Use of technology in type 1 diabetes patients to improve health literacy: Literature review
DOI:
https://doi.org/10.54957/ijhs.v5i5.1626Kata Kunci:
Diabetes, Health literacy, Health technologyAbstrak
This study aims to examine the role of technology use in improving health literacy in patients with type 1 diabetes mellitus (T1DM). The research methodology was guided by the PRISMA guidelines. A comprehensive search was conducted in five major databases (PubMed, Scopus, Web of Science, CINAHL, ScienceDirect), using a combination of keywords related to T1DM, technology (e.g. mobile applications, telemedicine, Continuous Glucose Monitoring, artificial intelligence), and health literacy. Primary studies in English/Indonesian published between 2020 and 2024 were selected based on strict inclusion and exclusion criteria. Data were extracted, assessed for quality, and synthesized narratively-thematically. The 7 articles analyzed showed that various technologies, including web applications, simulation tools, serious games, and personal robots, were effective in improving knowledge, self-management skills, and self-confidence in patients with T1DM through access to real-time information and feedback. However, patient digital literacy was identified as a key facilitator and significant barrier to technology adoption and effectiveness. A patient-centered approach is also essential for successful implementation. Although AI (artificial intelligence) shows potential, the accuracy of general generative AI tools in specific medical information still requires validation and professional guidance. In conclusion, technology has great potential to improve health literacy in people with T1DM, but its optimization requires increased digital literacy and user-centered design. Further research is needed for large-scale validation and comprehensive integration of technology in T1DM care.
Referensi
Aguirre Vergara, F., Fischer, A., Seuring, T., De Beaufort, C., Fagherazzi, G., & Aguayo, G. A. (2023). Mixed-methods study protocol to identify expectations of people with type 1 diabetes and their caregivers about voice-based digital health solutions to support the management of diabetes distress: The PsyVoice study. BMJ Open, 13(9). https://doi.org/10.1136/bmjopen-2022-068264
Akil, A. A. S., Yassin, E., Al-Maraghi, A., Aliyev, E., Al-Malki, K., & Fakhro, K. A. (2021, December 1). Diagnosis and treatment of type 1 diabetes at the dawn of the personalized medicine era. Journal of Translational Medicine. BioMed Central Ltd. https://doi.org/10.1186/s12967-021-02778-6
Asharani, P. V., Lau, J. H., Roystonn, K., Devi, F., Peizhi, W., Shafie, S., … Subramaniam, M. (2021). Health literacy and diabetes knowledge: A nationwide survey in a multi-ethnic population. International Journal of Environmental Research and Public Health, 18(17). https://doi.org/10.3390/ijerph18179316
Carr, A. L. J., Evans-Molina, C., & Oram, R. A. (2022, November 1). Precision medicine in type 1 diabetes. Diabetologia. Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/s00125-022-05778-3
Colmegna, P., Bisio, A., McFadden, R., Wakeman, C., Oliveri, M. C., Nass, R., & Breton, M. (2023). Evaluation of a Web-Based Simulation Tool for Self-Management Support in Type 1 Diabetes: A Pilot Study. IEEE Journal of Biomedical and Health Informatics, 27(1), 515–525. https://doi.org/10.1109/JBHI.2022.3209090
Esen, İ., & Aktürk Esen, S. (2020). Health Literacy and Quality of Life in Patients With Type 1 Diabetes Mellitus. Cureus. https://doi.org/10.7759/cureus.10860
Forde, H., Choudhary, P., Lumb, A., Wilmot, E., & Hussain, S. (2022). Current provision and HCP experiences of remote care delivery and diabetes technology training for people with type 1 diabetes in the UK during the COVID-19 pandemic. Diabetic Medicine, 39(4). https://doi.org/10.1111/dme.14755
Jamal, A., Tharkar, S., Babaier, W. S., Alsomali, S. F., Alsulayhim, A. S., Alayuni, M. A., … Batais, M. (2021). Blood glucose monitoring and sharing amongst people with diabetes and their facilitators: Cross-sectional study of methods and practices. JMIR Diabetes, 6(4). https://doi.org/10.2196/29178
