Empowered Diabetes Management

Nishita, Christy M.; Cardazone, Gina; Uehara, Denise L.; Tom, Tammy

doi:10.1177/1090198112465088

Cited by 32 publications

(12 citation statements)

References 26 publications

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“…The duration of the interventions ranged from 4 weeks to 18 months. Studies showed improvements in self-efficacy and knowledge of self-management [[32], [33], [34], [35], [36]]. Results for reduction in HbA1c were mixed.…”

Section: Resultsmentioning

confidence: 99%

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Interventions for self-management of type 2 diabetes: An integrative review

Carpenter

DiChiacchio

Barker

2019

International Journal of Nursing Sciences

110

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Background Type 2 diabetes mellitus has been identified as one of the most challenging chronic illnesses to manage. Since the management of diabetes is mainly accomplished by patients and families, self-management has become the mainstay of diabetes care. However, a significant proportion of patients fail to engage in adequate self-management. A priority research question is how do interventions affect the self-management behaviors of persons with Type 2 diabetes? Purpose/Objectives The purpose of this integrative review is to provide a summary and critique of interventions that support diabetes self-management in the patient with Type II diabetes mellitus. Design An integrative review design, with a comprehensive methodological approach of reviews, allowing inclusion of experimental and non-experimental studies. Procedures A comprehensive search was conducted via Ebscohost using databases of Academic Search Complete, CINAHL, Health Source: Nursing/Academic Edition, MEDLINE, PsycArtiCLES, and PsycInfo. The final number of papers used for this review were: motivational interviewing (6), peer support/coaching (10), problem solving therapy (3), technology-based interventions (30), lifestyle modification programs (7), patient education (11), mindfulness (3), and cognitive behavioral therapy (5). Results Studies were examined from seventeen countries including a broad range of cultures and ethnicities. While interventions have shown mixed results in all interventional categories, many studies do support small to modest improvements in physiologic, behavioral, and psychological outcome measures. Considerable heterogeneity of interventions exists. The most commonly reported physiologic measure was HbA1c level. Outcome measures were collected mostly at 6 and 12 months. Duration of most research was limited to one year. Conclusions Research exploring the impact of interventions for self-management has made major contributions to the care of persons with type 2 diabetes, from offering suggestions for improving care, to stimulating new questions for research. However, implications for clinical practice remain inconclusive, and limitations in existing research suggest caution in interpreting results of studies.

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Section: Resultsmentioning

confidence: 99%

“…Results for reduction in HbA1c were mixed. Four studies described reductions in HbA1c levels in peer-led intervention groups and CHWs [1,28,31,37]; three studies showed no significant reduction in HbA1c levels [32,33,38].…”

Section: Resultsmentioning

confidence: 99%

Interventions for self-management of type 2 diabetes: An integrative review

Carpenter

DiChiacchio

Barker

2019

International Journal of Nursing Sciences

110

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“…In addition, several studies incorporating QOL on seven attributes, namely, vision, hearing, speech, ambulation, dexterity, emotion, and cognition, reported positive results [ 76 , 80 , 92 ]. QOL measurement is widely accepted as an important goal in health interventions [ 32 ] and these studies provide evidence for pharmacists' value in improving both clinical and QOL outcomes for diabetes patients.…”

Section: Resultsmentioning

confidence: 99%

A Narrative Review of Diabetes Intervention Studies to Explore Diabetes Care Opportunities for Pharmacists

Ayadurai

Hattingh

Tee

et al. 2016

Journal of Diabetes Research

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Background. We conducted a review of current diabetes intervention studies in type 2 diabetes and identified opportunities for pharmacists to deliver quality diabetes care. Methods. A search on randomised controlled trials (RCT) on diabetes management by healthcare professionals including pharmacists published between 2010 and 2015 was conducted. Results and Discussion. Diabetes management includes multifactorial intervention which includes seven factors as outlined in diabetes guidelines, namely, glycaemic, cholesterol and blood pressure control, medication, lifestyle, education, and cardiovascular risk factors. Most studies do not provide evidence that the intervention methods used included all seven factors with exception of three RCT which indicated HbA1c (glycated hemoglobin) reduction range of 0.5% to 1.8%. The varied HbA1C reduction suggests a lack of standardised and consistent approach to diabetes care. Furthermore, the duration of most studies was from one month to two years; therefore long term outcomes could not be established. Conclusion. Although pharmacists' contribution towards improving clinical outcomes of diabetes patients was well documented, the methods used to deliver structured, consistent evidence-based care were not clearly stipulated. Therefore, approaches to achieving long term continuity of care are uncertain. An intervention strategy that encompass all seven evidence-based factors will be useful.

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“…Surprisingly, this improvement did not correlate with the number of sessions in which the patient participated [23]. In another intervention, empowerment support through a life coach and pharmacist counselor led to positive effects in terms of self-efficacy, quality of life, and body mass index (BMI), but no improvement in metabolic control (measured by glycated hemoglobin [HbA1c] levels) was observed [24]. Previous studies have confirmed the positive effect of empowerment and education on metabolic control and quality of life of patients with diabetes.…”

Section: The Effects Of Empowerment Therapy In Type 2 Diabetes Andmentioning

confidence: 99%

Empowerment in the Treatment of Diabetes and Obesity

Łuczyński

Głowińska-Olszewska

Bossowski

2016

Journal of Diabetes Research

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As the available therapies for diabetes and obesity are not effective enough, diabetologists and educators search for new methods to collaborate with patients in order to support their health behaviors. The aim of this review is to discuss perspectives for the development of new empowerment-type therapies in the treatment of diabetes/obesity. Empowerment is a process whereby patients gain the necessary knowledge to influence their own behavior to improve the quality of their lives. It is carried out in five stages: (1) identify the problem, (2) explain the feelings and meanings, (3) build a plan, (4) act, and (5) experience and assess the execution. Although many years have passed since the advent and popularization of the concept of empowerment, the area remains controversial, mainly with regard to the methodology of therapy. Some previous studies have confirmed the positive effect of empowerment on body weight, metabolic control, and quality of life of patients with type 2 diabetes; however, few studies have been conducted in patients with type 1 diabetes. There is still a need to confirm the effectiveness of empowerment in accordance with Evidence Based Medicine by performing long-term observational studies in a large group of patients. In future, empowerment may become part of the standard of care for patients with diabetes and/or obesity.

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Empowered Diabetes Management

Cited by 32 publications

References 26 publications

Interventions for self-management of type 2 diabetes: An integrative review

Interventions for self-management of type 2 diabetes: An integrative review

A Narrative Review of Diabetes Intervention Studies to Explore Diabetes Care Opportunities for Pharmacists

Empowerment in the Treatment of Diabetes and Obesity

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