Effects of a health education program to promote healthy lifestyle and glycemic control in patients with type 2 diabetes: A randomized controlled trial

Sanaeinasab, Hormoz; Saffari, Mohsen; Yazdanparast, Davoud; Zarchi, Aliakbar Karimi; Al‐Zaben, Faten; Koenig, Harold G.; Pakpour, Amir H.

doi:10.1016/j.pcd.2020.09.007

Cited by 22 publications

(32 citation statements)

References 28 publications

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“…Eighteen trials were conducted in upper middle-income countries [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ], nine in lower middle-income countries [ 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 ] and two in low-income countries [ 48 , 49 ]. The total sample size was 16,670, with individual study participants ranging from 41 [ 49 ] to 8120 [ 40 ], with 11 of the 30 studies included having a sample size greater than 200.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 30 included trials, 24 of the interventions were described as diabetes self-management education programs [ 20 , 21 , 22 , 23 , 25 , 26 , 27 , 29 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 48 ], where the focus was on disease management skills including decision making, problem solving, and action planning. These programs were multifactorial in terms of their content.…”

Section: Resultsmentioning

confidence: 99%

“…In one trial, the intervention was delivered by the researchers [ 25 ] and, in another, it was delivered online [ 31 ]. Five trials did not provide information relating to intervention delivery [ 20 , 27 , 29 , 34 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…In terms of where the interventions were delivered, eighteen took place in either a hospital or healthcare setting [ 20 , 21 , 27 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 37 , 39 , 41 , 44 , 45 , 46 , 47 , 48 ] but did not differentiate between hospital and clinic settings. Five interventions were conducted in community health centers [ 24 , 26 , 36 , 38 , 40 ], three took place at home [ 22 , 40 , 43 ], two were reported as being in any location where technology was accessible [ 25 , 31 ] and the remaining two did not report a location for intervention delivery [ 23 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…Eighteen trials were conducted in upper middle-income countries [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38], nine in…”

Section: Study Characteristicsmentioning

confidence: 99%

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Lifestyle Interventions to Improve Glycemic Control in Adults with Type 2 Diabetes Living in Low-and-Middle Income Countries: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (RCTs)

O’Donoghue

O’Sullivan

Corridan

et al. 2021

IJERPH

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Alongside glucose lowering therapy, clinical guidelines recommend lifestyle interventions as cornerstone in the care of people living with type 2 diabetes (T2DM). There is a specific need for an up-to-date review assessing the effectiveness of lifestyle interventions for people with T2DM living in low-and-middle income countries (MICs). Four electronic databases were searched for RCTs published between 1990 and 2020. T2DM, lifestyle interventions, LMICs and their synonyms were used as search terms. Data codebooks were developed and data were extracted. Narrative synthesis and meta-analysis were conducted using random effects models to calculate mean differences (MD) and standardized mean differences (SMD) and 95% confidence intervals (CI). Of 1284 articles identified, 30 RCTs (n = 16,670 participants) met the inclusion criteria. Pooled analysis revealed significant improvement in HBA1c (MD −0.63; CI: −0.86, −0.40), FBG (SMD −0.35; CI: −0.54, −0.16) and BMI (MD −0.5; CI: −0.8, −0.2). In terms of intervention characteristics, those that included promoted self-management using multiple education components (e.g., diet, physical activity, medication adherence, smoking cessation) and were delivered by healthcare professionals in a hospital/clinic setting were deemed most effective. However, when interpreting these results, it is important to consider that most included studies were evaluated as being of low quality and there was a significant amount of intervention characteristics heterogeneity. There is a need for further well-designed studies to inform the evidence base on which lifestyle interventions are most effective for glycemic control in adults with T2DM living in LMICs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Eighteen trials were conducted in upper middle-income countries [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38], nine in…”

Section: Study Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

Lifestyle Interventions to Improve Glycemic Control in Adults with Type 2 Diabetes Living in Low-and-Middle Income Countries: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (RCTs)

O’Donoghue

O’Sullivan

Corridan

et al. 2021

IJERPH

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The psychometric properties of the Diabetes Self‐Efficacy Scale in Saudis with type 2 diabetes

Kerari

2023

Nursing Open

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AimTo assess the psychometric properties of the Arabic version of the Diabetes Self‐Efficacy Scale (A‐DSES).DesignThis study used a cross‐sectional design.MethodsThis study recruited 154 Saudi adults with type 2 diabetes at two primary healthcare centres in Riyadh, Saudi Arabia. Its instruments were the Diabetes Self‐Efficacy Scale and the Diabetes Self‐Management Questionnaire. The psychometric properties of the A‐DSES were assessed for reliability, including internal consistency and validity using exploratory factor analysis, confirmatory factor analysis and criterion validity.ResultsThe item‐total correlation coefficients were >0.30 for all items, ranging from 0.46 to 0.70. The Cronbach's alpha for internal consistency was 0.86. One factor was extracted from the exploratory factor analysis (self‐efficacy for diabetes self‐management), and the one‐factor model showed an acceptable fit to the data in the confirmatory factor analysis. Diabetes self‐efficacy levels were positively correlated with diabetes self‐management skills (r = 0.40, p < 0.001), indicating criterion validity.ConclusionsThe results indicate that the A‐DSES is a reliable and valid instrument for assessing self‐efficacy related to diabetes self‐management.Relevance to Clinical PracticeThe A‐DSES could be used in clinical practice and research to provide a reference for assessing self‐efficacy levels in areas of diabetes self‐management.No Patient or Public ContributionParticipants were not involved in the design, conduct, reporting or dissemination plans of this research.

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Effectiveness of training in disease management for patients with type 2 diabetes mellitus: A systematic review

Bağriaçik

Bayraktar

2022

Endocrinología, Diabetes y Nutrición (English ed.)

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Effects of a health education program to promote healthy lifestyle and glycemic control in patients with type 2 diabetes: A randomized controlled trial

Cited by 22 publications

References 28 publications

Lifestyle Interventions to Improve Glycemic Control in Adults with Type 2 Diabetes Living in Low-and-Middle Income Countries: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (RCTs)

Lifestyle Interventions to Improve Glycemic Control in Adults with Type 2 Diabetes Living in Low-and-Middle Income Countries: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (RCTs)

The psychometric properties of the Diabetes Self‐Efficacy Scale in Saudis with type 2 diabetes

Effectiveness of training in disease management for patients with type 2 diabetes mellitus: A systematic review

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