Jansky, B. (2024). Digitized Patients: Elaborative Tinkering and Knowledge Practices in the Open-source Type 1 Diabetes “Looper Community.” Science Technology and Human Values, 49(1), 53–77. https://doi.org/10.1177/01622439231170443
Jiao, Y., Lin, R., Hua, X., Churilov, L., Gaca, M. J., James, S., … Ekinci, E. I. (2022, November 1). A systematic review: Cost-effectiveness of continuous glucose monitoring compared to self-monitoring of blood glucose in type 1 diabetes. Endocrinology, Diabetes and Metabolism. John Wiley and Sons Inc. https://doi.org/10.1002/edm2.369
Karakuş, K. E., Gokce, T., Muradoglu, S., Can, E., Eviz, E., Yeşiltepe-Mutlu, G., & Hatun, Ş. (2023). “My Friend Diabetes Carbohydrate-Bolus Calculator”: User Experiences of a Bolus Calculating Carbohydrate Counting Mobile App for People with Type 1 Diabetes. Clinical Diabetology, 12(1), 53–59. https://doi.org/10.5603/DK.a2022.0066
Lee, J. M., Carlson, E., Albanese-O’Neill, A., Demeterco-Berggren, C., Corathers, S. D., Vendrame, F., … Ebekozien, O. (2021). Adoption of Telemedicine for Type 1 Diabetes Care during the COVID-19 Pandemic. Diabetes Technology and Therapeutics, 23(9), 642–651. https://doi.org/10.1089/dia.2021.0080
Malik, F., Senturia, K., Moreno, M., Mangione-Smith, R., Pihoker, C., Pollock, A., & Christakis, D. (2021). Does telemedicine work well to support adolescents with type 1 diabetes?: A qualitative study with parents and diabetes care team members. Pediatric Diabetes, 22(SUPPL 30), 75–77. Retrieved from https://www.embase.com/search/results?subaction=viewrecord&id=L636558778&from=export
Mutlu, H., Söbü, E., & Çamaş, A. Ö. (2023). The Role of the Health Literacy Levels of Parents in the Management of Type 1 Diabetes in Children and Adolescents. Turk Osteoporoz Dergisi, 21(2), 182–189. https://doi.org/10.4274/jcp.2023.36024
Naef, A. N., Fischbock, N., Tezcan-Güntekin, H., & Amelung, V. E. (2024). Adolescents with type 1 diabetes’ perspectives on digital health interventions to enhance health literacy: a qualitative study. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1340196
Naef, A. N., Wilhelm, C., Tezcan-Güntekin, H., & Amelung, V. E. (2023). Impact of digital health interventions for adolescents with type 1 diabetes mellitus on health literacy: a systematic review. BMC Endocrine Disorders, 23(1). https://doi.org/10.1186/s12902-023-01321-6
Rethlefsen, M. L., Kirtley, S., Waffenschmidt, S., Ayala, A. P., Moher, D., Page, M. J., … Young, S. (2021). PRISMA-S: An extension to the PRISMA statement for reporting literature searches in systematic reviews. Journal of the Medical Library Association, 109(2), 174–200. https://doi.org/10.5195/jmla.2021.962
Ruissen, M. M., Regeer, H., Landstra, C. P., Schroijen, M., Jazet, I., Nijhoff, M. F., … De Koning, E. J. P. (2021). Increased stress, weight gain and less exercise in relation to glycemic control in people with type 1 and type 2 diabetes during the COVID-19 pandemic. BMJ Open Diabetes Research and Care, 9(1). https://doi.org/10.1136/bmjdrc-2020-002035
Schmidt, S., Madsen, K. P., Pedersen-Bjergaard, U., Rytter, K., Hommel, E., Cleal, B., … Nørgaard, K. (2023). Associations between clinical and psychosocial factors and HbA1c in adult insulin pump users with type 1 diabetes. Acta Diabetologica, 60(8), 1089–1097. https://doi.org/10.1007/s00592-023-02081-4
Thomas, N. J., Walkey, H. C., Kaur, A., Misra, S., Oliver, N. S., Colclough, K., … Patel, K. A. (2023). The relationship between islet autoantibody status and the genetic risk of type 1 diabetes in adult-onset type 1 diabetes. Diabetologia, 66(2), 310–320. https://doi.org/10.1007/s00125-022-05823-1
Vasilakis, I. A., Kosteria, I., Mitsis, K., Zarkogianni, K., Kalafatis, L., Athanasiou, M., … Kanaka-Gantenbein, C. (2022). THE ENDORSE FEASIBILITY PILOT TRIAL: ASSESSING THE IMPLEMENTATION OF SERIOUS GAMES STRATEGY AND ARTIFICIAL INTELLIGENCE- BASED TELEMEDICINE IN GLYCEMIC CONTROL IMPROVEMENT. Diabetes Technology and Therapeutics, 24(SUPPL 1), A218–A219. Retrieved from https://www.embase.com/search/results?subaction=viewrecord&id=L638226689&from=export
Unduhan
Diterbitkan
Cara Mengutip
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2025 Misna Zakiyus Sabila, Jihan Nafisah Fauziyyah, Istianah Istianah, Riswanti Septiani

Artikel ini berlisensi Creative Commons Attribution 4.0 International License.









