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Healthy, quick and easy Garlic Herb Chicken is a complete dinner made in just one pan! Roasted potatoes with fork tender veggies and juicy chicken is a seriously scrumptious meal that requires very little work.
Sheet Pan dinners have been all the rage for quite some time now and with good reason; easy prep, easy cleanup! One pan and dinner is DONE. I think it’s safe to say that this is the best dinner option for busy weeknights.
For example, consider this One Pan Lemon Garlic Butter Chicken Thighs and Asparagus! Or, our One Pan Roasted Chicken and Potatoes Recipe, and this Sheet Pan Chicken Stir Fry Recipe.


I will also say that sheet pan dinners are THE answer to meal prepping. Store any leftovers into airtight containers and you have lunch for the next few days.
Cooking homemade meals every night while juggling a busy schedule can feel almost impossible. For that reason, I rely on recipes that can be prepared ahead of time, or recipes that are like this Sheet Pan Garlic Herb Chicken with Potatoes and Veggies – because our entire dinner is cooked on just a single sheet pan.
Now, go grab some chicken and vegetables, and prepare this healthy, family-friendly meal tonight.


Easy to assemble and a snap to clean up, this all-in-one sheet pan Garlic Herb Chicken will become your new favorite meal.




ENJOY!
Sheet Pan Garlic Herb Chicken with Potatoes and Veggies
Juicy and delicious chicken breasts baked to a tender perfection with vegetables and potatoes, all cooked together on just one sheet pan.
Course: Dinner
Cuisine: American, American/Southern
Keyword: baked chicken breasts, baked vegetables, chicken sheet pan dinner, healthy dinner recipes, one pot recipes, roasted asparagus recipe, sheet pan dinners
Servings: 4 serves
Calories: 342 kcal
Ingredients
Instructions
Preheat oven to 425F.
Line a large sheet pan with parchment paper or foil; set aside.
Cut up the potatoes, Brussel sprouts, asparagus, carrots, and red onion, and place each in a separate corner of the prepared sheet pan. DO NOT use the cherry tomatoes, yet.
Drizzle olive oil over the veggies.
Season veggies with garlic powder, 1/2 teaspoon dried rosemary, 1/2 teaspoon dried thyme, salt, and pepper.
Place 2 chicken breasts over a large piece of parchment paper.
Rub both sides of the chicken with a bit of olive oil, and season with salt, pepper, 1/2 teaspoon rosemary, 1/2 teaspoon thyme, and half of the minced garlic.
Place a pat of butter on top of each chicken breast and tightly seal the parchment paper around the chicken breasts.
Repeat the same process with the remaining 2 chicken breasts.
Place wrapped chicken on the center of the baking pan.
Bake for 30 minutes, or until chicken is cooked through. Chicken is done when internal temperature reaches 165F.
Optionally, 10 minutes before it’s done cooking, you can also add cherry tomatoes to the sheet pan.
Remove from oven and let stand 5 minutes.
Unwrap the chicken and serve.
Recipe Notes
WW FREESTYLE POINTS: 6
HOW TO STORE LEFTOVERS
Nutrition Facts
Sheet Pan Garlic Herb Chicken with Potatoes and Veggies
Amount Per Serving
Calories 342 Calories from Fat 117
% Daily Value*
Total Fat 13g 20%
Saturated Fat 3g 15%
Cholesterol 80mg 27%
Sodium 210mg 9%
Potassium 1441mg 41%
Total Carbohydrates 27g 9%
Dietary Fiber 8g 32%
Sugars 7g
Protein 31g 62%
Vitamin A 137.3%
Vitamin C 102.4%
Calcium 10.3%
Iron 36.2%
* Percent Daily Values are based on a 2000 calorie diet.

