The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial

Jiang, Xinjun; Jiang, Hua; Chen, Yuan; Wu, X; Yu, Xuelian; Liu, Lei; Li, Mingzi

doi:10.2147/dmso.s290029

Cited by 11 publications

(11 citation statements)

References 28 publications

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“…The population and interventions were set according to a RCT reported in the previous published publications ( 18 , 20 ), the population was patients with T2DM with noninsulin therapy, and the participants in this study received the SSEP or routine education. The trial is given in Table 1 .…”

Section: Methodsmentioning

confidence: 99%

“…Clinical data to inform the cost-effectiveness analysis were extracted from the practical multicenter RCT reported by Jiang et al ( 18 – 20 ). Baseline cohort characteristics (e.g., demographics characteristics, baseline risk factors, and complications events history) were adopted from this study.…”

Section: Methodsmentioning

confidence: 99%

“…The clinical effect of the physiological parameters with an intervention group (received the SSEP) and control group (received routine education commonly presented by the clinics) were determined by the mean changes from baseline and 12-month follow-up multicenter RCT ( Table 2 ) according to the confounding factors controlled (e.g., demographic information, diabetes-related information, comorbidities, and diabetes medication use). In addition, diabetes medication use adjustments during the 12-month follow-up between the two groups were compared and the results showed no significance ( 19 , 20 ). The hypoglycemic events were also collected in this study ( Table 2 ) ( 19 , 20 ).…”

Section: Methodsmentioning

confidence: 99%

“…In addition, diabetes medication use adjustments during the 12-month follow-up between the two groups were compared and the results showed no significance ( 19 , 20 ). The hypoglycemic events were also collected in this study ( Table 2 ) ( 19 , 20 ). Furthermore, some other physiological parameters and the transition probabilities of the physiological parameters were modeled with the default setting of the CDM.…”

Section: Methodsmentioning

confidence: 99%

“…Then, a multicenter randomized controlled trial (RCT) was conducted to assess the clinical effectiveness of the SSEP. The findings indicated that the effect on glycemic control, diabetes self-management behaviors, and psychosocial aspects were positive at 6-month follow-up ( 18 ) and the mentioned encouraging effects could sustain at 12-month follow-up ( 19 , 20 ). Nevertheless, the SSEP did not receive the economic assessment that limited its wide-scale implementation in mainland China.…”

Section: Introductionmentioning

confidence: 97%

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The Cost-Effectiveness Analysis of Self-Efficacy-Focused Structured Education Program for Patients With Type 2 Diabetes Mellitus in Mainland China Setting

Jiang

Liu

et al. 2021

Front. Public Health

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Objective: To assess the long-term (50 years) cost-effectiveness of the self-efficacy-focused structured education program (SSEP) as opposed to routine education among patients with type 2 diabetes mellitus (T2DM) in mainland China from a healthcare service perspective.Methods: A cost-effectiveness analysis method was used. The IQVIA CORE Diabetes Model (version 9.0) was adopted to estimate the outcomes. The baseline cohort characteristics, variations of physiological parameters, costs of intervention and other treatments, and management-related diabetes were derived from a randomized controlled trial. Moreover, the complications costs and utilities were extracted from published sources. Furthermore, the univariate sensitivity analysis and the probabilistic sensitivity analysis were conducted.Results: As compared with the control group, the life expectancy and quality-adjusted life-year in the intervention group were increased. Besides, the intervention group achieved lower cumulative incidences of complications and saved more direct medical costs compared with the control group. The sensitivity analysis revealed that the SSEP had 100% probability to be cost-effective.Conclusion: The SSEP is recognized as a highly cost-effective option for managing patients with T2DM, which are projected to both improve clinical outcomes and reduce costs.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

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The Cost-Effectiveness Analysis of Self-Efficacy-Focused Structured Education Program for Patients With Type 2 Diabetes Mellitus in Mainland China Setting

Jiang

Liu

et al. 2021

Front. Public Health

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Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

