Effect of family-oriented diabetes programs on glycemic control: A meta-analysis

Kodama, Satoru; Morikawa, Sakiko Y.; Horikawa, Chika; Ishii, Dai; Fujihara, Kazuya; Yamamoto, Masahiko; Osawa, Taeko; Kitazawa, Masaru; Yamada, Takaho; Kato, Kiminori; Tanaka, Shiro; Sone, Hirohito

doi:10.1093/fampra/cmy112

Cited by 11 publications

(23 citation statements)

References 57 publications

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“…Accordingly, it may not be possible to measure the small changes in HbA 1c . Findings here con rmed the results of an earlier meta-analysis [21] which indicated that family involvement in patient care was a substantial resource for the control of diabetes outcomes. Adequate glycaemic control is a key aspect of prevention of diabetes-related microvascular and macrovascular complications, particularly in the elderly [22,23].…”

Section: Discussionsupporting

confidence: 86%

Family Support-Based Intervention Using A Mobile Application By Pharmacists For Older Adults With Diabetes: A Randomised Controlled Trial

Poonprapai¹,

Lerkiatbundit

Saengcharoen

2021

Preprint

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Background Family support is crucial in the care of elderly patients with diabetes. Pharmacists have proven to play an important role in assisting patients to achieve goals of drug therapy. However, more information is needed to evaluate the potential benefits of family-based intervention through a mobile application by pharmacists in the elderly diabetes patients.Objective To evaluate the influences of family support-based intervention using a mobile application on glycaemic control and diabetes control-related outcomes in the older adults with diabetes. Setting A hospital in the south of Thailand.Method A randomised controlled trial was conducted with 9 months of follow-up. Family members in the intervention group (n = 78) received diabetes educational courses and encouragement via a mobile application from pharmacists to help their elderly relatives with diabetes in self-management tasks. The control group received usual care (n = 79). Main outcome measure Glycosylated haemoglobin (HbA1c).Results As compared to baseline, significant improvements were observed in the intervention patients for HbA1c, blood pressure, family behaviour in diabetes care, diabetes knowledge, self-management practices and medication adherence (P < 0.001). The intervention group showed greater decline in HbA1c levels relative to the control group (-0.97% vs. -0.12%; P = 0.001). Significant differences between groups for changes in blood pressure levels including scores of family behaviour, diabetes knowledge, self-management and medication adherence were found (P < 0.001), with the intervention group showing greater improvement. Conclusion Family support intervention via a mobile application by pharmacists is beneficial to diabetes care for the elderly. Trial registration number: TCTR20200615001 (date 13 June 2020, retrospectively registered).

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Section: Discussionsupporting

confidence: 86%

Family Support-Based Intervention Using A Mobile Application By Pharmacists For Older Adults With Diabetes: A Randomised Controlled Trial

Poonprapai¹,

Lerkiatbundit

Saengcharoen

2021

Preprint

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“…The primary search of databases identified seven eligible papers and several relevant systematic reviews. The reference list of systematic reviews was checked, and further three eligible papers were identified from three systematic reviews [ 36 – 38 ]. This resulted in ten primary studies being included in this review.…”

Section: Results Of Reviewmentioning

confidence: 99%

Prevention and Management of Diabetes-Related Foot Ulcers through Informal Caregiver Involvement: A Systematic Review