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El Reiki es un metodo alternativo originario de Japon para beneficiar y mejorar la salud en todos sus aspectos.El Reiki para bajar de peso es cada vez mas popular debido a su eficacia y nulo efectos secundarios ya que la práctica de Reiki implica el uso de la energía de la persona que practica para para estimular las auto habilidades curativas naturales del cuerpo de cada persona.
La practica del Reiki no necesita contacto fisico, las manos del practicante se tocan ligeramente para proyectar su energía durante la sesion de reiki.
Reiki: Chakra y el fluir de la energía
Cada chakra es un centro de energia y tiene su color diferente y está conectado al ser general del cuerpo, los chacras absorben energía de su entorno, la salud y el estado mental afecta la abundancia en todos sus aspectos, los siete chakras principales son: la corona, la frente, la garganta, el corazón, el plexo solar, el bazo o vientre y la raíz. Cuando un chakra está bloqueado debido a una enfermedad o lesión, puede afectar a los demás causando problemas adicionales, estos centros son los que los practicantes de reiki deben manipular a través de la tecnica para inducir a la autocuración.
Reiki para Bajar de Peso
Los tres chakras principales que pueden afectar su peso son el bazo, el plexo solar y la garganta, el chakra del bazo, que se ubica en el abdomen, debajo del ombligo también controla los problemas sociales y de intimidad.
Un desequilibrio en este chacra, puede atribuirse a la depresión, el abuso de sustancias y la impotencia. El chakra del plexo solar se puede encontrar en el estómago, arriba del ombligo, se relaciona con la confianza en sí mismo, tambien está vinculada a este chakra a un bloqueo en aquellos que también sufren de problemas digestivos y diabetes.
En cambio el chakra de la garganta también se relaciona con la confianza y su capacidad de expresarse. Los desequilibrios físicos pueden incluir irregularidades tiroideas, hinchazón y trastornos hormonales como endocrinologicos, aqui se relaciona con las glandulas tiroides.
Como comenzar el Reiki
El Reiki te ayuda a ser más consciente del cuerpo fisico emocional y sus necesidades, incluido el apetito y la ansiedad. Se relaciona con la ayuda con la fuerza de voluntad, lo que le permite tomar decisiones más saludables. También la practica de reiki disminuye el estrés, esto hace descomprimir y evitar la acumulación de hormonas del estrés como el cortisol, que se relaciona directamente con el sobrepeso, mejora la autoestima y perder peso mas rapidamente.
Guia Reiki para Bajar de Peso
1- Sobre un pequeño papel, escribir su nombre y la intencion detallada de bajar de peso.
2- Emanar reiki sobre el papel durante unos minutos.
3-Mantener el papel consigo durante todo el dia. Visualizarlo diariamente.
Reiki para borrar bloques emocionales
Paso 1
Dirija la energía de reiki a su chakra del plexo solar, en la base de su esternón, si sientes que estas en contacto o tomando energía negativa de otros, este es el chakra que es más probable que se bloquee.
Paso 2
Se siente cualquier tensión localizada en la parte superior del abdomen cuando recibes reiki.
Paso 3
Visualiza la tensión y un color o forma a tu mente. Pídale a la tensión que le informe la leccion que necesite saber antes de liberarla.
Paso 4
Libera la tensión en la tierra para transformación y curación.
Para est, debe sentarse cómodamente con la columna derecha, descanse las manos sobre las rodillas, con las palmas hacia arriba y cierre los ojos.
Inhale y exhale profunda y lentamente. Visualiza y siente tu cuerpo en el ojo de tu mente. Imagínese y sienta una cálida y brillante luz amarilla saliendo de la tierra, llenando sus pies, piernas, barriga, pecho, garganta y cabeza. El amarillo es el color del chakra del plexo solar, que rige la fuerza de voluntad y la capacidad de sentir.
Visualice y sienta la luz amarilla que baja de su cabeza, pecho, vientre, piernas y pies, y de regreso a la tierra, llevándose consigo las energías y emociones negativas, añejas u oscuras.
Luego, Imagina y siente que una luz blanca brillante llena tu cuerpo iluminando todo a tu alrededor. Respirar lenta y profundamente.
Otras Dietas para Bajar de Peso, Perder Peso y Adelgazar Rapido que le pueden interesar:
DIETA DEFINITIVA PARA ADELGAZAR 10 KILOS
DIETA PARA BAJAR EL COLESTEROL
DIETA SIN CARBOHIDRATOS NI AZUCAR PARA ADELGAZAR 1 KILO POR DIA
COMO ADELGAZAR 30 KILOS EN 3 MESES
COMO ADELGAZAR CON UN METABOLISMO MUY LENTO

