A controlled study of weight reduction in type 2 diabetics treated by two reinforcers

Semlitsch, Barbara; Herzog, Günter; Bahadori, Mir Babak; Siebenhofer, Andrea; Pieber, Thomas R.; Zapotoczky, H. G.

doi:10.1207/s15327558ijbm0801_03

Cited by 14 publications

(30 citation statements)

References 11 publications

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“…Four studies did not indicate the settings in which the education programmes were held [39,43,51-56]. …”

Section: Resultsmentioning

confidence: 99%

“…In sixteen studies, the comparison group received routine treatment [32,33,36,38-47,49-54,56]. It was not clear what type of routine treatment was offered to the control group participants in one study [35].…”

Section: Resultsmentioning

confidence: 99%

“…At 12 months, four studies [34,38,41,56] involving 657 patients displayed no statistically significant differences between groups (0.07 mmol/l, 95% CI: -0.09 to 0.24, P = 0.38, I2 = 0%, Table 3: Analysis 3.20) for total cholesterol. With regard to triglyceride levels, heterogeneity was high (I2 = 80%), though there were no differences between the groups (0.03 mmol/l, 95% CI: -0.42 to 0.48, P = 0.88, Table 3: Analysis 3.21).…”

Section: Resultsmentioning

confidence: 99%

“…The studies that which had each a total number of participants more than the identified median of 104 participants (-0.67) [34,36,38,41,42,51] or dropout rates of less than 10% (-0.79) [34,38,41,42,56] had better effect.…”

Section: Resultsmentioning

confidence: 99%

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Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis

Steinsbekk

Rygg

Lisulo

et al. 2012

BMC Health Serv Res

557

478

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BackgroundDiabetes self-management education (DSME) can be delivered in many forms. Group based DSME is widespread due to being a cheaper method and the added advantages of having patient meet and discuss with each other. assess effects of group-based DSME compared to routine treatment on clinical, lifestyle and psychosocial outcomes in type-2 diabetes patients.MethodsA systematic review with meta-analysis. Computerised bibliographic database were searched up to January 2008 for randomised controlled trials evaluating group-based DSME for adult type-2 diabetics versus routine treatment where the intervention had at least one session and =/>6 months follow-up. At least two reviewers independently extracted data and assessed study quality.ResultsIn total 21 studies (26 publications, 2833 participants) were included. Of all the participants 4 out of 10 were male, baseline age was 60 years, BMI 31.6, HbA1c 8.23%, diabetes duration 8 years and 82% used medication. For the main clinical outcomes, HbA1c was significantly reduced at 6 months (0.44% points; P = 0.0006, 13 studies, 1883 participants), 12 months (0.46% points; P = 0.001, 11 studies, 1503 participants) and 2 years (0.87% points; P < 0.00001, 3 studies, 397 participants) and fasting blood glucose levels were also significantly reduced at 12 months (1.26 mmol/l; P < 0.00001, 5 studies, 690 participants) but not at 6 months. For the main lifestyle outcomes, diabetes knowledge was improved significantly at 6 months (SMD 0.83; P = 0.00001, 6 studies, 768 participants), 12 months (SMD 0.85; P < 0.00001, 5 studies, 955 participants) and 2 years (SMD 1.59; P = 0.03, 2 studies, 355 participants) and self-management skills also improved significantly at 6 months (SMD 0.55; P = 0.01, 4 studies, 534 participants). For the main psychosocial outcomes, there were significant improvement for empowerment/self-efficacy (SMD 0.28, P = 0.01, 2 studies, 326 participants) after 6 months. For quality of life no conclusion could be drawn due to high heterogeneity. For the secondary outcomes there were significant improvements in patient satisfaction and body weight at 12 months for the intervention group. There were no differences between the groups in mortality rate, body mass index, blood pressure and lipid profile.ConclusionsGroup-based DSME in people with type 2 diabetes results in improvements in clinical, lifestyle and psychosocial outcomes.

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“…Four studies did not indicate the settings in which the education programmes were held [39,43,51-56]. …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis

Steinsbekk

Rygg

Lisulo

et al. 2012

BMC Health Serv Res

557

478

View full text Add to dashboard Cite

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“…Twelve DSME programs met the criteria for inclusion shown in Figure . A review of these programs identified areas that would require modification to make them appropriate for New Zealand's social and ethnic environment.…”

Section: Resultsmentioning

confidence: 99%

Development of a structured diabetes self‐management education program specific to the cultural and ethnic population of New Zealand

Gamble

Parry‐Strong

Coppell

et al. 2015

Nutrition & Dietetics

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DSME programs are an effective vehicle for providing individuals with T2DM the initial information and support to start self-managing their diabetes. However, to ensure DSME programs help individuals with the highest rates of diabetes and diabetes-related complications, it is important end-users participate in the development of the program. This DSME program now requires longitudinal trial to determine if in the New Zealand context it is able generate the same improvements in both clinical and qualitative outcomes as seen in similar international programs.

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Group based training for self-management strategies in people with type 2 diabetes mellitus

Deakin¹,

McShane

Cade

et al. 2005

Cochrane Database of Systematic Reviews

712

668

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A controlled study of weight reduction in type 2 diabetics treated by two reinforcers

Cited by 14 publications

References 11 publications

Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis

Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis

Development of a structured diabetes self‐management education program specific to the cultural and ethnic population of New Zealand

Group based training for self-management strategies in people with type 2 diabetes mellitus

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