Diabetes Self-Management Program Using Video-Conferencing Technology for Older People with Diabetes: A systematic Review

Abstract

Purpose: This study was a systematic review to identify components, strategies, and limitations of diabetes self-management intervention using video conferencing technology for the older adults. Methods: This review followed the NECA’s manual and PRISMA guidelines. Seven databases (Pubmed, EMBASE, CINAHL, PsycINFO, RISS, DBpia, and KISS) were searched, and the quality of the studies was evaluated using Joanna Briggs Institute Critical Appraisal Checklist. As heterogeneity between studies, the results of the study were described through qualitative synthesis. Results: Eleven articles were included according to the selection criteria. Interventions dealing with all seven ADCES diabetes self-care behaviors accounted for the majority with five (45.4%). Video conference software such as Zoom was used, and some of the participants were provided with equipment for video conferencing access. In addition, various strategies were applied to overcome the difficulties of participants, such as pre-training for the use of equipment, encouraging participation through family or friends, and using research assistants. Interventions showed positive effects in diabetes clinical indicators, psychosocial indicators, and satisfaction. Conclusion: Researchers need to consider various strategies such as providing equipment or encouraging participation to develop diabetes self-management interventions using video conferencing technology for the older adults.