Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Sep 3;6(4):1424-1437.
doi: 10.1002/nop2.340. eCollection 2019 Oct.

A systematic review of diabetes self-management education interventions for people with type 2 diabetes mellitus in the Asian Western Pacific (AWP) region

Arbaktun Mohamed  1 , Emily Staite  1 , Khalida Ismail  1 , Kirsty Winkley  2
Affiliations

A systematic review of diabetes self-management education interventions for people with type 2 diabetes mellitus in the Asian Western Pacific (AWP) region

Arbaktun Mohamed et al. Nurs Open. .

Abstract

Aims and objectives: To assess the effectiveness of educational and/or psychological diabetes self-management education (DSME) intervention for people with type 2 diabetes (T2DM) in the Asian Western Pacific (AWP) region.

Background: Translational research indicates that DSME is effective; therefore, it is important to look at the AWP region to see what has been implemented and what the potential barriers are for the low integration of DSME. The need for DSME is present, and programmes are being developed. Therefore, focusing a systematic review of DSME research in the AWP region would give a better understanding of which intervention approaches are associated with better clinical outcomes and are culturally acceptable.

Design: A systematic review.

Methods: A review of randomized controlled trials (RCTs) and comparative studies to evaluate the effectiveness of face-to-face delivery reporting educational and/or psychological interventions for people with T2DM was implemented. We conducted searches using MEDLINE, EMBASE, CINAHL, PubMed and ASSIA databases between January 1990-June 2018. Studies published in English and non-English were included. Two reviewers independently extracted data on participant and intervention characteristics. The quality of evidence was rated on predetermined criteria. Main outcomes included glycaemic control (reduction in HbA1c level).

Results: We included 21 DSME programmes (17 RCTs), while 15 were group-based approaches. Twelve studies (60%) were categorized as high quality. Three studies (25%) had a moderate (good) effect. Eight trials were effective in improving glycaemic control and reported statistically significant improvements in HbA1c levels. 50% of these were high-intensity group-based programmes.

Keywords: Asian Western Pacific region; diabetes self‐management education; interventions; systematic review; type 2 diabetes mellitus.

PubMed Disclaimer

Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Systematic Review flow diagram
See this image and copyright information in PMC

References

    1. American Diabetes Association (2004). Diagnosis and classification of diabetes mellitus. Diabetes Care, 27(Supplement 1), S5–S10. - PubMed
    1. Baglar, R. (2013). “Oh God, Save Us from Sugar”: An ethnographic exploration of diabetes mellitus in the United Arab Emirates. Medical Anthropology, 32(2), 109–125. 10.1080/01459740.2012.671399 - DOI - PubMed
    1. Beck, A. T. (1976). Cognitive therapy and the emotional disorders. Oxford, England: International Universities Press.
    1. Campbell, E. M. , Redman, S. , Moffitt, P. S. , & Sanson‐Fisher, R. W. (1996). The relative effectiveness of educational and behavioral instruction programs for patients with NIDDM: A randomized trial. Diabetes Educator, 22(4), 379–386. 10.1177/014572179602200412 - DOI - PubMed
    1. Castillo, A. , Giachello, A. , Bates, R. , Concha, J. , Ramirez, V. , Sanchez, C. , … Arrom, J. (2010). Community‐based Diabetes Education for Latinos: The diabetes empowerment education program. The Diabetes Educator, 36(4), 586–594. 10.1177/0145721710371524 - DOI - PubMed

LinkOut - more resources