METHODS: We searched Ovid MEDLINE, Elsevier Embase, Cochrane Central Register of Controlled Trials, EBSCOhost PsycINFO, and ProQuest Dissertations & Theses Global from inception to January 2024 for RCTs of behavioural interventions conducted in adults that incorporated CGM-based biological feedback. Citation searching was also performed. The review protocol was registered ( https://doi.org/10.17605/OSF.IO/SJREA ).
RESULTS: Collectively, 5389 citations were obtained from databases and citation searching, 3995 articles were screened, and 31 were deemed eligible and included in the review. Most studies (n = 20/31, 65%) included adults with type 2 diabetes and reported HbA1c as an outcome (n = 29/31, 94%). CGM was most commonly used in interventions to target changes in diet (n = 27/31, 87%) and/or physical activity (n = 16/31, 52%). 42% (n = 13/31) of studies provided prospective CGM-based guidance on diet or activity, while 61% (n = 19/31) included retrospective CGM-based guidance. CGM data was typically unblinded (n = 24/31, 77%) and CGM-based biological feedback was most often provided through the CGM and two-way communication (n = 12/31, 39%). Communication typically occurred in-person (n = 13/31, 42%) once per CGM wear (n = 13/31; 42%).
CONCLUSIONS: This scoping review reveals a predominant focus on diabetes in CGM-based interventions, pointing out a research gap in its wider application for behaviour change. Future research should expand the evidence base to support the use of CGM as a behaviour change tool and establish best practices for its implementation.
BACKGROUND: doi.org/10.17605/OSF.IO/SJREA.
方法:我们搜索了OvidMEDLINE,ElsevierEmbase,Cochrane中央控制试验登记册,EBSCOhostPsycINFO,和ProQuest论文和论文全球从开始到2024年1月,用于在成年人中进行的行为干预的RCT,其中包含基于CGM的生物反馈。还进行了引文搜索。审查协议已注册(https://doi.org/10.17605/OSF。IO/SJREA)。
结果:总的来说,从数据库和引文搜索中获得5389篇引文,筛选了3995篇文章,31人被认为符合资格,并被纳入审查。大多数研究(n=20/31,65%)包括患有2型糖尿病的成年人,并报告HbA1c作为结果(n=29/31,94%)。CGM最常用于针对饮食变化(n=27/31,87%)和/或身体活动(n=16/31,52%)的干预措施。42%(n=13/31)的研究提供了基于CGM的前瞻性饮食或活动指导,61%(n=19/31)包括基于CGM的回顾性指导。CGM数据通常是非盲的(n=24/31,77%),并且基于CGM的生物反馈最常通过CGM和双向通信提供(n=12/31,39%)。每次CGM磨损(n=13/31;42%)通常发生一次交流(n=13/31,42%)。
结论:这项范围审查揭示了在基于CGM的干预措施中,糖尿病的主要关注点,指出其在行为改变方面的广泛应用存在研究空白。未来的研究应扩大证据基础,以支持将CGM用作行为改变工具,并为其实施建立最佳实践。
背景:doi.org/10.17605/OSF。IO/SJREA。