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El Reiki es un metodo alternativo originario de Japon para beneficiar y mejorar la salud en todos sus aspectos.El Reiki para bajar de peso es cada vez mas popular debido a su eficacia y nulo efectos secundarios ya que la práctica de Reiki implica el uso de la energía de la persona que practica para para estimular las auto habilidades curativas naturales del cuerpo de cada persona.
La practica del Reiki no necesita contacto fisico, las manos del practicante se tocan ligeramente para proyectar su energía durante la sesion de reiki.
Reiki: Chakra y el fluir de la energía
Cada chakra es un centro de energia y tiene su color diferente y está conectado al ser general del cuerpo, los chacras absorben energía de su entorno, la salud y el estado mental afecta la abundancia en todos sus aspectos, los siete chakras principales son: la corona, la frente, la garganta, el corazón, el plexo solar, el bazo o vientre y la raíz. Cuando un chakra está bloqueado debido a una enfermedad o lesión, puede afectar a los demás causando problemas adicionales, estos centros son los que los practicantes de reiki deben manipular a través de la tecnica para inducir a la autocuración.
Reiki para Bajar de Peso
Los tres chakras principales que pueden afectar su peso son el bazo, el plexo solar y la garganta, el chakra del bazo, que se ubica en el abdomen, debajo del ombligo también controla los problemas sociales y de intimidad.
Un desequilibrio en este chacra, puede atribuirse a la depresión, el abuso de sustancias y la impotencia. El chakra del plexo solar se puede encontrar en el estómago, arriba del ombligo, se relaciona con la confianza en sí mismo, tambien está vinculada a este chakra a un bloqueo en aquellos que también sufren de problemas digestivos y diabetes.
En cambio el chakra de la garganta también se relaciona con la confianza y su capacidad de expresarse. Los desequilibrios físicos pueden incluir irregularidades tiroideas, hinchazón y trastornos hormonales como endocrinologicos, aqui se relaciona con las glandulas tiroides.
Como comenzar el Reiki
El Reiki te ayuda a ser más consciente del cuerpo fisico emocional y sus necesidades, incluido el apetito y la ansiedad. Se relaciona con la ayuda con la fuerza de voluntad, lo que le permite tomar decisiones más saludables. También la practica de reiki disminuye el estrés, esto hace descomprimir y evitar la acumulación de hormonas del estrés como el cortisol, que se relaciona directamente con el sobrepeso, mejora la autoestima y perder peso mas rapidamente.
Guia Reiki para Bajar de Peso
1- Sobre un pequeño papel, escribir su nombre y la intencion detallada de bajar de peso.
2- Emanar reiki sobre el papel durante unos minutos.
3-Mantener el papel consigo durante todo el dia. Visualizarlo diariamente.
Reiki para borrar bloques emocionales
Paso 1
Dirija la energía de reiki a su chakra del plexo solar, en la base de su esternón, si sientes que estas en contacto o tomando energía negativa de otros, este es el chakra que es más probable que se bloquee.
Paso 2
Se siente cualquier tensión localizada en la parte superior del abdomen cuando recibes reiki.
Paso 3
Visualiza la tensión y un color o forma a tu mente. Pídale a la tensión que le informe la leccion que necesite saber antes de liberarla.
Paso 4
Libera la tensión en la tierra para transformación y curación.
Para est, debe sentarse cómodamente con la columna derecha, descanse las manos sobre las rodillas, con las palmas hacia arriba y cierre los ojos.
Inhale y exhale profunda y lentamente. Visualiza y siente tu cuerpo en el ojo de tu mente. Imagínese y sienta una cálida y brillante luz amarilla saliendo de la tierra, llenando sus pies, piernas, barriga, pecho, garganta y cabeza. El amarillo es el color del chakra del plexo solar, que rige la fuerza de voluntad y la capacidad de sentir.
Visualice y sienta la luz amarilla que baja de su cabeza, pecho, vientre, piernas y pies, y de regreso a la tierra, llevándose consigo las energías y emociones negativas, añejas u oscuras.
Luego, Imagina y siente que una luz blanca brillante llena tu cuerpo iluminando todo a tu alrededor. Respirar lenta y profundamente.
Otras Dietas para Bajar de Peso, Perder Peso y Adelgazar Rapido que le pueden interesar:
DIETA DEFINITIVA PARA ADELGAZAR 10 KILOS
DIETA PARA BAJAR EL COLESTEROL
DIETA SIN CARBOHIDRATOS NI AZUCAR PARA ADELGAZAR 1 KILO POR DIA
COMO ADELGAZAR 30 KILOS EN 3 MESES
COMO ADELGAZAR CON UN METABOLISMO MUY LENTO

