Improved Control of Type 2 Diabetes Mellitus: A Practical Education/Behavior Modification Program in a Primary Care Clinic

Ridgeway, Nathan A; Harvill, Donald; Harvill, Leo M.; Falin, Thelma; Forester, Gayle; Gose, Opal

doi:10.1097/00007611-199907000-00004

Cited by 76 publications

(53 citation statements)

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“…22 34 43 46 47 49 53 54 68 71 81 82 87 89 90 Six (38%) significantly improved disease control. 34 46 47 53 82 89 The highest percentage of programmes producing significant improvements were among those for depression (2/3) and diabetes (4/7).…”

Section: Resultsmentioning

confidence: 99%

Interventions used in disease management programmes for patients with chronic illness---which ones work? Meta-analysis of published reports

Weingarten¹

2002

BMJ

629

426

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Objective To systematically evaluate the published evidence regarding the characteristics and effectiveness of disease management programmes. Design Meta-analysis. Conclusions All studied interventions were associated with improvements in provider adherence to practice guidelines and disease control. The type and number of interventions varied greatly, and future studies should directly compare different types of intervention to find the most effective. Data sources

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Section: Resultsmentioning

confidence: 99%

Interventions used in disease management programmes for patients with chronic illness---which ones work? Meta-analysis of published reports

Weingarten¹

2002

BMJ

629

426

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“…In several studies, the measure of variance was unclear or was assumed to be labeled incorrectly. In one study (40), we assumed that the stated variance was actually the SD; in a second (51,52), we assumed it to be the SE; in a third (47), we assumed a SD rather than a SE. In studies that involved crossover designs, fol- low-up comparison was made before the comparison group received the intervention (53)(54)(55)(56).…”

Section: Data Extractionmentioning

confidence: 99%

Self-Management Education for Adults With Type 2 Diabetes

Norris

Lau

Sj³

et al. 2002

Diabetes Care

1,514

1,067

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OBJECTIVE -To evaluate the efficacy of self-management education on GHb in adults with type 2 diabetes. Medline (1980), Cinahl (1982, and the Educational Resources Information Center database (ERIC) (1980 -1999), and we manually searched review articles, journals with highest topic relevance, and reference lists of included articles. Studies were included if they were randomized controlled trials that were published in the English language, tested the effect of self-management education on adults with type 2 diabetes, and reported extractable data on the effect of treatment on GHb. A total of 31 studies of 463 initially identified articles met selection criteria. We computed net change in GHb, stratified by follow-up interval, tested for trial heterogeneity, and calculated pooled effects sizes using random effects models. We examined the effect of baseline GHb, follow-up interval, and intervention characteristics on GHb. RESEARCH DESIGN AND METHODS -We searched for English language trials inRESULTS -On average, the intervention decreased GHb by 0.76% (95% CI 0.34 -1.18) more than the control group at immediate follow-up; by 0.26% (0.21% increase -0.73% decrease) at 1-3 months of follow-up; and by 0.26% (0.05-0.48) at Ն4 months of follow-up. GHb decreased more with additional contact time between participant and educator; a decrease of 1% was noted for every additional 23.6 h (13.3-105.4) of contact.CONCLUSIONS -Self-management education improves GHb levels at immediate followup, and increased contact time increases the effect. The benefit declines 1-3 months after the intervention ceases, however, suggesting that learned behaviors change over time. Further research is needed to develop interventions effective in maintaining long-term glycemic control.

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“…In the short and long term, patient education programs for patients with type 2 diabetes are able to improve patients' knowledge (LE Ib), [53] nutritional behaviour (LE Ib), [54] weight (LE Ib), [55] self-treatment (LE Ib), [56] lipids (LE Ib) [57] and glycaemic control (LE Ib) [37]. Despite a large number of randomized, controlled studies, at present it is difficult to point to well-founded conclusions regarding the differential indications and influencing factors of special educational strategies (LE Ia) [26].…”

Section: Patient Education (Type 2 Diabetes)mentioning

confidence: 99%

Psychosocial Factors and Diabetes Mellitus: Evidence-Based Treatment Guidelines

Petrak¹,

Herpertz²,

Albus³

et al. 2005

CDR

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The aim of this project was to develop evidence-based guidelines regarding psychosocial aspects of diabetes mellitus in an effort to help the clinician bridge the gap between research and practice. Recommendations address the following topics: patient education, behavioural medicine, and psychiatric disorders of particular relevance to diabetes: depression, anxiety disorders, eating disorders, and dependence on alcohol and nicotine. The present guidelines were developed through an interdisciplinary process of consensus according to the specifications of evidence-based medicine and are recognized by the German Diabetes Association and the German College for Psychosomatic Medicine as their official guidelines.

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Improved Control of Type 2 Diabetes Mellitus: A Practical Education/Behavior Modification Program in a Primary Care Clinic

Cited by 76 publications

References 0 publications

Interventions used in disease management programmes for patients with chronic illness---which ones work? Meta-analysis of published reports

Interventions used in disease management programmes for patients with chronic illness---which ones work? Meta-analysis of published reports

Self-Management Education for Adults With Type 2 Diabetes

Psychosocial Factors and Diabetes Mellitus: Evidence-Based Treatment Guidelines

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