Diabetes self-management education and support for adults with newly diagnosed type 2 diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials

Tanaka, Rie; Shibayama, T.; Sugimoto, Keiko; Hidaka, Kikue

doi:10.1016/j.diabres.2020.108480

Cited by 35 publications

(23 citation statements)

References 35 publications

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“…The efficacy of TPE interventions have been established in several randomized controlled trials [6,12,13]. Although recently published systematic reviews and meta-analysis have estimated their effectiveness, however, these have either been limited to a specific set of TPE interventions or to subsets of patients [12,14,15].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Therapeutic Patient Education Interventions in Obesity and Diabetes: A Critical Systematic Review and Meta-Analysis of Randomized Controlled Trials

Correia¹,

Ahmed²,

Teoh³

et al. 2022

Preprint

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Diabetes mellitus (DM) and obesity account for the highest burden of non-communicable diseases. There is increasing evidence showing therapeutic patient education (TPE) as a clinically and cost-effective solution to improve biomedical and psychosocial outcomes among people with DM and obesity. The present systematic review and meta-analysis presents a critical synthesis of development of TPE interventions for DM and obesity and the efficacy of these interventions across a range of biomedical, psychosocial and psychological outcomes. A total of 54 of these RCTs were identified among patients with obesity and diabetes and were thus, qualitatively synthesized. Out of these, 47 were included into quantitative synthesis. There was substantial heterogeneity in reporting of these outcomes (I2= 88.35%, Q= 317.64), with significant improvement (SMD=0.36, 95% CI: 0.23 to 0.49) noted in biomedical outcomes in the intervention group. The effect sizes were comparable across interventions delivered by different modes and delivery agents. These interventions can be delivered by allied health staff, doctors or electronically as self-help programs, with similar effectiveness (P < 0.001). These interventions should be implemented in healthcare and community settings to improve health of patients suffering from DM and obesity.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Therapeutic Patient Education Interventions in Obesity and Diabetes: A Critical Systematic Review and Meta-Analysis of Randomized Controlled Trials

Correia¹,

Ahmed²,

Teoh³

et al. 2022

Preprint

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“…DSMES incorporates patient-centered approaches and is intended to be used in daily clinical practice [ 8 ]. DSMES is recommended by the ADA; however, a systematic review and meta-analysis of 12 randomized controlled studies reported that although DSMES was effective, the quality of trials underpinning this observation was poor [ 9 ]. There is a need for more robust methodological trials before concluding that DSMES is an effective approach in people with type 2 diabetes.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, it might be argued that enhancing treatment adherence is part of diabetes self-management [ 21 ]. However, the emphasis in self-management packages around medication adherence seems to be largely focused on education, and, overall, the quality of evidence showing that self-management is effective is debatable, while the quality of trials has been reported as having a potential risk of bias [ 9 ]. Therefore, adherence therapy could be beneficial for adults with type 2 diabetes.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Adherence Therapy in Adults with Type 2 Diabetes: A Systematic Review

Alenazi

Bressington

Shrestha

et al. 2021

IJERPH

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Adherence therapy has been shown to be an effective adjunct treatment in long-term conditions including hypertension. The purpose of this study is to review and critically appraise evidence on the effectiveness of adherence therapy as an intervention in adults with type 2 diabetes. A systematic search of clinical trials published between 2005 and January 2020 in databases was undertaken in October 2018 and updated in August 2020. Inclusion criteria were any clinical trials where the population under investigation was adults with type 2 diabetes and the experimental intervention was adherence therapy. Version 2 of the Cochrane risk of bias was used to determine the quality of the included studies. No studies met our inclusion criteria. However, four studies that we excluded at full text screening tested some of the components (e.g., problem solving) of adherence therapy. As is recommended when reporting empty reviews, those studies were synthesized to determine if useful information can be extracted. That no trials of adherence therapy have been reported in type 2 diabetes establishes a potentially important gap in knowledge. This review was registered in PROSPERO (registration number: CRD42019115216) after the initial searches were completed.

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“…On the one hand, DSMES has been shown to improve clinical disease parameters like glycated hemoglobin (HbA 1c ) (13)(14)(15), which re ects the average plasma glucose level over the previous 8-12 week and is the preferred test for diabetes control (16), and even mortality (17). On the other hand, research indicates that these outcomes might be di cult to maintain (18,19) and seem to decline one to three months after the end of DSME(S) (20).…”

Section: Introductionmentioning

confidence: 99%

Improving Glycaemic Control in Patients with Type 2 Diabetes Mellitus through A Peer Support Instant Messaging Service Intervention (Diabpeers): Study Protocol for a Randomized Controlled Trial

Höld

Grüblbauer

Wiesholzer

et al. 2021

Preprint

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Background: the context and purpose of the studyDiabetes mellitus is one of the four priority non-communicable diseases worldwide. It can lead to serious long-term complications and produces significant costs. Due to the chronicle character of the disease, it requires continuous medical treatment and good therapy adherence of those suffering. Therefore, diabetes self-management education (DSME) (and support DSMES) plays a significant role to increase patient’s self-management capacity and improve diabetes therapy. Research indicates that these outcomes might be difficult to maintain. Consequently, effective strategies to preserve the positive effects of DSMES are needed. Preliminary results show that peer support, which means support from a person who has experiential knowledge of a specific behaviour or stressor and similar characteristics as the target population, is associated with better outcomes in terms of HbA1c, cardiovascular disease risk factors or self-efficacy at lower cost compared to standard therapy. Peer-supported instant messaging services (IMS) approaches have significant potential for diabetes management because support can be provided easily and prompt, is inexpensive, and needs less effort to attend compared to standard therapy. The major objective of the study is to analyse the impact of a peer-supported IMS intervention in addition to a standard diabetes therapy on the glycaemic control of type 2 diabetic patients. Methods: how the study will be performedA total of 205 participants with type 2 diabetes mellitus will be included and randomly assigned to intervention or control group. Both groups will receive standard therapy, but the intervention group will participate in the peer-supported IMS intervention, additionally. The duration of the intervention will last for seven months, followed by a follow-up of seven months. Biochemical, behavioural and psychosocial parameters will be measured before, in the middle, and after the intervention as well as after the follow-up.Discussion: a brief summary and potential implicationsDiabetes mellitus type 2 and other non-communicable diseases put healthcare systems worldwide to the test. Peer-supported IMS interventions in addition to standard therapy might be part of new and cost-effective approaches to support patients independent from time and place.Trial registration: If your article reports the results of a health care intervention on human participants, it must be registered in an appropriate registry and the registration number and date of registration should be in stated in this section. If it was not registered prospectively (before enrollment of the first participant), you should include the words 'retrospectively registered'. See our editorial policies for more information on trial registration.ClinicalTrials.gov Identifier: NCT04797429Date of registration: 15 March 2021

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Diabetes self-management education and support for adults with newly diagnosed type 2 diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials

Cited by 35 publications

References 35 publications

Effectiveness of Therapeutic Patient Education Interventions in Obesity and Diabetes: A Critical Systematic Review and Meta-Analysis of Randomized Controlled Trials

Effectiveness of Therapeutic Patient Education Interventions in Obesity and Diabetes: A Critical Systematic Review and Meta-Analysis of Randomized Controlled Trials

Effectiveness of Adherence Therapy in Adults with Type 2 Diabetes: A Systematic Review

Improving Glycaemic Control in Patients with Type 2 Diabetes Mellitus through A Peer Support Instant Messaging Service Intervention (Diabpeers): Study Protocol for a Randomized Controlled Trial

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