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The holiday season typically means you’ll be traveling more than ever, whether it’s hopping on a bus across the state or flying across the country. With so much travel comes a lot of packing—something that can be just as stressful as gift giving and fighting over politics with your family.
Even worse? When you travel, you have to figure out what beauty products you’re going to take with you. If there’s one thing we don’t mess around with, it’s our makeup and skin care products. Nothing comes between us and our beauty regimen (you hear that, TSA?!).
Thankfully, we don’t have to leave our treasured skincare and makeup products behind. So many brands offer travel-sized items that adhere to TSA’s rules or carry-on luggage (which requires liquid items to be 3.4 ounces or smaller). Even your favorite cosmetics and non-liquid products come in fun-sized packaging, and ultimately, going small will maximize your space. (Related: Organize Your Activewear with These Storage Tips from Marie Kondo)
If you’re getting ready to embark on a long-distance journey or want to bring a lightweight suitcase, we found the best travel-sized beauty products to pack on your next trip. Peep them below.

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This chickpea salad recipe is for winter when it is hard to find fresh vegetables.
In my spot in the world, the Farmer’s market is lacking in green. You can get turnips, potatoes, and rutabagas – but who can eat THAT all winter (or all summer for that matter).
This chickpea salad simple to make and keeps for at least a week in the fridge. Try that with lettuce and you will have salad soup.
Cans of beans are inexpensive and will keep for a very long time in your pantry so stock up. If you haven’t made my copycat Chipotle black beans, I think now is the time.

The one big step in this recipe (other than opening cans) is to saute onions and garlic to mellow out their flavor. Raw onions are a bit spicy if you ask me.
You can eat this salad warm like my bacon lentil salad which is fitting since it is so cold outside. If you eat it right after you make it, it will still be warm from the stove.

I like all the colors that are represented in this salad, green, pink, tan, and some white. I do get sick of the same boring lettuce salad so it is nice to mix it up a bit.

My daughter loves this chickpea salad and even took it to school with her (hurray). My son turned up his nose at it as he declared that he hated chickpeas. I don’t know that he has ever tried a chickpea so I am not sure where that is coming from.
He likes hummus so what is the big deal? It is impossible to get all four members of my family to agree on anything that I cook.

This is fast, delicious and filling. I will eat this for lunch with a piece of fruit. Stuff this in a pita for a sandwich or add some canned tuna to mix it up a bit.
This salad also is nice on a bed of fresh lettuce (ha!).
Makes 6 cups
1 small red onion, chopped
3 cloves garlic, minced
1 tablespoon olive oil
pinch of red pepper flakes
2-15.5 ounce cans cooked chickpeas or garbanzo beans, rinsed
1 cup parsley, chopped
½ cup crumbled feta cheese
1 lemon, juiced
Heat 2 teaspoons olive oil in a sauté pan and cook onion until translucent. Add garlic and stir for 30 seconds. Remove from heat. Add chickpeas, parsley, feta, and lemon juice and 1 teaspoon olive oil to a large bowl. Mix in onions and adjust seasonings. Serve immediately or store for later. This does well in the refrigerator for a few days as it marinates.
One cup is 150 calories, 4.9 g fat, 1.2 g saturated fat, 17.6 g carbohydrates, 2.3 g sugar, 9.8 g protein, 3.7 g fiber, 363 mg sodium, 2 Freestyle SmartPts
Points values are calculated by Snack Girl and are provided for information only. See all Snack Girl Recipes

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Not enough candy for ya? Here’s a few more candy treats from me! These Mint Kissed Stuffed Truffles are delicious!
Get yourself an Oreo Cookie mold and make these fun holiday Oreo treats.
Easy Christmas Cake Pops made super simple with gummy candies and standing up in a mini cupcake liner.

