Table 2.
Author, Year, Study Design, Location |
Sample Size N | Population Characteristics | Participants, N, Program Name Characteristics of Digital Intervention |
Type of Diets Prescribed Intervention/Control | Primary Outcomes | Intervention/Follow-Up Period | Retention, Adherence | Risk of Bias |
---|---|---|---|---|---|---|---|---|
Saslow et al. (2017) Pilot RCT a Parallel-group, USA [42] |
25 | Overweight adults (>18) with T2DM b, mean age 53.0 (IG c), 58.2 (CG d) years Patients receiving insulin (except for metformin) excluded |
IG c—N = 12, dietary instruction provided via weekly email lessons with lifestyle recommendations and mindfulness training CG d—N = 13 dietary instructions provided via weekly emailed lessons. No lifestyle recommendations or mindfulness training included |
IG c: VLCD e ad libitum. (20–50 g/carbs per day), to induce nutritional ketosis CG d: ADA f “create your plate” plan from the American Diabetic Association (low-fat diet) |
HbA1c change | 16-week intervention, 32-week follow-up |
92% retention Drop out: IG c: 8% (1/12) CG d: 46% (6/13) |
Positive No Blinding Self-report dietary intake |
Chen et al. (2020) Pilot RCT a Single blinded China [17] |
100 | Adults (30–80 years) with prediabetes, mean age 54.9 (IG c), 51.9 (CG d) years. Patients taking medication excluded |
IG c N = 57 Health management support service system. Mobile app (CAReNA). Receive LCD g dietary guidance CG d—N = 43 Received early education in diabetes diet management |
IG c: LCD g (70–130 g/carbs per day). CG d: Diabetes diet education. No LCD g intervention. |
HbA1c change | 3 months | - | Positive |
a RCT: randomized controlled trial, b T2DM: type 2 diabetes mellitus, c IG: intervention group, d CG: control group, e VLCD: very low carbohydrate diet, f ADA: American Diabetes Association, g LCD: low carbohydrate diet.