Effect of a Health Literacy–Considered Diabetes Self-Management Program for Older Adults in South Korea

Lee, Soo Jin; Song, Misoon; Im, Eun Ok

doi:10.3928/19404921-20170831-03

Cited by 24 publications

(37 citation statements)

References 25 publications

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“…Quality of life measured by three studies (Beverly et al 2013;Kim et al 2015;Wichit et al 2017) was also positively associated with HL. Physical activities tested by four studies had significant association with HL (Beverly et al 2013;Lee et al 2017;Muller et al 2017;Cheng et al 2018). Treatment satisfaction examined by Bowen et al (2016) was improved significantly by a HL intervention program.…”

Section: Description and Analysis Of Outcomesmentioning

confidence: 92%

“…Target population of all of the studies were individuals living with T2DM aged 18 years. Two studies (Bowen et al 2016;Grillo et al 2016) focused on primary healthcare centres (PHCCs); seven studies (Hill-Briggs et al 2011;Rosal et al 2011;Kim et al 2015;Graumlich et al 2016;Cortez et al 2017;Lee et al 2017;Wichit et al 2017) focused on community centres; four studies (Shi et al 2010;Beverly et al 2013;Miller et al 2014;Cheng et al 2018) focused on hospital settings and one study focused on different international healthcare systems (Muller et al 2017).…”

Section: What Does This Paper Add?mentioning

confidence: 99%

“…All of the trials examined the effect of health literacy or education program on T2DM self-management. Eleven studies have emphasis on HL intervention through a diabetes education program (Shi et al 2010;Hill-Briggs et al 2011;Rosal et al 2011;Beverly et al 2013;Miller et al 2014;Bowen et al 2016;Grillo et al 2016;Cortez et al 2017;Lee et al 2017;Wichit et al 2017;Cheng et al 2018), whereas Kim et al (2015) focused on the effect of structural behavioural education; Muller et al 2017focused on a web-based intervention and Graumlich et al (2016) explored a Medtable-based intervention (a medication-planning tool designed to improve patient selfmanagement). The main outcome measures included selfefficacy; glycaemic control; self-medication; diabetes-related quality of life; and self-blood glucose monitoring, knowledge and attitude towards T2DM, physical activities and diet management (Table 1).…”

Section: What Does This Paper Add?mentioning

confidence: 99%

“…This is because only one out of six trials measuring blood glucose level showed that HL was associated with significant improvements in glycaemic control (Graumlich et al 2016). Similarly, only two out of four trials examining self-monitoring of blood glucose (Shi et al 2010;Rosal et al 2011;Lee et al 2017;Cheng et al 2018) demonstrated that HL is a significant predictor of blood glucose self-monitoring behaviours (Shi et al 2010;Lee et al 2017).…”

Section: Description and Analysis Of Outcomesmentioning

confidence: 99%

“…Six studies examining diabetes self-efficacy (Shi et al 2010;Rosal et al 2011;Kim et al 2015;Bowen et al 2016;Lee et al 2017;Wichit et al 2017) showed HL significantly improved diabetes-related self-efficacy. Quality of life measured by three studies (Beverly et al 2013;Kim et al 2015;Wichit et al 2017) was also positively associated with HL.…”

Section: Description and Analysis Of Outcomesmentioning

confidence: 99%

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Association of health literacy and diabetes self-management: a systematic review

Dahal

Hosseinzadeh

2019

Aust. J. Prim. Health

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The purpose of this review is to summarise the existing evidence about the association of health literacy (HL) with type 2 diabetes mellitus self-management. The PubMed, Medline, CINHAL, Scopus and Web of Science databases were searched for randomised control trials of type 2 diabetes mellitus (T2DM) self-management and HL published between 2009 and 2018. Fourteen randomised control trials were included in this review. Our findings showed that HL was instrumental in improving diabetes knowledge, physical activity, self-efficacy and quality of life; however, its associations with glycaemic control, self-monitoring of blood glucose, foot care and medication adherence was inconclusive. Customized and community-based HL interventions were more efficient compared to patient-focused HL interventions. This review concludes that HL is key for T2DM self-management, but customised, structured and community-based interventions are more likely to yield better outcomes.

