Effect of diabetes self-management education (DSME) on glycated hemoglobin (HbA1c) level among patients with T2DM: Systematic review and meta-analysis of randomized controlled trials

Bekele, Bayu Begashaw; Negash, Samuel; Bogale, Biruk; Tesfaye, Melkamsew; Getachew, Dawit; Weldekidan, Fekede; Balcha, Behailu

doi:10.1016/j.dsx.2020.12.030

Cited by 34 publications

(24 citation statements)

References 53 publications

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“…People with diabetes require appropriate and accurate resources and standardised guidance to adopt selfmanagement behaviours. Currently however, there is a large unmet need for dedicated DSMES guidelines in SSA countries [11,12,30,32]. Our findings highlight that these much needed national policies and local and national guidelines for diabetes management remain limited in SSA [33].…”

Section: Organisational and Policy Influence To Dsmes Implementationmentioning

confidence: 84%

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Use of the socio-ecological model to explore factors that influence the implementation of a diabetes structured education programme (EXTEND project) inLilongwe, Malawi and Maputo, Mozambique: a qualitative study

et al. 2021

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Background Diabetes Self-Management Education and Support (DSMES) programmes are vital for type 2 diabetes mellitus (T2DM) management. However, they are limited in Sub-Saharan Africa (SSA). To address this gap, a DSMES, namedEXTEND was developed in Lilongwe (Malawi) and Maputo (Mozambique). This qualitative study aimed to explore factors that influence the implementation of DSMES in these settings. Methods The Socio-ecological model was applied to explore factors influencing the implementation of DSMES in SSA. Data was analysed using the Framework method and constant comparative techniques. Sixty-six people participated in the study: people with T2DM who participated in the EXTEND programme; healthcare professionals (HCPs), EXTEND educators, EXTEND trainers, and stakeholders. Results Our findings indicate that there is a need to develop an integrated and dedicated diabetes services in SSA healthcare systems, incorporating culturally adapted DSMES and tailored diabetes training to all professions involved in diabetes management. Traditional media and the involvement of community leaders were proposed as important elements to help engage and promote DSMES programmes in local communities. During the design and implementation of DSMES, it is important to consider individual and societal barriers to self-care. Conclusion Findings from this study suggest that multi-faceted factors play a significant role to the implementation of DSMES programmes in LICs. In the future, EXTEND could be incorporated in the development of diabetes training and dedicated diabetes services in SSA healthcare systems, acting as an educational tool for both people with T2DM and HCPs. This project was supported by the Medical Research Council GCRF NCDs Foundation Awards 2016 Development Pathway Funding.

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Section: Organisational and Policy Influence To Dsmes Implementationmentioning

confidence: 84%

“…International recommendations for DSMES were developed to increase their effectiveness and improve patient care [3]. However, there are no DSMES that meet these recommendations in LICs in SSA [11,12].…”

Section: Introductionmentioning

confidence: 99%

Use of the socio-ecological model to explore factors that influence the implementation of a diabetes structured education programme (EXTEND project) inLilongwe, Malawi and Maputo, Mozambique: a qualitative study

et al. 2021

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“…DSME diharapkan akan meningkatkan manajemen diri penderita DM dalam menjalankan pilar manajemen DM yang lain baik terapi farmakologis maupun latihan fisik. Dalam DSME pemberian edukasi memiliki standar kurikulum yang berisi penjelasan tentang penyakit, pola makan, aktivitas fisik, pemantauan gula darah, pencegahan komplikasi hingga manajemen diri dalam melakukan perubahan kesehatan dan perilaku (Bekele et al, 2021). Edukasi yang baik melalui DSME diharapkan akan meningkatkan manajemen diri dari pasien DM terutama dalam melakukan kontrol gula darah (Funnell et al, 2012).…”

Section: Pendahuluanunclassified

Edukasi Diabetes terhadap Penurunan Glukosa Darah pada Penderita Diabetes Mellitus Tipe 2

