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

By C. Chrvala, D. Sherr, R.D. Lipman. Patient Education and Counseling, 2016

836 citations recorded by the source corpus.

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.

Subfields: Endocrinology, Diabetes and Metabolism

View Paper: https://www.semanticscholar.org/paper/48f1c92de1c9c52e85753fba216af7ab2d989f86

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Citations in the corpus

2017 National Standards for Diabetes Self-Management Education and Support (2012, positive): “The health care professional uses the information gleaned on assessment to determine the appropriate educational and behavioral interventions, including enhancing the participant’s problem-solving skills.(8,11,130)”
5. Lifestyle Management: Standards of Medical Care in Diabetes—2019 (2018, background): “Better outcomes were reported for DSMES interventions that were over 10 h in total duration (11), included ongoing support (5,21), were culturally (22,23) and age”