Suglo

Winkley

Sturt

2022

Journal of Diabetes Research

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Background. The literature remains unclear whether involving informal caregivers in diabetes self-care could lead to improved diabetic foot outcomes for persons at risk and/or with foot ulcer. In this review, we synthesized evidence of the impact of interventions involving informal caregivers in the prevention and/or management of diabetes-related foot ulcers. Methods. A systematic review based on PRISMA, and Synthesis Without Meta-analysis (SWiM) guidelines was conducted. MEDLINE (Ovid), Embase (Ovid), PsycINFO, CINAHL, and Cochrane Central Register of Controlled Trial of the Cochrane Library databases were searched from inception to February 2021. The following MESH terms were used: diabetic foot, foot ulcer, foot disease, diabetes mellitus, caregiver, family caregiver ,and family. Experimental studies involving persons with diabetes, with or at risk of foot ulcers and their caregivers were included. Data were extracted from included studies and narrative synthesis of findings undertaken. Results. Following the search of databases, 9275 articles were screened and 10 met the inclusion criteria. Studies were RCTs ( n = 5 ), non-RCTs ( n = 1 ), and prepoststudies ( n = 4 ). Informal caregivers through the intervention programmes were engaged in diverse roles that resulted in improved foot ulcer prevention and/or management outcomes such as improved foot care behaviors, increased diabetes knowledge, decreased HbA1c (mmol/mol or %), improved wound healing, and decreased limb amputations rates. Engaging both caregivers and the person with diabetes in education and hands-on skills training on wound care and foot checks were distinctive characteristics of interventions that consistently produced improved foot self-care behavior and clinically significant improvement in wound healing. Conclusion. Informal caregivers play diverse and significant roles that seem to strengthen interventions and resulted in improved diabetes-related foot ulcer prevention and/or management outcomes. However, there are multiple intervention types and delivery strategies, and these may need to be considered by researchers and practitioners when planning programs for diabetes-related foot ulcers.

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“…Acrescentam ainda que as intervenções mais eficazes são as que incluíram estratégias diversas (e.g., telefonema semanal, negociação de metas e de planos de ação adaptativos). Kodama e colaboradores 34 realizaram uma MA com o objetivo de avaliar os efeitos de programas educacionais para a diabetes, orientados para a família e para o controlo glicémico. Selecionaram 31 estudos com desenho paralelo, entre um grupo de intervenção com inclusão de elementos da família versus grupo controlo sem elementos da família.…”

Section: Resultsunclassified

Intervenções educacionais baseadas na família para a autogestão da diabetes em adultos: revisão baseada na evidência

Joaquim

Nunes

Miranda

2022

RPMGF

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Objetivo: Nos últimos anos assistiu-se à mudança da abordagem da diabetes para uma estratégia que coloca o paciente e a sua família no centro da gestão dos cuidados. As intervenções educacionais são fundamentais para capacitar o diabético para o autocuidado adequado. Apesar de diversos estudos terem demonstrado impacto positivo da inclusão da família na gestão das doenças crónicas, pouca relevância tem sido dada às intervenções educacionais baseadas na família. Assim, o objetivo deste trabalho é fazer uma atualização da evidência sobre intervenções educacionais baseadas na família na autogestão da diabetes em adultos. Métodos: Efetuou-se uma pesquisa de artigos publicados entre janeiro de 2010 e dezembro de 2019 em língua inglesa, portuguesa ou espanhola, utilizando os termos Diabetes, Family-based Intervention e Self-care ou Self-management nas bases de dados de medicina baseada na evidência. Foram selecionados e analisados os artigos que avaliavam a efetividade de intervenções educacionais baseadas na família na autogestão da diabetes em populações adultas. A Strength Of Recommendation Taxonomy (SORT) foi utilizada para classificar a qualidade dos estudos e atribuir a força de recomendação. Resultados: Selecionaram-se três revisões sistemáticas, uma meta-análise e quatro ensaios clínicos aleatorizados, cujos resultados apontam para o facto de que, de modo geral, as intervenções baseadas na família apresentam benefícios em outcomes biológicos/clínicos, comportamentais e psicossociais. No entanto, estes estudos incluem uma grande diversidade de níveis de envolvimento da família, do modelo das intervenções educacionais e dos resultados avaliados. Conclusões: Apesar da evidência disponível ser ainda limitada, os estudos incluídos nesta revisão demonstraram benefícios das intervenções educacionais baseadas na família em outcomes de saúde. Assim, recomenda-se (SORT B) a participação dos doentes com as suas famílias em programas educacionais para a promoção da autogestão da diabetes.

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Effect of family-oriented diabetes programs on glycemic control: A meta-analysis

Cited by 11 publications

References 57 publications

Family Support-Based Intervention Using A Mobile Application By Pharmacists For Older Adults With Diabetes: A Randomised Controlled Trial

Family Support-Based Intervention Using A Mobile Application By Pharmacists For Older Adults With Diabetes: A Randomised Controlled Trial

Prevention and Management of Diabetes-Related Foot Ulcers through Informal Caregiver Involvement: A Systematic Review

Intervenções educacionais baseadas na família para a autogestão da diabetes em adultos: revisão baseada na evidência

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