Scoping review using PRISMA-SCR on m-health interventions on self-care management of type 2 diabetes at home

Objectives: To do scoping review on the global evidence on m-health interventions and determine the effectiveness of mobile based self-management interventions on type 2 diabetes mellitus Methods: A systematic search of PubMed and Scopus research data base were examined. Studies globally published in English from 2010 to 2020 and studies done on Type 2 diabetes and including age groups 18-75 years are included. The studies included intervention such as Randomized controlled trials (RCTs) of mobile based self-management for type 2 diabetes patients and charting and analysis of outcomes at patient level. The reviewer screened the studies, and it was consequently reviewed by a second reviewer independently. The data was extracted, charted and quality of the studies was assessed. The scoping study methodology using operational framework of Arksey, and O’Malley is used to present study outcomes and 27 pointers PRISMA-SCR checklist is used to present this paperResults: A total of 40 articles, consisting of RCT based interventions studies with 3800 plus participants, were included in the assessment. 40 original research articles were selected for inclusion. The selected studies largely focused on the self-management of type 2 diabetes (N = 40), hypertension (N = 2). Various interventions involved the use of mobile SMS (N = 17) or mobile on phone (N = 12), the content on session education with use of mobile (N = 10) or the placement of devices mobile (N = 4). The interventions were generally effective and often led to improved glycemic control and better health indicators.Conclusions: Mobile based self-management interventions seem to have positive effects on self-care and management and significant outcomes for patients with type 2 diabetes. Overall progress in physiologic indicators, selfcare and improvement in quality of patient life with Type 2 Diabetes. Though, the studies emphasized results in small populations, with little indication of future scaling of the intervention. Moreover, the results indicate a need for further research into the self-management which includes nutrition informatics in self-care management regime, and it needs to focus on region wise availability of informatics on nutrition. This will also help in co-management of diabetes and cardiovascular disease. Self-management appears to be an effective means of improving health outcomes in low- and middle-income countries (LMIC) and therefore mobile led selfcare management interventions with nutritional informatics can be advantageous.