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 .
An Internet-based health gateway device for interactive communication and automatic data uploading: Clinical efficacy for type 2 diabetes in a multi-centre trial
Introduction The aim of this study was to improve the quality of diabetes control and evaluate the efficacy of an Internet-based integrated healthcare system for diabetes management and safety . Methods We conducted a large-scale , multi-centre , r and omized clinical trial involving 484 patients . Patients in the intervention group ( n = 244 ) were treated with the Internet-based system for six months , while the  control group ( n = 240 ) received the usual outpatient management over the same period . HbA1c , blood chemistries , anthropometric parameters , and adverse events were assessed at the beginning of the study , after three months , and the end of the study . Results There were no initial significant differences between the groups with respect to demographics and clinical parameters . Upon six-month follow-up , HbA1c levels were significantly decreased from 7.86 ± 0.69 % to 7.55 ± 0.86 % within the intervention group ( p < 0.001 ) compared to 7.81 ± 0.66 % to 7.70 ± 0.88 % within the control group . Postpr and ial glucose reduction was predominant . A subgroup with baseline HbA1c higher than 8 % and good compliance achieved a reduction of HbA1c by 0.8 ± 1.05 % . Glucose control and waist circumference reduction were more effective in females and subjects older than 40 years of age . There were no adverse events associated with the intervention . Discussion This e-healthcare system was effective for glucose control and body composition improvement without associated adverse events in a multi-centre trial . This system may be effective in improving diabetes control in the general population
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 .