Technology-Supported Integrated Care Innovations to Support Diabetes and Mental Health Care: Scoping Review.
application
clinical integration
digital health
distress
education
health information technology
integrated care
intervention
mental health
psychosocial
scoping review
support
technology
type 1 diabetes
type 2 diabetes
virtual care
Journal
JMIR diabetes
ISSN: 2371-4379
Titre abrégé: JMIR Diabetes
Pays: Canada
ID NLM: 101719410
Informations de publication
Date de publication:
09 May 2023
09 May 2023
Historique:
received:
28
11
2022
accepted:
01
04
2023
revised:
23
02
2023
medline:
9
5
2023
pubmed:
9
5
2023
entrez:
9
5
2023
Statut:
epublish
Résumé
For individuals living with diabetes and its psychosocial comorbidities (eg, depression, anxiety, and distress), there remains limited access to interprofessional, integrated care that includes mental health support, education, and follow-up. Health technology, broadly defined as the application of organized knowledge or skill as software, devices, and systems to solve health problems and improve quality of life, is emerging as a means of addressing these gaps. There is thus a need to understand how such technologies are being used to support, educate, and help individuals living with co-occurring diabetes and mental health distress or disorder. The purpose of this scoping review was to (1) describe the literature on technology-enabled integrated interventions for diabetes and mental health; (2) apply frameworks from the Mental Health Commission of Canada and World Health Organization to elucidate the components, type, processes, and users of technology-enabled integrated interventions for diabetes and mental health; and (3) map the level of integration of interventions for diabetes and mental health. We searched 6 databases from inception to February 2022 for English-language, peer-reviewed studies of any design or type that used technology to actively support both diabetes and any mental health distress or disorder in succession or concurrently among people with diabetes (type 1 diabetes, type 2 diabetes, and gestational diabetes). Reviewers screened citations and extracted data including study characteristics and details about the technology and integration used. We included 24 studies described in 38 publications. These studies were conducted in a range of settings and sites of care including both web-based and in-person settings. Studies were mostly website-based (n=13) and used technology for wellness and prevention (n=16) and intervention and treatment (n=15). The primary users of these technologies were clients and health care providers. All the included intervention studies (n=20) used technology for clinical integration, but only 7 studies also used the technology for professional integration. The findings of this scoping review suggest that there is a growing body of literature on integrated care for diabetes and mental health enabled by technology. However, gaps still exist with how to best equip health care professionals with the knowledge and skills to offer integrated care. Future research is needed to continue to explore the purpose, level, and breadth of technology-enabled integration to facilitate an approach to overcome or address care fragmentation for diabetes and mental health and to understand how health technology can further drive the scale-up of innovative integrated interventions.
Sections du résumé
BACKGROUND
BACKGROUND
For individuals living with diabetes and its psychosocial comorbidities (eg, depression, anxiety, and distress), there remains limited access to interprofessional, integrated care that includes mental health support, education, and follow-up. Health technology, broadly defined as the application of organized knowledge or skill as software, devices, and systems to solve health problems and improve quality of life, is emerging as a means of addressing these gaps. There is thus a need to understand how such technologies are being used to support, educate, and help individuals living with co-occurring diabetes and mental health distress or disorder.
OBJECTIVE
OBJECTIVE
The purpose of this scoping review was to (1) describe the literature on technology-enabled integrated interventions for diabetes and mental health; (2) apply frameworks from the Mental Health Commission of Canada and World Health Organization to elucidate the components, type, processes, and users of technology-enabled integrated interventions for diabetes and mental health; and (3) map the level of integration of interventions for diabetes and mental health.
METHODS
METHODS
We searched 6 databases from inception to February 2022 for English-language, peer-reviewed studies of any design or type that used technology to actively support both diabetes and any mental health distress or disorder in succession or concurrently among people with diabetes (type 1 diabetes, type 2 diabetes, and gestational diabetes). Reviewers screened citations and extracted data including study characteristics and details about the technology and integration used.
RESULTS
RESULTS
We included 24 studies described in 38 publications. These studies were conducted in a range of settings and sites of care including both web-based and in-person settings. Studies were mostly website-based (n=13) and used technology for wellness and prevention (n=16) and intervention and treatment (n=15). The primary users of these technologies were clients and health care providers. All the included intervention studies (n=20) used technology for clinical integration, but only 7 studies also used the technology for professional integration.
CONCLUSIONS
CONCLUSIONS
The findings of this scoping review suggest that there is a growing body of literature on integrated care for diabetes and mental health enabled by technology. However, gaps still exist with how to best equip health care professionals with the knowledge and skills to offer integrated care. Future research is needed to continue to explore the purpose, level, and breadth of technology-enabled integration to facilitate an approach to overcome or address care fragmentation for diabetes and mental health and to understand how health technology can further drive the scale-up of innovative integrated interventions.
