A Nurse-Coaching Intervention for Women With Type 2 Diabetes

Abstract

This nurse-coaching intervention demonstrates promise as a means of improving self-management and psychosocial outcomes in women with type 2 diabetes.

Self-management interventions for type 2 diabetes: a systematic review

“…13,17 Three of the five ineffective studies focused on a variety of diabetes-related topics. 11,14,20 Furthermore, the sample sizes of effective studies were usually higher compared with the sample sizes of the ineffective studies, except for the study by Sacco et al 18 As in the studies with dietary outcomes, four of the five studies measuring the frequency of selfmonitoring of blood glucose (SMBG) found positive effects with large ES, regardless of intervention type and method.…”

“…Three of the American studies had specific target populations: AfricanAmerican adults 11,12 and Latino/ Hispanic adults, who also had to meet additional criteria; 13 three studies only included women. 11,14,15 Sample sizes ranged from 36 to 279 (mean 127).…”

“…Six studies described one-on-one interventions, 11,13,14,[16][17][18] another six evaluated group interventions, 12,[19][20][21][22][23] and two combined both intervention types. 24,25 In addition, there was a large variation in intervention intensity.…”

“…Four interventions consisted of learning only, 11,21,22,25 seven included learning and planning, [12][13][14][16][17][18][19] and three used all three methods. 15,20,24 Seven studies described the theoretical background of their intervention, 14,[17][18][19][20]23,25 four described some theoretical concepts (eg selfefficacy) without referring to specific theories, 12,13,22,24 and three described no theoretical foundation. 11,16,21 Although all studies addressed self-management, the focus of the interventions varied (Table 1).…”

“…11,16,21 Although all studies addressed self-management, the focus of the interventions varied (Table 1). Six studies covered a broad range of diabetes-related topics including self management; 11,14,[20][21][22]25 five had a narrower focus on selfmanagement behaviours, 12,16,18,19,26 and three covered very specifically targeted lifestyle changes. 13,17,24 …”