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 .
Use of a Web 2.0 Portal to Improve Education and Communication in Young Patients With Families: Randomized Controlled Trial
Background Diabetes requires extensive self-care and comprehensive knowledge , making patient education central to diabetes self-management . Web 2.0 systems have great potential to enhance health information and open new ways for patients and practitioners to communicate . Objective To develop a Web portal design ed to facilitate self-management , including diabetes-related information and social networking functions , and to study its use and effects in pediatric patients with diabetes . Methods A Web 2.0 portal was developed in collaboration with patients , parents , and practitioners . It offered communication with local practitioners , interaction with peers , and access to relevant information and services . Children and adolescents with diabetes in a geographic population of two pediatric clinics in Sweden were r and omized to a group receiving passwords for access to the portal or a control group with no access ( n=230 ) for 1 year . All subjects had access during a second study year . Users ’ activity was logged by site and page visits . Health-related quality of life ( HRQOL ) , empowerment ( DES ) , and quality of information ( QPP ) question naires were given at baseline and after 1 and 2 study years . Clinical data came from the Swedish pediatric diabetes quality registry SWEDIABKIDS . Results There was a continuous flow of site visits , decreasing in summer and Christmas periods . In 119/233 families ( 51 % ) , someone visited the portal the first study year and 169/484 ( 35 % ) the second study year . The outcome variables did not differ between intervention and control group . No adverse treatment or self-care effects were identified . A higher proportion of mothers compared to fathers visited once or more the first year ( P<.001 ) and the second year ( P<.001 ) . The patients who had someone in the family visiting the portal 5 times or more , had shorter diabetes duration ( P=.006 ) , were younger ( P=.008 ) , had lower HbA1c after 1 year of access ( P=.010 ) , and were more often girls ( P<.001 ) . Peer interaction seems to be a valued aspect . Conclusions The Web 2.0 portal may be useful as a complement to traditional care for this target group . Widespread use of a portal would need integration in routine care and promotion by diabetes team members . Trial Registration International St and ard R and omized Controlled Trial Number ( IS RCT N):92107365 ; http://www.controlled-trials.com/IS RCT N92107365/ ( Archived by WebCite at http://webcitation.org/6IkiIvtSb )
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 .