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Section: Description and Analysis Of Outcomesmentioning

confidence: 92%

Section: What Does This Paper Add?mentioning

confidence: 99%

Section: What Does This Paper Add?mentioning

confidence: 99%

Section: Description and Analysis Of Outcomesmentioning

confidence: 99%

Section: Description and Analysis Of Outcomesmentioning

confidence: 99%

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Association of health literacy and diabetes self-management: a systematic review

Dahal

Hosseinzadeh

2019

Aust. J. Prim. Health

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Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes

Yogasingam

Konnyu

Lépine

et al. 2023

Cochrane Database of Systematic Reviews

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Background There is a large body of evidence evaluating quality improvement (QI) programmes to improve care for adults living with diabetes. These programmes are often comprised of multiple QI strategies, which may be implemented in various combinations. Decision‐makers planning to implement or evaluate a new QI programme, or both, need reliable evidence on the relative effectiveness of different QI strategies (individually and in combination) for different patient populations. Objectives To update existing systematic reviews of diabetes QI programmes and apply novel meta‐analytical techniques to estimate the effectiveness of QI strategies (individually and in combination) on diabetes quality of care. Search methods We searched databases (CENTRAL, MEDLINE, Embase and CINAHL) and trials registers (ClinicalTrials.gov and WHO ICTRP) to 4 June 2019. We conducted a top‐up search to 23 September 2021; we screened these search results and 42 studies meeting our eligibility criteria are available in the awaiting classification section. Selection criteria We included randomised trials that assessed a QI programme to improve care in outpatient settings for people living with diabetes. QI programmes needed to evaluate at least one system‐ or provider‐targeted QI strategy alone or in combination with a patient‐targeted strategy. ‐ System‐targeted: case management (CM); team changes (TC); electronic patient registry (EPR); facilitated relay of clinical information (FR); continuous quality improvement (CQI). ‐ Provider‐targeted: audit and feedback (AF); clinician education (CE); clinician reminders (CR); financial incentives (FI). ‐ Patient‐targeted: patient education (PE); promotion of self‐management (PSM); patient reminders (PR). Patient‐targeted QI strategies needed to occur with a minimum of one provider or system‐targeted strategy. Data collection and analysis We dual‐screened search results and abstracted data on study design, study population and QI strategies. We assessed the impact of the programmes on 13 measures of diabetes care, including: glycaemic control (e.g. mean glycated haemoglobin (HbA1c)); cardiovascular risk factor management (e.g. mean systolic blood pressure (SBP), low‐density lipoprotein cholesterol (LDL‐C), proportion of people living with diabetes that quit smoking or receiving cardiovascular medications); and screening/prevention of microvascular complications (e.g. proportion of patients receiving retinopathy or foot screening); and harms (e.g. proportion of patients experiencing adverse hypoglycaemia or hyperglycaemia). We modelled the association of each QI strategy with outcomes using a series of hierarchical multivariable meta‐regression models in a Bayesian framework. The previous version of this review identified that different strategies were more or less effective depending on baseline levels of outco...

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Health literacy, self‐management and glycaemic control in persons living with type 2 diabetes mellitus: a cross‐sectional study

Nugent,

Galea,

Sammut

2023

Practical Diabetes

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Aims. The aim of this study was to explore the relationship between health literacy and diabetes self‐management and control among adults living with type 2 diabetes.Methods. Convenience sampling was used to recruit 381 participants from diabetes clinics. The European Health Literacy Survey Questionnaire and the Diabetes Self‐Management Questionnaire‐Revised were used to collect data. HbA1c levels provided a measure of blood glucose control. Multiple regression and Spearman's correlation coefficient were used to identify the predictors of health literacy and its relationship with diabetes self‐management and HbA1c.Results. Nearly half (47%; n=179) the participants had inadequate health literacy; 40% (n=154) had sufficient health literacy. The most significant predictors of health literacy were educational level, household monthly net income and family history of diabetes. Medication taking was the strongest aspect of self‐management. Only 27% of participants had good glycaemic control; 26% had poor glycaemic control. Health literacy was significantly positively related to diabetes self‐management and negatively related to HbA1c levels.Conclusions. Health literacy is important in encouraging self‐management and maintaining good diabetes control. All health care professionals coming in contact with persons living with diabetes should assess health literacy to identify those at risk of experiencing challenges with self‐management and glycaemic control. Copyright © 2023 John Wiley & Sons.

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Effect of a Health Literacy–Considered Diabetes Self-Management Program for Older Adults in South Korea

Cited by 24 publications

References 25 publications

Association of health literacy and diabetes self-management: a systematic review

Association of health literacy and diabetes self-management: a systematic review

Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes

Health literacy, self‐management and glycaemic control in persons living with type 2 diabetes mellitus: a cross‐sectional study

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