Now, on to the PARTY!! It’s time to link up all your recent posts to the Two Cup Tuesday Party! Each week I will share the Best of the Blogs with some of my favorite recipes and crafts who link up!

Grab a button! You deserve it!

a href=”https://pintsizedbaker.com”; title=”Pint Sized Baker”><img src=”http://2.bp.blogspot.com/-vz4l7hynRKQ/UO76hLIOOXI/AAAAAAAACV8/mK-b2RXfMhM/s1600/PSB_IveBeenFeatured.jpg”; alt=”Pint Sized Baker” style=”border:none;” /
You bloggers are the best! I’m looking forward to seeing all the wonderful link-ups this week!
You ROCK!!
It would be awesome of you followed me on Facebook, Twitter or Pinterest
I’m also A Pinning Fool! I’ve pined TONS of great recipes and tutorials from Two-Cup Tuesday! Check out my Two-Cup Tuesday Pin-board!
Follow Pint Sized Baker’s board Two-Cup Tuesday on Pinterest.
I’d love to get to know you, so please leave a comment introducing yourself!
Thanks so much for linking up!
As a courtesy to all party guests, please only link posts that have not been shared here previously. We want to see NEW and EXCITING content.


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When it comes to getting healthy, it’s not all about working up a sweat. In fact, there are tons of practical and beneficial habits you can work into your day-to-day that have nothing to do with hitting the gym or making rounds on the ClassPass circuit.
Some of these lifestyle adjustments involve eating more mindfully, which includes techniques like slowing down as you eat and paying attention to signals that let you know when you’re full. But getting enough sleep, reducing stress and cutting back on alcohol are all important too.
“Our environment, our habits and our mindset are almost just as important as what it is we are putting in our mouths. And we have to realize that,” said Lisa Young, a registered dietitian and adjunct professor of nutrition at New York University.
Here are some of our favorite tips for boosting your health that have nothing to do with burning calories, but are almost guaranteed to leave you feeling better:
Caiaimage/Paul Bradbury via Getty Images
These days, everything we do ― eating included ― tends to happen at hyper speed. And it’s simply not good for your health. Nutritionists advise slowing down and chewing each bite of food somewhere between 20 and 30 times, which makes it easier to digest and absorb. In fact, the more you break down the food in your mouth, the more you’re going to absorb in the intestine, said Kelly Johnston, a registered dietitian and health coach at Parsley Health.
For the sake of digestion, try setting aside a bit more time so you can eat your meals in a less hasty way, even if it’s not 20 to 30 chews per bite of food.
“I always say the first line of digestion is your mouth, and chewing is such an important part of that,” Johnston said. “The less work you do in your mouth, the more work you have to do in your stomach and intestine, which can cause bloating downstream, constipation and just more work for the intestine.”
Eating at a slower pace also gives you more time to register fullness, which can lower your chances of overeating.
“Challenge yourself to take at least 15 to 20 minutes to finish a meal, because that is how long it takes for your gut to tell your brain it’s full,” said Tracy Lockwood Beckerman, a registered dietitian in New York City.
Despite the fact that more than half of Americans eat lunch at their desks each day, nutritionists say this isn’t the best choice for your health. For one, the body has trouble prioritizing digestion when you’re stressed.
“The uptick of the stress hormone cortisol may cause nutrients to become poorly digested and disrupt the normal digestion process,” Beckerman said.
We get it though: Sometimes you have no option other than to work through lunch. In these situations, Young suggested planning exactly what you’re going to eat. This can help you avoid overeating, which seems to happen way too easily when you’re focused on your screen rather than the food you’re putting in your mouth.
“The problem when you eat mindlessly is that you don’t even realize that you’ve eaten,” Young said.
Westend61 via Getty Images
Ultra-processed foods are often high in sodium and added sugars and come with long lists of ingredients, many of which do little in terms of benefiting your overall health. Making a real effort to swap processed for whole foods is a great way to get healthier. Consider focusing on foods that exist in nature like vegetables, fruits, nuts, seeds, healthy fats and high-quality proteins like beans, fish and meat.
“Processed foods have fillers, stabilizers and thickeners that can disrupt your body’s ability to soak in essential vitamins and nutrients from real foods,” Beckerman said. “You’ll be able to deliver and maximize the purest forms of nutrients to your body when you can eat whole foods.”
