针对患有或未患有高血压的成年人进行糖尿病自我管理的数字健康干预措施的有效性、可接受性和成本效益：一项系统评价方案

Effectiveness, acceptability, and cost-effectiveness of digital health interventions for diabetes self-management in adults with or without hypertension: an umbrella review protocol.

作者信息

Zhang Min, Ge Jiahui, Yu Xinrong, Wang Tian, Wang Fenglan, Kuchawo Madalo Gloria Kalero, Ge Li

机构信息

School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia.

College of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan, China.

出版信息

JBI Evid Synth. 2025 Jun 1;23(6):1198-1206. doi: 10.11124/JBIES-24-00263. Epub 2025 Jun 6.

DOI:10.11124/JBIES-24-00263

PMID:39973124

Abstract

OBJECTIVE

This review will synthesize evidence on the effectiveness, acceptability, and cost-effectiveness of digital health interventions in implementing and maintaining effective self-management among adults (≥ 18 years) with diabetes, with or without comorbid hypertension.

INTRODUCTION

Diabetes and hypertension are becoming the most challenging global health burdens. Growing evidence underscores the effectiveness of digital health interventions for diabetes and hypertension. However, it is unclear whether these strategies can be recommended to improve diabetes self-management among adults with or without hypertension in primary health care.

INCLUSION CRITERIA

We will include systematic reviews (with or without meta-analysis) examining the effectiveness, acceptability, and cost-effectiveness of digital health interventions in improving self-management behaviors among adults living with diabetes, with or without hypertension, in primary health care. There will be no gender, ethnicity, language, or geographic limitations.

METHODS

The review will follow the JBI methodology for umbrella reviews. MEDLINE (EBSCOhost), CINAHL (EBSCOhost), Embase, Epistemonikos, PsycINFO (EBSCOhost), Web of Science, Scopus, Cochrane Library, Campbell Systematic Reviews, and JBI EBP Database (Ovid) will be searched from inception to the present to identify systematic reviews. Gray literature sources, including OpenGrey, ProQuest Dissertations and Theses, and Google Scholar, will be searched, followed by a manual search of reference lists of included articles. Two independent reviewers will perform screening, critical appraisal, and data extraction. The review results will be presented through various approaches, including a narrative synthesis, graphical representation, and tabular summary. The JBI critical appraisal checklist for systematic reviews and research syntheses will be applied. Certainty of evidence will be assessed following the GRADE approach.

REVIEW REGISTRATION

PROSPERO CRD42023471615.

摘要

目的

本综述将综合有关数字健康干预措施在患有或未患有合并高血压的成年糖尿病患者（≥18岁）中实施和维持有效自我管理方面的有效性、可接受性和成本效益的证据。

引言

糖尿病和高血压正成为最具挑战性的全球健康负担。越来越多的证据强调了数字健康干预措施对糖尿病和高血压的有效性。然而，尚不清楚这些策略是否可推荐用于改善初级卫生保健中患有或未患有高血压的成年人的糖尿病自我管理。

纳入标准

我们将纳入系统评价（有或无荟萃分析），这些评价考察数字健康干预措施在初级卫生保健中改善患有或未患有高血压的成年糖尿病患者自我管理行为方面的有效性、可接受性和成本效益。将不存在性别、种族、语言或地理限制。

方法

本综述将遵循JBI伞状综述方法。将检索MEDLINE（EBSCOhost）、CINAHL（EBSCOhost）、Embase、Epistemonikos、PsycINFO（EBSCOhost）、科学网、Scopus、Cochrane图书馆、坎贝尔系统评价和JBI循证实践数据库（Ovid），从建库至当前，以识别系统评价。将检索灰色文献来源，包括OpenGrey、ProQuest学位论文和谷歌学术搜索，随后手动检索纳入文章的参考文献列表。两名独立的评审员将进行筛选、批判性评价和数据提取。综述结果将通过多种方式呈现，包括叙述性综合、图形表示和表格总结。将应用JBI系统评价和研究综合的批判性评价清单。将按照GRADE方法评估证据的确定性。