{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T18:28:56Z","timestamp":1775068136654,"version":"3.50.1"},"reference-count":114,"publisher":"Oxford University Press (OUP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>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.<\/jats:p><jats:p>Methods: We searched 5 electronic databases (from database inception to July 2016) for studies that reported on randomized controlled trials examining the effects of CHITs on glycemic control and other patient outcomes in diabetes management. Data were analyzed using either meta-analysis or a narrative synthesis approach.<\/jats:p><jats:p>Results: Eighty randomized controlled trial studies, representing 87 individual trials, were identified and included for analysis. Overall, the meta-analysis showed that the use of CHITs resulted in significant improvement in glycemic control compared to usual care (standardized mean difference\u2009=\u2009\u22120.31%, 95% confidence interval \u22120.38 to \u22120.23, P\u2009&amp;lt;\u2009.001) in patients with diabetes. Specifically, improvement in glycemic control was significant at intervention durations of 3, 6, 8, 9, 12, 15, 30, and 60 months, while no significant differences were found at other time points reported. The narrative synthesis provided mixed effects of CHITs on other clinical, psychosocial, behavioral, and knowledge outcomes.<\/jats:p><jats:p>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. Further efforts are required to examine long-term effects of CHITs and to explore factors that can moderate the effects over time.<\/jats:p>","DOI":"10.1093\/jamia\/ocx014","type":"journal-article","created":{"date-parts":[[2017,2,15]],"date-time":"2017-02-15T08:56:51Z","timestamp":1487149011000},"page":"1014-1023","source":"Crossref","is-referenced-by-count":31,"title":["Effects of consumer-oriented health information technologies in diabetes management over time: a systematic review and meta-analysis of randomized controlled trials"],"prefix":"10.1093","volume":"24","author":[{"given":"Da","family":"Tao","sequence":"first","affiliation":[{"name":"Institute of Human Factors and Ergonomics, College of Mechatronics and Control Engineering, Shenzhen University, Shenzhen, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tieyan","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Management, Xi\u2019an Polytechnic University, Xi\u2019an, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tieshan","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Management, Xi\u2019an Polytechnic University, Xi\u2019an, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuang","family":"Liu","sequence":"additional","affiliation":[{"name":"Marine Human Factors Engineering Lab, China Institute of Marine Technology and Economy, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xingda","family":"Qu","sequence":"additional","affiliation":[{"name":"Institute of Human Factors and Ergonomics, College of Mechatronics and Control Engineering, Shenzhen University, Shenzhen, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2017,3,9]]},"reference":[{"issue":"1","key":"2020110612444163000_ocx014-B1","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.diabres.2009.10.007","article-title":"Global estimates of the prevalence of diabetes for 2010 and 2030","volume":"87","author":"Shaw","year":"2010","journal-title":"Diabetes Res Clin Pract."},{"issue":"Suppl 1","key":"2020110612444163000_ocx014-B2","doi-asserted-by":"crossref","first-page":"S14","DOI":"10.2337\/dc14-S014","article-title":"Standards of medical care in diabetes: 2014","volume":"37","author":"American Diabetes Association","year":"2014","journal-title":"Diabetes Care."},{"issue":"7251","key":"2020110612444163000_ocx014-B3","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.1136\/bmj.320.7251.1713","article-title":"Consumer health informatics","volume":"320","author":"Eysenbach","year":"2000","journal-title":"BMJ."},{"key":"2020110612444163000_ocx014-B4","first-page":"1","article-title":"Impact of consumer health informatics applications","volume":"188","author":"Gibbons","year":"2009","journal-title":"Evid Rep Technol Assess."},{"key":"2020110612444163000_ocx014-B5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/0-387-27652-1_1","article-title":"Consumer health informatics","volume-title":"Consumer Health Informatics: Informing Consumers and Improving Health Care","author":"Lewis","year":"2005"},{"issue":"2","key":"2020110612444163000_ocx014-B6","doi-asserted-by":"crossref","first-page":"91","DOI":"10.3109\/17538157.2014.907804","article-title":"What is consumer health informatics? 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