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 .
Integrating an Automated Diabetes Management System Into the Family Management of Children With Type 1 Diabetes
OBJECTIVE The study objective was to evaluate how the use of a pervasive blood glucose monitoring ( BGM ) technology relates to glycemic control , report of self-care behavior , and emotional response to BGM of children with type 1 diabetes and their parents . RESEARCH DESIGN AND METHODS Forty-eight children aged less than 12 years ( mean 8.8 years ) with type 1 diabetes were r and omly assigned to one of two study groups , a control group ( conventional care without technology ) or an experimental group ( conventional care with technology ) , and followed for 12 months . Families in the experimental group were given the Automated Diabetes Management System ( ADMS ) , which automatically collects blood glucose ( BG ) values and sends to parent(s ) a 21-day BG trending report via e-mail each night . Measures of glycemic control ( HbA1c ) were collected at baseline and at quarterly diabetes clinic visits ; BGM effect and diabetes self-care behavior measures were obtained at the baseline , 6-month , and 12-month visits . RESULTS Children in the experimental group had significantly ( P = 0.01 ) lower HbA1c at 12 months ( 7.44 ± 0.94 , −0.35 from baseline ) than controls ( 8.31 ± 1.24 , + 0.15 from baseline ) . Improvement in HbA1c was more profound in families using the ADMS more frequently . In addition , in these families , parents showed a significant improvement in BGM effect ( P = 0.03 ) and children became more meticulous in diabetes self-care ( P = 0.04 ) . Children in both experimental and control groups experienced no change in their emotional response to BGM . CONCLUSIONS Using the ADMS 1–3 times/week may help children with type 1 diabetes  improve glycemic control and gain diabetes self-management skills , as well as improve the BGM effect of parents
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 .