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Patient Educ Couns. 2016 Jun;99(6):926-43. doi: 10.1016/j.pec.2015.11.003. Epub 2015 Nov 22.

Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control.

Author information

1
Health Matters, Inc., Chapel Hill, NC, USA. Electronic address: cchrvala@centurylink.net.
2
American Association of Diabetes Educators, 200 W. Madison Street, Chicago, IL 60606, USA. Electronic address: dsherr@aadenet.org.
3
American Association of Diabetes Educators, 200 W. Madison Street, Chicago, IL 60606, USA. Electronic address: rlipman@aadenet.org.

Abstract

OBJECTIVE:

Assess effect of diabetes self-management education and support methods, providers, duration, and contact time on glycemic control in adults with type 2 diabetes.

METHOD:

We searched MEDLINE, CINAHL, EMBASE, ERIC, and PsycINFO to December 2013 for interventions which included elements to improve participants' knowledge, skills, and ability to perform self-management activities as well as informed decision-making around goal setting.

RESULTS:

This review included 118 unique interventions, with 61.9% reporting significant changes in A1C. Overall mean reduction in A1C was 0.74 and 0.17 for intervention and control groups; an average absolute reduction in A1C of 0.57. A combination of group and individual engagement results in the largest decreases in A1C (0.88). Contact hours ≥10 were associated with a greater proportion of interventions with significant reduction in A1C (70.3%). In patients with persistently elevated glycemic values (A1C>9), a greater proportion of studies reported statistically significant reduction in A1C (83.9%).

CONCLUSIONS:

This systematic review found robust data demonstrating that engagement in diabetes self-management education results in a statistically significant decrease in A1C levels.

PRACTICE IMPLICATIONS:

The data suggest mode of delivery, hours of engagement, and baseline A1C can affect the likelihood of achieving statistically significant and clinically meaningful improvement in A1C.

KEYWORDS:

Control; Diabetes self-management education; Glycemic; Systematic review; Type 2 diabetes

PMID:
26658704
DOI:
10.1016/j.pec.2015.11.003
[Indexed for MEDLINE]
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