Efficacy of community-based self-care interventions to improve biophysical, psychosocial or behavioural outcomes among community-dwelling older adults with type 2 diabetes: A systematic review and meta-analysis

Seah, Siang Joo; Zheng, Huili; Lim, Raymond Boon Tar

doi:10.1016/j.diabres.2020.108411

Cited by 12 publications

(8 citation statements)

References 52 publications

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“…Each session was designed to teach knowledge and practical skills in diabetes self-care with psychological techniques for behavioral change. 8 The emphasis was on empowering individuals to make choices and lifestyle changes in line with psychological techniques for behavioral change such as problem solving, goal setting, and feedback. The content and delivery format were designed using the principles of motivational interviewing (MI).…”

Section: Methodsmentioning

confidence: 99%

“…Most interventions designed to improve self-care among older adults with type 2 diabetes mellitus (T2DM) were collaborative in approach and focused on biophysical or behavioral outcomes. 8 These were conducted mainly in the United States and Europe, with a relative lack of studies in Asia. 8 For example, Trief and colleagues 9 conducted an intervention study in New York (US) where nurse case managers and dieticians collaborated with participants to set individualized goals to reduce their A1C, blood pressure, and cholesterol.…”

mentioning

confidence: 99%

“…The Science of Diabetes Self-Management and Care 48 (6) in the United States and Europe, with a relative lack of studies in Asia. 8 For example, Trief and colleagues 9 conducted an intervention study in New York (US) where nurse case managers and dieticians collaborated with participants to set individualized goals to reduce their A1C, blood pressure, and cholesterol. In another study in midwestern US, older adults with T2DM participated in exercise classes and a tailored lifestyle home exercise program that was adjusted based on individual progress with phone support provided to discuss the establishment of new goals if needed.…”

mentioning

confidence: 99%

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Effectiveness of a Cluster Randomized Controlled Trial Involving Community-Based Intervention for Older Adults With Type 2 Diabetes Mellitus in Singapore

Seah

Harding²,

Wang³

et al. 2022

The Science of Diabetes Self-Management and Care

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Purpose: The purpose of the study was to investigate the effectiveness of a community-based intervention on improving knowledge about diabetes, self-care behaviors, and glycemic control among older adults with type 2 diabetes mellitus (T2DM) in Singapore, a country in Asia with a high prevalence of diabetes. Methods: A 3-arm cluster randomized controlled trial involving community-dwelling older adults ages 55 to 99 with T2DM was conducted. Intervention group 1 and 2 participants received a 12-session intervention program designed to teach knowledge and practical skills in diabetes self-care with psychological techniques for behavioral change like problem solving, goal setting, and motivational interviewing. In addition, intervention group 2 participants received a glucometer and a supply of accessories each. The control group received routine care from their health care providers. Results: Compared to the control group, intervention group 2 reported an increase in medication adherence and self-monitoring of blood glucose (SMBG) at 3-month follow-up and increased knowledge about diabetes and self-care behavior in general diet control at 6-month follow-up. Conclusions: The community-based intervention should be extended to more older adults with T2DM in the community. Glucometers and accessories could be provided at subsidized rates or be made free contingent on older adults’ income status to overcome the barrier of performing SMBG.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Effectiveness of a Cluster Randomized Controlled Trial Involving Community-Based Intervention for Older Adults With Type 2 Diabetes Mellitus in Singapore

Seah

Harding²,

Wang³

et al. 2022

The Science of Diabetes Self-Management and Care

Self Cite

View full text Add to dashboard Cite

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“…It can also be linked to portable phone alarms to remind the elderly to take their medication. Older adults can take a selfie when they take medicine to prove they took the treatment [7].…”

Section: Problem 1: How Should Older Adults Use and Buy Medicine?mentioning

confidence: 99%

Designing an inclusive home self-management website for seniors

Z¹,

Shen

Zhang

2023

ACE

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In the modern society, chronic diseases are a major problem plaguing many elderly people. The problem that comes with chronic diseases is how to do proper self-management. Therefore, this study will research this issue from the perspective of the elderly to explore the root of the problem. At the same time, this study will discuss three aspects of health care, diet, and exercise. This study will research existing apps and websites, identify problems and propose solutions. At the same time, this study will design a database on the self-management of the elderly at home based on the survey results and survey data on the elderly. This study got inspiration from the DNA database classification project. This study hoped to integrate the information on the use of the drug, the number of daily use, and taboos according to the instructions of the drug, and finally integrate it into a general database.

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“…The self-management activities could effectively be supported by the community groups-either peers sharing similar experience, knowledge and characteristics to the patients [40][41][42] or lay people fulfilling the role as community health workers in a form of task shifting. [43][44][45][46] These community people needed to be prepared, informed and motivated to provide care complementary to that of the healthcare workers.…”

Section: Mesolevel For the Healthcare Organisationmentioning

confidence: 99%

Diabetes care components effectively implemented in the ASEAN health systems: an umbrella review of systematic reviews

Te,

Ma,

Por

et al. 2023

BMJ Open

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ObjectivesAssociation of Southeast Asian Nations (ASEAN) is among the hardest hit low-income and middle-income countries by diabetes. Innovative Care for Chronic Conditions (ICCC) framework has been adopted by the WHO for health system transformation towards better care for chronic conditions including diabetes. We conducted an umbrella review of systematic reviews on diabetes care components effectively implemented in the ASEAN health systems and map those effective care components into the ICCC framework.DesignAn umbrella review of systematic reviews and/or meta-analyses following JBI (Joanna Briggs Institute) guidelines.Data sourcesHealth System Evidence, Health Evidence, PubMed and Ovid MEDLINE.Eligibility criteriaWe included systematic reviews and/or meta-analyses which focused on management of type 2 diabetes, reported improvements in measured outcomes and had at least one ASEAN member state in the study setting.Data extraction and synthesisTwo reviewers independently extracted the data and mapped the included studies into the ICCC framework. A narrative synthesis method was used to summarise the findings. The included studies were assessed for methodological quality based on the JBI critical appraisal checklist for systematic reviews and research syntheses.Results479 records were found of which 36 studies were included for the analysis. A multidisciplinary healthcare team including pharmacists and nurses has been reported to effectively support patients in self-management of their conditions. This can be supported by effective use of digital health interventions. Community health workers either peers or lay people with necessary software (knowledge and skills) and hardware (medical equipment and supplies) can provide complementary care to that of the healthcare staff.ConclusionTo meet challenges of the increased burden of chronic conditions including diabetes, health policy-makers in the ASEAN member states can consider a paradigm shift in human resources for health towards the multidisciplinary, inclusive, collaborative and complementary team.

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Efficacy of community-based self-care interventions to improve biophysical, psychosocial or behavioural outcomes among community-dwelling older adults with type 2 diabetes: A systematic review and meta-analysis

Cited by 12 publications

References 52 publications

Effectiveness of a Cluster Randomized Controlled Trial Involving Community-Based Intervention for Older Adults With Type 2 Diabetes Mellitus in Singapore

Effectiveness of a Cluster Randomized Controlled Trial Involving Community-Based Intervention for Older Adults With Type 2 Diabetes Mellitus in Singapore

Designing an inclusive home self-management website for seniors

Diabetes care components effectively implemented in the ASEAN health systems: an umbrella review of systematic reviews

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