When you’re trying to squeeze in time for everything possible in life ― work, social commitments, family, exercise, cooking healthy meals and more ― maintaining a healthy sleep schedule is often pushed aside. But getting enough sleep probably deserves a higher spot on your list of priorities. After all, this is the time of day where your body relaxes and repairs.
The exact amount of sleep varies from person to person, but somewhere around seven to eight hours a night is a good target, Johnston said. You surely know this from experience, but when you don’t get enough sleep, your body struggles the next day.
“Research shows that if you don’t get enough sleep, you automatically usually have an elevated blood sugar the following day because you haven’t metabolized well,” Johnston said.
Meanwhile, sleep deprivation disrupts the balance of the body’s hunger and satiety hormones, which can lead you toward that bottomless-pit feeling where you eat and eat but don’t feel full, Beckerman explained. Not getting enough sleep also leads to low levels of leptin, a hormone that helps regulate the body’s energy balance by inhibiting hunger. The result? Increased cravings of sugary and sweet foods, Beckerman said.
Ezra Bailey via Getty Images
Some stress is good for you, especially the type that appears when you’re excited. But chronic stress, the kind that feels inescapable, can have a ton of negative effects on the body, from depression and anxiety to gastrointestinal problems and cardiovascular disease. For the sake of your health, it’s important to find a stress-relieving habit you can turn to regularly to balance the daily demands that drain you.
For some, this release can have to do with exercise, like going for a walk or going to a yoga class. For others, it might mean journaling, meditating or talking to a close friend. Really, the method is up to you as long as you take some time to yourself to let some of the stress fade away.
“Just recharging your battery is so important,” Johnston said.
Besides contributing to those dreaded hangovers, drinking more than the recommended amount (up to one drink a day for women and two for men) can increase your risk of cancer and high blood pressure, as well as contribute to poor sleep, overeating, impaired cognitive function even after the alcohol leaves your system and earlier signs of aging, like wrinkles and broken blood vessels.
Many types of alcohol are also super sugary, which can lead to weight gain and problems with blood sugar levels. Additionally, alcohol and sugar can both negatively impact “the health of our gut and our microbiome,” Johnston said.
Alcohol also impairs the efficacy of the hormone leptin, which as mentioned earlier, plays a role in keeping you full.
“This imbalance influences our powerful brains towards convincing us that we want more carbohydrate heavy and greasy meals,” Beckerman said. So, while there’s usually nothing wrong with a drink here and there, it’s best to keep it to a minimum.
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Learning more about carbohydrates, how to maintain a diet with them There's lots of talk and old and new diets with the focus on lowering or avoiding carbohydrate intake. Like the most recent, "Keto" diet on the heels of the "Paleo" diet.
The overall goal is to increase whole, less-processed nutrient-dense foods and decrease highly processed, refined foods with little nutrition. The message, however, creates confusion around the intake of carbohydrates.
The most recent research is now supporting what dietitians have all along promoted- a moderate intake of carbohydrates. Finding that too high or too low intakes of the nutrient can cause negative health effects and can even shorten a person's lifespan.
Carbohydrate is one of the 3 energy nutrients, nutrients that provide calories. The others: protein and fat.
Carbohydrate is the main source of energy for all processes in the body including muscle, brain function. There is no supplement for carbohydrates, can only be found in foods.
A moderate intake of carbohydrates is defined as 40 to 50% of a person's total intake. Each gram of carbohydrate provides 4 calories. So of a person's total caloric intake, ideally each day, 40 to 50% of those calories would be coming from carbohydrate to be considered moderate.
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Diabetes is one of the biggest global public health concerns affecting an estimated 425 million adults worldwide, and this number is expected to rise to 629 million by 2045 []. This is coupled with a shortage of health care professionals competent in delivering high-quality diabetes care [,]. Enhancing both the size and competencies of health care professionals is a priority and improving health professions education is seen as one of the key strategies to this end []. Digital education, broadly defined as the use of digital technology in education, has been recognized as having the potential to improve health professions education by making it scalable, interactive, personalized, global, and cost-effective [-].