Purgato,

Prina,

Ceccarelli

et al. 2023

Cochrane Database of Systematic Reviews

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Background There is a significant research gap in the field of universal, selective, and indicated prevention interventions for mental health promotion and the prevention of mental disorders. Barriers to closing the research gap include scarcity of skilled human resources, large inequities in resource distribution and utilization, and stigma. Objectives To assess the effectiveness of delivery by primary workers of interventions for the promotion of mental health and universal prevention, and for the selective and indicated prevention of mental disorders or symptoms of mental illness in low‐ and middle‐income countries (LMICs). To examine the impact of intervention delivery by primary workers on resource use and costs. Search methods We searched CENTRAL, MEDLINE, Embase, CINAHL, Global Index Medicus, PsycInfo, WHO ICTRP, and ClinicalTrials.gov from inception to 29 November 2021. Selection criteria Randomized controlled trials (RCTs) of primary‐level and/or community health worker interventions for promoting mental health and/or preventing mental disorders versus any control conditions in adults and children in LMICs. Data collection and analysis Standardized mean differences (SMD) or mean differences (MD) were used for continuous outcomes, and risk ratios (RR) for dichotomous data, using a random‐effects model. We analyzed data at 0 to 1, 1 to 6, and 7 to 24 months post‐intervention. For SMDs, 0.20 to 0.49 represented small, 0.50 to 0.79 moderate, and ≥ 0.80 large clinical effects. We evaluated the risk of bias (RoB) using Cochrane RoB2. Main results Description of studies We identified 113 studies with 32,992 participants (97 RCTs, 19,570 participants in meta‐analyses) for inclusion. Nineteen RCTs were conducted in low‐income countries, 27 in low‐middle‐income countries, 2 in middle‐income countries, 58 in upper‐middle‐income countries and 7 in mixed settings. Eighty‐three RCTs included adults and 30 RCTs included children. Cadres of primary‐level workers employed primary care health workers (38 studies), community workers (71 studies), both (2 studies), and not reported (2 studies). Interventions were universal prevention/promotion in 22 studies, selective in 36, and indicated prevention in 55 RCTs. Risk of bias The most common concerns over risk of bias were performance bias, attrition bias, and reporting bias. Intervention effects 'Probably', 'may', or 'uncertain' indicates 'moderate‐', 'low‐', or 'very low‐'certainty evidence. *Certainty of the evidence (using GRADE) was assessed at 0 to 1 month post‐intervention as specified in the review protocol. In the abstract, we did not report results for outcomes for which evidence was missing or very uncertain. Adults Promotion/universal prevention, compared...

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Individualized care for older adults with diabetes and its relationship with communication, psychosocial self‐efficacy, resources and support for self‐management and socio‐demographics

et al. 2022

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Aim To examine the relationship between patient–provider communication, psychosocial patient self‐efficacy, resources and support for self‐management and socio‐demographics within individualized care of older adults with diabetes. Design A quantitative study with a cross‐sectional survey design. Methods Data were collected from September 2019 to January 2021 using: Individualized Care Scale, The Communication Assessment Tool, The Diabetes Empowerment Scale and The Resources and Support for Self‐Management Scale. Patients with either Type 1 or Type 2 diabetes mellitus that were 65 years old and over (N = 145) participated in the study. Results The most positive aspects of patient–provider communication were respect and creating a comfortable environment for the patient. A significant relationship was observed between patients' perceptions and support of individualized care and diabetes‐related measures. Effective communication was the main factor associated with support for individualizing care, and together with education level, empowerment and access to resources, explained 23% of the variance.

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The Effectiveness of a Self-Efficacy-Focused Structured Education Program (SSEP) in Improving Metabolic Control and Psychological Outcomes of Type 2 Diabetes Patients: A 12-Month Follow-Up of a Multicenter Randomized Controlled Trial

Cited by 11 publications

References 28 publications

The Cost-Effectiveness Analysis of Self-Efficacy-Focused Structured Education Program for Patients With Type 2 Diabetes Mellitus in Mainland China Setting

The Cost-Effectiveness Analysis of Self-Efficacy-Focused Structured Education Program for Patients With Type 2 Diabetes Mellitus in Mainland China Setting

Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

Individualized care for older adults with diabetes and its relationship with communication, psychosocial self‐efficacy, resources and support for self‐management and socio‐demographics

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