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 .
Using the Internet-based upload blood glucose monitoring and therapy management system in patients with type 1 diabetes
The aim of this study is to assess the impact of the internet-based upload blood glucose monitoring and therapy management system ( Carelink ® ) in patients with type 1 diabetes . Diabetic patients treated with pump infusion for ≥3 months were prospect ively r and omized to use the CareLink ® with ( 4 months ) and without ( 4 months ) diabetes-team initiated contact ( n = 36 , intervention group ) or to continue st and ard care for 4 months and then transfer to the CareLink ® without diabetes-team initiated contact ( n = 34 , control group ) . In the first 4 months , treatment was adjusted monthly by the same team in both groups . Main outcome measures were HbA1c level and scores on the Diabetes Treatment Satisfaction and Diabetes Quality of Life Question naires .  Patients who su bmi tted <3 times during each 4-month segment were considered noncompliant . Mean patient age was 14.02 ± 5.33 years ; mean diabetes duration , 6.4 ± 4.7 years ; median duration of pump treatment , 2.5 years . After 4 months , mean HbA1c level decreased from 8.75 ± 0.84 to 8.45 ± 0.90 % in the intervention group ( p = 0.013 ) and from 8.65 ± 0.57 to 8.37 ± 0.73 % in the control group ( p = 0.054 ) . Within the intervention group , the difference in the change in HbA1c levels between compliant and noncompliant patients was significant ( 8.17 ± 0.81 vs. 8.99 ± 0.85 % , p = 0.017 ) . Only in the compliant subgroup was the decrease from baseline significant ( p = 0.006 ) . Similar findings were noted in the control group at 8 months ( p < 0.05 and p = 0.018 , respectively ) . There were no significant changes in question naire scores at 4 or 8 months in either group . Use of the CareLink ® system is associated with significantly improved glycemic control in compliant patients , with no apparent effect on patient satisfaction or quality of life
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 .