Increasing diabetes self-management education in community settingsA systematic review

Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
American Journal of Preventive Medicine (Impact Factor: 4.28). 06/2002; 22(4 Suppl):39-66. DOI: 10.1016/S0749-3797(02)00424-5
Source: PubMed

ABSTRACT This report presents the results of a systematic review of the effectiveness and economic efficiency of self-management education interventions for people with diabetes and forms the basis for recommendations by the Task Force on Community Preventive Services. Data on glycemic control provide sufficient evidence that self-management education is effective in community gathering places for adults with type 2 diabetes and in the home for adolescents with type 1 diabetes. Evidence is insufficient to assess the effectiveness of self-management education interventions at the worksite or in summer camps for either type 1 or type 2 diabetes or in the home for type 2 diabetes. Evidence is also insufficient to assess the effectiveness of educating coworkers and school personnel about diabetes.

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Available from: Susan R Snyder, Jul 18, 2014
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    • "Therapeutic education is considered the cornerstone of the treatment of diabetes because patients must have skills and knowledge which enable them to manage daily symptoms and limitations related to the disease. But according to Norris et al. (2002a), 50-80% of diabetic patients have tiny knowledge about their disease and few skills to put them into practice. This lack of knowledge results in a poor control of the disease, with very high HbA1c values. "
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    ABSTRACT: It is expected that people with diabetes, throughout their lives, integrate and initiate a range of behavioral, therapeutic or preventive actions, suggesting the confirmed risk of occurring a globalized noncompliance, deteriorating their quality of life and an exponential economic impact.
    Procedia - Social and Behavioral Sciences 01/2015; 171:350-358. DOI:10.1016/j.sbspro.2015.01.132
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    • "The greater risk of complications in women compared to men may be due to differences in how women experience and manage their diabetes. While it is well established that diabetes self-management education (DSME), a complex health intervention, is generally effective at enhancing self-care behaviors [18] [19] [20] [21], improving glycemic control [22], lowering health care costs [23], and improving quality of life [18] [20], the specific impact of DSME features on outcomes have not been thoroughly evaluated [24] particularly for specific cultural and gendered populations. For instance, research shows that women have different self-management education needs compared with men. "
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    ABSTRACT: OBJECTIVE: This systematic literature review aims to identify diabetes self-management education (DSME) features to improve diabetes education for Black African/Caribbean and Hispanic/Latin American women with Type 2 diabetes mellitus. METHODS: We conducted a literature search in six health databases for randomized controlled trials and comparative studies. Success rates of intervention features were calculated based on effectiveness in improving glycosolated hemoglobin (HbA1c), anthropometrics, physical activity, or diet outcomes. Calculations of rate differences assessed whether an intervention feature positively or negatively affected an outcome. RESULTS: From 13 studies included in our analysis, we identified 38 intervention features in relation to their success with an outcome. Five intervention features had positive rate differences across at least three outcomes: hospital-based interventions, group interventions, the use of situational problem-solving, frequent sessions, and incorporating dietitians as interventionists. Six intervention features had high positive rate differences (i.e. ≥50%) on specific outcomes. CONCLUSION: Different DSME intervention features may influence broad and specific self-management outcomes for women of African/Caribbean and Hispanic/Latin ethnicity. PRACTICAL IMPLICATIONS: With the emphasis on patient-centered care, patients and care providers can consider options based on DSME intervention features for its broad and specific impact on outcomes to potentially make programming more effective.
    Patient Education and Counseling 04/2013; 92(2). DOI:10.1016/j.pec.2013.03.007 · 2.60 Impact Factor
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    • "), 운동(Conn, Valentine, & Cooper, 2002), 자가관리(Norris et al., 2002), 체중감소(Snethen, "
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    ABSTRACT: Objectives: This study analyzed the effects of diabetes interventions published in journals of nursing, medical and public health, to suggest directions for future research. Methods: A comprehensive search of three databases was undertaken (Korean studies, Riss4U, RICHIS) using research terms such as "diabetes", "nursing", "public health", "intervention" and "program". One hundred fifty four original articles were retrieved and 21 articles were finally analyzed. The analyzed articles satisfied the inclusion criteria and their effect size was calculated. Results: Most studies about diabetes intervention were published form 2001. 2005 (57.1%). The psycho-social variables, 'self-efficacy' and 'self-care' presented good effects on exercise or exercise prescription intervention. In addition, the physiological variables, 'fasting blood sugar' and 'glycosylated glucose' presented good effects on the interventions using four more elements or the interventions held in a public health center. Conclusion: Further research should consider the essential elements that benefit diabetes patients' behaviors or physiological indicators.
    01/2011; 25(1).
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