissemination of most interventions found to be efficacious is that they are of limited or unknown generalizability . OBJECTIVE To document the " robustness , " or external validity , of a computer-assisted diabetes self-management program across different patient characteristics , healthcare setting s ( mixed payer vs health maintenance organization ) , intervention staff , and outcomes . STUDY DESIGN A r and omized controlled trial evaluating a computer-assisted behavior change program for adult patients with type 2 diabetes mellitus ( n = 217 ) vs a computerized health risk assessment . METHODS Outcomes were identified using the RE- AIM framework and included program adoption among physicians , reach across patient groups , implementation , and behavioral ( fat intake and physical activity ) and biological ( glycosylated hemoglobin and lipid levels ) effectiveness measures . RESULTS The program achieved 41 % patient participation , variable adoption across healthcare setting s ( 76 % of health maintenance organization physicians vs 18 % of non-health maintenance organization physicians participated ) , good implementation , and improvement in behavioral outcomes . There were few significant interactions between treatment condition and patient characteristics , type of healthcare setting , or interventionist experience on effectiveness measures . CONCLUSIONS Patients and physicians were willing to participate in a computer-assisted dietary and physical activity goal - setting intervention , although participation varied by healthcare setting . Interventionists from different background s successfully delivered the intervention , and the results appear robust across various patient and delivery characteristics
The narrative synthesis provided mixed effects of CHITs on other clinical , psychosocial , behavioral , and knowledge outcomes .
Conclusions The use of CHITs appears to be more effective than usual care in improving glycemic control for patients with diabetes .
However , their effectiveness did not remain consistent over time and in other patient outcomes .
Objective To reveal the effects of consumer-oriented health information technologies ( CHITs ) on patient outcomes in diabetes management over time through systematic review and meta- analysis .