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Enablers and barriers to using two-way information technology in the management of adults with diabetes: A descriptive systematic review.

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Title: Enablers and barriers to using two-way information technology in the management of adults with diabetes: A descriptive systematic review.
Authors: Macdonald, Emma M.1,2, Perrin, Byron M.1, Kingsley, Michael I. C.1 M.Kingsley@latrobe.edu.au, Kingsley, Michael Ic3 (AUTHOR)
Source: Journal of Telemedicine & Telecare. Jun2018, Vol. 24 Issue 5, p319-340. 22p. 2 Diagrams, 4 Charts.
Subjects: Diabetes, People with diabetes, Data entry, Biomedical technicians, Endocrine diseases
Abstract: Background This systematic review aimed to explore the enablers and barriers faced by adults with diabetes using two-way information communication technologies to support diabetes self-management. Methods Relevant literature was obtained from five databases using search strategies combining four major constructs: adults with diabetes, biomedical technology, communication technology and patient utilisation. Results Of 8430 unique articles identified, 48 were included for review. Risk of bias was assessed using either the Newcastle-Ottowa or Cochrane risk of bias assessment tools. Seventy-one percent of studies were of cohort design with the majority of studies assessed at high or unclear risk of bias. Consistently identified barriers included poorly designed interfaces requiring manual data entry and systems that lacked functionalities valued by patients. Commonly cited enablers included access to reliable technology, highly automated data entry and transmission, graphical display of data with immediate feedback, and supportive health care professionals and family members. Conclusions People with diabetes face a number of potentially modifiable barriers in using technology to support their diabetes management. In order to address these barriers, end users should be consulted in the design process and consideration given to theories of technology adoption to inform design and implementation. Systems should be designed to solve clinical or behavioural problems that are identified by patients as priorities. Technology should be as automated, streamlined, mobile, low cost and integrated as possible in order to limit the burden of usage for the patient and maximise clinical usefulness. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Telemedicine & Telecare is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Engineering Source
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  Data: Enablers and barriers to using two-way information technology in the management of adults with diabetes: A descriptive systematic review.
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  Data: <searchLink fieldCode="AR" term="%22Macdonald%2C+Emma+M%2E%22">Macdonald, Emma M.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Perrin%2C+Byron+M%2E%22">Perrin, Byron M.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Kingsley%2C+Michael+I%2E+C%2E%22">Kingsley, Michael I. C.</searchLink><relatesTo>1</relatesTo><i> M.Kingsley@latrobe.edu.au</i><br /><searchLink fieldCode="AR" term="%22Kingsley%2C+Michael+Ic%22">Kingsley, Michael Ic</searchLink><relatesTo>3</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Telemedicine+%26+Telecare%22">Journal of Telemedicine & Telecare</searchLink>. Jun2018, Vol. 24 Issue 5, p319-340. 22p. 2 Diagrams, 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Diabetes%22">Diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+diabetes%22">People with diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Data+entry%22">Data entry</searchLink><br /><searchLink fieldCode="DE" term="%22Biomedical+technicians%22">Biomedical technicians</searchLink><br /><searchLink fieldCode="DE" term="%22Endocrine+diseases%22">Endocrine diseases</searchLink>
– Name: Abstract
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  Data: Background This systematic review aimed to explore the enablers and barriers faced by adults with diabetes using two-way information communication technologies to support diabetes self-management. Methods Relevant literature was obtained from five databases using search strategies combining four major constructs: adults with diabetes, biomedical technology, communication technology and patient utilisation. Results Of 8430 unique articles identified, 48 were included for review. Risk of bias was assessed using either the Newcastle-Ottowa or Cochrane risk of bias assessment tools. Seventy-one percent of studies were of cohort design with the majority of studies assessed at high or unclear risk of bias. Consistently identified barriers included poorly designed interfaces requiring manual data entry and systems that lacked functionalities valued by patients. Commonly cited enablers included access to reliable technology, highly automated data entry and transmission, graphical display of data with immediate feedback, and supportive health care professionals and family members. Conclusions People with diabetes face a number of potentially modifiable barriers in using technology to support their diabetes management. In order to address these barriers, end users should be consulted in the design process and consideration given to theories of technology adoption to inform design and implementation. Systems should be designed to solve clinical or behavioural problems that are identified by patients as priorities. Technology should be as automated, streamlined, mobile, low cost and integrated as possible in order to limit the burden of usage for the patient and maximise clinical usefulness. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Telemedicine & Telecare is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=egs&AN=130319932
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      – SubjectFull: People with diabetes
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      – SubjectFull: Data entry
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      – SubjectFull: Biomedical technicians
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              Text: Jun2018
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