Identifiants
pubmed: 37159256
pii: v8i1e44652
doi: 10.2196/44652
pmc: PMC10206630
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e44652Informations de copyright
©Megan Racey, Carly Whitmore, Paige Alliston, Joseph A Cafazzo, Allison Crawford, David Castle, Rosa Dragonetti, Donna Fitzpatrick-Lewis, Milos Jovkovic, Osnat C Melamed, Farooq Naeem, Peter Senior, Gillian Strudwick, Seeta Ramdass, Victor Vien, Peter Selby, Diana Sherifali. Originally published in JMIR Diabetes (https://diabetes.jmir.org), 09.05.2023.
Références
BMJ Open. 2021 Jul 9;11(7):e049238
pubmed: 34244277
BMC Geriatr. 2012 Jul 24;12:37
pubmed: 22828177
JAMA Netw Open. 2019 Aug 2;2(8):e198634
pubmed: 31390035
J Consult Clin Psychol. 1992 Aug;60(4):628-38
pubmed: 1506511
J Med Internet Res. 2017 May 15;19(5):e157
pubmed: 28506956
Value Health. 2018 May;21(5):561-568
pubmed: 29753353
BMC Health Serv Res. 2014 Apr 28;14:191
pubmed: 24774351
J Med Internet Res. 2012 Jan 05;14(1):e2
pubmed: 22262728
Med Care. 2011 Jul;49(7):641-8
pubmed: 21478777
J Diabetes Res. 2019 May 14;2019:2634094
pubmed: 31218230
Sci Diabetes Self Manag Care. 2021 Apr;47(2):144-152
pubmed: 34078174
J Telemed Telecare. 2021 Nov 26;:1357633X211058329
pubmed: 34825839
JMIR Ment Health. 2016 May 31;3(2):e23
pubmed: 27245948
JMIR Diabetes. 2018 Sep 14;3(3):e13
pubmed: 30291082
JMIR Ment Health. 2016 Jan 25;3(1):e6
pubmed: 26810139
Can J Diabetes. 2018 Apr;42 Suppl 1:S130-S141
pubmed: 29650085
Br J Psychiatry. 2018 Apr;212(4):199-206
pubmed: 30071909
Aust Fam Physician. 2016 Aug;45(8):600-5
pubmed: 27610452
J Med Internet Res. 2019 May 21;21(5):e12246
pubmed: 31115345
Diabet Med. 2021 Nov;38(11):e14591
pubmed: 33930211
Patient Educ Couns. 2011 Jul;84(1):49-55
pubmed: 20619577
BMC Med Res Methodol. 2018 Nov 19;18(1):143
pubmed: 30453902
J Adv Nurs. 2021 Apr;77(4):2102-2113
pubmed: 33543511
Diabet Med. 2017 Mar;34(3):328-339
pubmed: 27472405
Diabetes Educ. 2010 May-Jun;36(3):446-56
pubmed: 20375351
JBI Evid Synth. 2023 Mar 01;21(3):520-532
pubmed: 36081365
Telemed J E Health. 2016 Aug;22(8):624-30
pubmed: 26954880
JMIR Form Res. 2021 Jul 30;5(7):e27436
pubmed: 34328429
Diabetes Care. 2015 May;38(5):776-83
pubmed: 25710923
Int J Integr Care. 2016 Oct 28;16(4):6
pubmed: 28316546
Diabetes Care. 2011 Feb;34(2):320-5
pubmed: 21216855
J Med Internet Res. 2020 Jun 2;22(6):e19361
pubmed: 32452816
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
Diabetes Educ. 2019 Aug;45(4):420-430
pubmed: 31244396
Int J Integr Care. 2013 Mar 22;13:e010
pubmed: 23687482
J Med Internet Res. 2019 May 24;21(5):e12793
pubmed: 31127718
Curr Diab Rep. 2016 Jan;16(1):9
pubmed: 26748793
Diabetes Care. 2005 Mar;28(3):626-31
pubmed: 15735199
J Med Internet Res. 2022 Aug 1;24(8):e38980
pubmed: 35916720
Diabet Med. 2002 Apr;19(4):265-73
pubmed: 11942996
Acta Diabetol. 2021 Jul;58(7):899-909
pubmed: 33723649
BMJ Open. 2017 Sep 27;7(9):e016009
pubmed: 28954789
J Posit Psychol. 2014 Jan 1;9(6):523-534
pubmed: 25214877
Telemed J E Health. 2022 Jan;28(1):84-92
pubmed: 33728989
Int J Integr Care. 2015 Mar 04;15:e003
pubmed: 25759607
Chronic Illn. 2011 Dec;7(4):267-78
pubmed: 21840915
Diabet Med. 2017 Jan;34(1):99-107
pubmed: 27334444
Prim Care Companion CNS Disord. 2016 May 05;18(3):
pubmed: 27733954
J Med Internet Res. 2020 Dec 1;22(12):e16729
pubmed: 33258790
Qual Life Res. 2015 May;24(5):1119-29
pubmed: 25543270
JMIR Diabetes. 2019 Jun 27;4(2):e13857
pubmed: 31250827
J Med Internet Res. 2018 Apr 23;20(4):e147
pubmed: 29685872
BMJ Open Diabetes Res Care. 2015 Nov 30;3(1):e000144
pubmed: 26688735