Past systematic reviews on digital education have focused mainly on diabetes self-management education for patients, showing an improvement in patients’ knowledge and outcomes [-]. The effectiveness of digital education interventions for health care professionals on diabetes management is still unknown []. To address this gap, we performed a systematic review to evaluate the effect of digital education on diabetes management on health care professionals’ knowledge, skills, attitudes, competencies, and behaviors, as well as its impact on patient outcomes.
We followed the Cochrane Handbook of Systematic Reviews for our methodology [] and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement for reporting []. For a detailed description of the methodology, please refer to the study by Car et al [].
This review is part of an evidence-synthesis initiative on digital health professions education, where an extensive search strategy was developed for a series of systematic reviews on different modalities of digital health education for health care professionals (see ) []. The following databases were searched from January 1990 to August 2017:
We included studies in all languages and at all stages of publication. Our search strategy included gray literature sources such as Google scholar, trial registries, theses, dissertations, and academic reports. The citations retrieved from different sources were combined into a single library and screened by 2 authors independently. We also screened references of included papers for potentially eligible studies. Discrepancies and disagreements were resolved through discussion until a consensus was reached.
We included randomized controlled trials (RCTs), cluster RCTs, and quasi-RCTs and excluded cross-over trials due to high likelihood of a carry-over effect in this type of studies []. Studies on pre- or postregistration health care professionals taking part in digital education interventions on diabetes management were considered eligible. We defined health care professionals in line with the Health Field of Education and Training (091) in the International Standard Classification of Education []. Studies on digital education on both type 1 and type 2 diabetes at all educational levels were included.
We defined digital education as any teaching and learning that occurs by means of digital technologies. We considered eligible all digital education modalities, including offline and online education, Serious Gaming and Gamification, Massive Open Online Courses, Virtual Reality Environments, Virtual Patient Simulations, Psychomotor Skills Trainers, and mobile learning. Eligible comparisons were traditional, blended, or another form of digital education intervention on diabetes management. Traditional education was defined as any teaching and learning taking place via nondigital educational material (eg, textbooks) or in-person human interaction (eg, lecture or seminar). Traditional education also included usual learning, for example, usual revisions as well as on-the-job learning without a specific intervention in postregistration health care professionals. Blended education was defined as the act of teaching and learning that combines aspects of traditional and digital education. Eligible primary outcomes measured using any validated and non-validated instruments were knowledge, skills, competencies, attitudes, and satisfaction. Eligible attitudes-related outcomes comprised all attitudes toward patients, new clinical knowledge, skills, and changes to clinical practice.
Eligible secondary outcomes included patient outcomes in studies on postregistration health care professionals (eg, patients’ blood pressure, blood glucose, and blood lipid levels), change in health care professional’s behavior (ie, treatment intensification, defined as an intensity or dose increase of an existing treatment or the addition of a new treatment/class of medication), and economic impact of the intervention.
In this study, 2 authors independently extracted data from studies using a structured and piloted data extraction form. We extracted information on study design, participants’ demographics, type, content and delivery of digital education, and information pertinent to the intervention. Study authors were contacted in case of unclear or missing information.
The methodological quality of included RCTs was independently assessed by 2 authors using the Cochrane Risk of Bias Tool []. The risk of bias assessment was piloted between the reviewers, and we contacted study authors in case of any unclear or missing information. We assessed the risk of bias in included RCTs for the following domains: (1) random sequence generation; (2) allocation concealment; (3) blinding of participants to the intervention; (4) blinding of outcome assessment; (5) attrition; (6) selective reporting; and (7) other sources of bias []. Cluster RCTs were assessed using 5 additional domains: (1) recruitment bias; (2) baseline imbalance; (3) loss of clusters; (4) incorrect analysis; and (5) comparability with individually randomized trials [].
