Education programmes for people with diabetic kidney disease

Abstract

Education programmes appear to have beneficial effects on improving patients' knowledge of diabetes and some self-management behavioural changes for patients with diabetes on dialysis or with microalbuminuria. Educational programmes appear to have beneficial effects on improving patients' self-efficacy and result in some beliefs changes for patients with diabetes and microalbuminuria. However, only two studies with small sample sizes and inadequate quality were included in this review. There is, therefore, inadequate evidence to support the beneficial effects of education programmes for people with DKD.

A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS – Practical systematic RevIew of Self-Management Support for long-term conditions

“…Two reviews presented meta-analysed data for QoL, 103,114 with an additional four reviews presenting purely narrative results on the outcome. 101,106,109,110 No statistically significant effects were found for QoL compared with control in the two meta-analyses performed. From the narrative syntheses, there was a small amount of evidence to suggest some improvements in QoL, or aspects of QoL, in particular from group-based or intensive interventions.…”

“…We identified 14,841 references for screening, of which 17 were included in this meta-review [99][100][101][102][103][104][105][106][107][108][109][110][111][112][113][114][115] ( Figure 10). A total of 322 RCTs were included within these 17 systematic reviews.…”

“…Interventions focused on a specific target group Two reviews explored clinically specific interventions. 100,106 Dorrejstein et al 100 looked for educational programmes which focused on reducing foot lesions, while the review by Li et al 106 only included educational programmes for people with diabetic kidney disease (DKD). All participants had a diagnosis of either T1DM or T2DM.…”

“…In Dorrejstein et al, 100 participants included those at high, medium, low and undetermined risk of foot ulceration. In Li et al 106 all participants were in stage V CKD (end-stage kidney failure), and had been on dialysis for more than 30 months. As well as being the only two reviews in this meta-review to look at individuals with both T1DM and T2DM, these reviews are also unique in the setting of their interventions.…”

“…As well as being the only two reviews in this meta-review to look at individuals with both T1DM and T2DM, these reviews are also unique in the setting of their interventions. Dorrejstein et al 100 examined interventions delivered in a range of settings including secondary care and emergency departments (EDs), while Li et al 106 included interventions delivered in dialysis clinics. Four reviews were identified which focused on culturally specific interventions.…”