Rismayanti¹,

Sundayana²,

Ariana³

et al. 2021

JOTING

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Penelitian ini bertujuan untuk mengetahui pengaruh edukasi diabetes terhadap kadar glukosa darah pada pasien DM tipe 2. Desain penelitian yang digunakan adalah pre-eksperimental dengan one group pre-post-test design. Hasil penelitian menunjukkan adanya penurunan kadar glukosa darah setelah dilakukan intervensi berupa edukasi diabetes dengan p-value = 0,000. Kadar gula darah rata-rata (mean) sebelum intervensi adalah sebesar 244,19 dan setelah intervensi sebesar 166,06. Simpulan, pemberian edukasi diabetes sebagai salah satu penatalaksanaan diabetes dapat mempengaruhi manajemen diri pasien DM tipe 2, salah satunya dengan monitoring gula darah. Keberhasilan pemberian edukasi dapat dipengaruhi oleh beberapa faktor, seperti faktor pasien, pendidik atau pemberi edukasi dan lamanya edukasi yang diberikan. Kata Kunci: Diabetes Mellitus Tipe 2, Edukasi, Glukosa Darah, Manajemen Diri

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“… 1 , 2 Diabetes self-management education (DSME) is provided by health personnel (dietitians, health educators, and nurses) in individual- or group-based education with follow-up and widespread support. 3 , 4 Additionally, family support is used to promote lifestyle change sustainability. 5 , 6 Despite programs with such available support, Thai patients with uncontrolled T2DM continue to increase.…”

Section: Introductionmentioning

confidence: 99%

A Community Health Volunteer Involvement Program for Glycated Hemoglobin Reduction Among Thai Patients With Uncontrolled Type 2 Diabetes: A Mixed-Method Study

Sittipreechachan

Pichayapinyo

Lagampan

et al. 2022

J Prim Care Community Health

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Background: Diabetes mellitus is increasing and a shortage exists of nurses to care for patients. Community health volunteers (CHVs) pose potential supportive networks in assisting patients to perform healthy behaviors. Aim: The study aimed to develop and investigate the effects of a CHV involvement program on reducing glycated hemoglobin (HbA1c) levels among Thai patients with uncontrolled type 2 diabetes. Methods: This sequential mixed-method study was conducted from January to June 2019. Sixty patients with HbA1c exceeding 7% were recruited from 2 communities assigned as the intervention and comparison groups. Using King’s General Systems Framework as a basis to develop the program, the study initially explored the perceptions of diabetes and its management among patients, family members, and CHVs. Then, a quasi-experimental study with 2 groups pretest-posttest design was conducted and compared with usual care. The intervention included educational sessions, home visits, and activities created by CHVs including a campaign, broadcasting, and health food shops. Quantitative data were collected at baseline and 20-week follow-up and analyzed by descriptive statistics, Independent t-test, and paired t-test. Results: The intervention group exhibited a lower mean HbA1c ( p < .001) and reported significant, improvement concerning diabetes knowledge, self-efficacy, perceived support, and behavior compared with the comparison group at the end of the study (Cohen’s d > 1.0, effect size large). Conclusion: Applying this framework to develop the program could benefit glycemic control among patients with uncontrolled diabetes residing in communities. Further studies should be conducted on a large sample to demonstrate the efficacy of the program.

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Effect of diabetes self-management education (DSME) on glycated hemoglobin (HbA1c) level among patients with T2DM: Systematic review and meta-analysis of randomized controlled trials

Cited by 34 publications

References 53 publications

Use of the socio-ecological model to explore factors that influence the implementation of a diabetes structured education programme (EXTEND project) inLilongwe, Malawi and Maputo, Mozambique: a qualitative study

Use of the socio-ecological model to explore factors that influence the implementation of a diabetes structured education programme (EXTEND project) inLilongwe, Malawi and Maputo, Mozambique: a qualitative study

Edukasi Diabetes terhadap Penurunan Glukosa Darah pada Penderita Diabetes Mellitus Tipe 2

A Community Health Volunteer Involvement Program for Glycated Hemoglobin Reduction Among Thai Patients With Uncontrolled Type 2 Diabetes: A Mixed-Method Study

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