In line with Miller’s classification, a learning model for assessment of clinical competence [], we classified outcomes based on the type of outcome measurement instruments used in the study. For example, multiple-choice questionnaires were classified as assessing knowledge and objective structured clinical examinations as assessing participants’ skills.
Although some studies reported change scores, we presented only postintervention data as those were more commonly reported and to ensure consistency and comparability of findings. Continuous outcomes are presented using mean difference (for outcomes measured using the same measurement tool), standardized mean difference (SMD; for outcomes measured using diverse measurement tools), and 95% CIs. Dichotomous outcomes are presented using risk ratios (RRs) and 95% CIs. As we were unable to identify a clinically meaningful interpretation of effect size in the literature for digital education interventions, we interpreted the effect size using Cohen rule of thumb with SMD greater than or equal to 0.2 representing a small effect, SMD greater than or equal to 0.5 a moderate effect, and SMD greater than or equal to 0.8 a large effect [,]. In studies that reported more than one measure for each outcome, the primary measure, as defined by the primary study authors, was considered.
Heterogeneity was assessed qualitatively using information relating to participants, interventions, controls, and outcomes as well as statistically using the I2 statistic for outcomes allowing for pooled analysis []. Due to substantial methodological, clinical, and statistical heterogeneity (I2>50%), we conducted a narrative synthesis according to type of comparison, that is, (1) digital education versus traditional education, (2) digital education versus blended education, and (3) one digital education type versus another digital education type. Subgroup analyses were not feasible owing to the small number of studies and limited information. We presented the study findings in a forest plot using the random effects model and standardized mean difference as the measurement scales were different and without the pooled estimates.
Our search strategy for a series of systematic reviews focusing on different digital health professions education modalities yielded 30,532 unique references. We removed 459 duplicates, and upon screening of titles and abstracts, the screening excluded 30,050 citations. We identified 23 potentially eligible studies for which we retrieved and screened full texts. Of these, we included 12 studies: 9 RCTs and 3 cluster RCTs, all published in English (). Moreover, 1 study was reported by 3 journal papers [-]. Although presented as a cluster RCT, this study included randomization at the individual, physician level and was therefore considered an RCT. A total of 9 studies were excluded due to ineligible study design (n=3), missing data (n=5), and ineligible participants (n=1; ).
There were 2263 health care professionals in 12 included studies [-]. A third of the studies included less than 50 participants. The study with 3 published reports had 1182 patient records as a measure of clinical outcomes [-]. Only 1 study targeted pediatric patients with type 1 diabetes []. All other studies reporting patient outcomes focused on adult patients with type 2 diabetes. A total of 8 studies focused on doctors [,,,,,-]. Moreover, 1 study each focused on medical students [], pharmacy students [], nurses [], and jointly on doctors, nurses, and dietitians [].
A total of 10 studies were conducted in high-income countries including Australia [], the United States [,,,,-], and the United Kingdom [,]. A total of 2 studies were conducted in middle-income countries such as Thailand [] and Brazil [] each.
A total of 6 studies compared digital education with traditional education [,,,,,]. A total of 3 studies compared 2 different methods of digital education interventions [,,], 2 compared blended education with usual education [,], and 1 study with 3 arms compared usual, blended, and digital education []. Only 4 studies reported duration of the intervention lasting from an hour to 2 weeks [,,,].
Various types of modalities were used to deliver the digital education interventions. A total of 3 studies used a Web-based or online portal [,,]; 3 used a scenario-based simulation software [,,]; 1 study each assessed high-fidelity mannequins []; an online game app on the computer []; periodic email reminders on the lecture content []; personal digital assistant–delivered learning materials []; and a computer-based diabetes management program [].
