Impact of an educational intervention in the management of individuals with uncontrolled type 2 diabetes mellitus using insulin therapy

Miranda, Layla de Souza Pires; Ezequiel, Danielle Guedes Andrade; Vanelli, Chislene Pereira; Colugnati, Fernando Antônio Basile; Ferreira, Manuel Pedro Ramalho; Moreira, Rodrigo O.; Silva, Marcio Roberto; Corrêa, José Otávio do Amaral

doi:10.1016/j.pcd.2022.01.006

Cited by 1 publication

(7 citation statements)

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“…However, it had a non-significant effect on exercise (P=0.499) and blood glucose testing (P=0.057) and medication (P=0.797). In one study (Miranda L de, Ezequiel, Vanelli, et al, 2022), no statistically significant differences were observed in glycemic hemoglobin between the two groups, but knowledge of the disease increased in the intervention group. The intervention used in this study was a face-to-face, problem-based teaching approach (Miranda L de, Ezequiel, Vanelli, et al, 2022).…”

Section: Effectiveness Of Interventionsmentioning

confidence: 89%

“…In one study (Miranda L de, Ezequiel, Vanelli, et al, 2022), no statistically significant differences were observed in glycemic hemoglobin between the two groups, but knowledge of the disease increased in the intervention group. The intervention used in this study was a face-to-face, problem-based teaching approach (Miranda L de, Ezequiel, Vanelli, et al, 2022). Difficulties in glycemic control were observed in a large proportion of people with diabetes and there are multiple reasons for such outcomes, with poor patient adherence to medication identified in studies as one of the main reasons to explain difficulties in metabolic control.…”

Section: Effectiveness Of Interventionsmentioning

confidence: 89%

“…This review aims to improve HbA1c levels and self-care behaviors in patients with type 2 diabetes. Sanaeinasab, Saffari, Yazdanparast, et al, 2020;Salahshouri, Zamani Alavijeh, Mahaki, & Mostafavi, 2018;Miranda L de, Ezequiel, Vanelli, et al, 2022) indicators of outcome include HbA1c and self-care behavior. In studies (Alizadeh, Didarloo, & Shojaeizadeh, 2006;Bagchegi, Tabatabaeichehr, Lashkardoost, & Mortazavi, 2021;Esferjani, Naghizadeh, Albokordi, Zakerkish, & Araban, 2022;Sanaeinasab, Saffari, Yazdanparast, et al, 2020;Salahshouri, Zamani Alavijeh, Mahaki, & Mostafavi, 2018;Miranda L de, Ezequiel, Vanelli, et al, 2022) where self-care behaviors were used as outcome indicators, using different questionnaires and evaluation scales, including diet, exercise, medication adherence, and blood glucose monitoring.…”

Section: Target Outcomes and Measurement Methodsmentioning

confidence: 99%

“…The study designs were all randomized controlled trials. Nine studies (Alizadeh, Didarloo, & Shojaeizadeh, 2006;Bagchegi, Tabatabaeichehr, Lashkardoost, & Mortazavi, 2021;Esferjani, Naghizadeh, Albokordi, Zakerkish, & Araban, 2022;Sanaeinasab, Saffari, Yazdanparast, et al, 2020;Al Lenjawi, Mohamed, Amuna, Zotor, & Ziki, 2016;Miranda L de, Ezequiel, Vanelli, et al, 2022;do Rosá rio Pinto, Parreira, Basto, & dos Santos Mendes Mónico, 2017;Kim, 2007) used a quantitative method and one study (Salahshouri, Zamani Alavijeh, Mahaki, & Mostafavi, 2018) used a mixed method design. These studies included different sample sizes ranging from small (20 participants) (Miranda L de, Ezequiel, Vanelli, et al, 2022) to large (181 participants) (Al Lenjawi, Mohamed, Amuna, Zotor, & Ziki, 2016), with one study (Al Lenjawi, Mohamed, Amuna, Zotor, & Ziki, 2016) having over 100 participants per group and the remaining nine (Alizadeh, Didarloo, & Shojaeizadeh, 2006;Bagchegi, Tabatabaeichehr, Lashkardoost, & Mortazavi, 2021;Esferjani, Naghizadeh, Albokordi, Zakerkish, & Araban, 2022;Sanaeinasab, Saffari, Yazdanparast, et al, 2020;Salahshouri, Zamani Alavijeh, Mahaki, & Mostafavi, 2018;Al Lenjawi, Mohamed, Amuna, Zotor, & Ziki, 2016;Miranda L de, Ezequiel, Vanelli, et al, 2022;do Rosá rio Pinto, Parreira, Basto, & dos Santos Mendes Mónico, 2017;Kim, 2007) with fewer than 100 participants in each group.…”

Section: Search Outcomesmentioning

confidence: 99%

“…In addition to this, the remaining seven studies varied in their approach to educational interventions. The study (Miranda L de, Ezequiel, Vanelli, et al, 2022) used a problem-based intervention. The study (Bagchegi, Tabatabaeichehr, Lashkardoost, & Mortazavi, 2021) based its intervention on the Kolb learning style, which is an adaptive, diffuse, integrative and assimilationist educational intervention that educates patients by using individualized learning styles, meaning that different patients have different needs.…”

Section: Types Of Interventionsmentioning

confidence: 99%

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Effectiveness of Nurse-led Educational Interventions on Glycemic Control and Self-care Behaviors of Type 2 Diabetics: A Systematic Review

Shi,

Liang

2023

RHS

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Background: Blood glucose control is challenging for patients with diabetes and is often associated with self-care behaviors. The effectiveness of nurse-led educational interventions for glycemic control and self-care behaviors in patients with type 2 diabetes is unclear.Objective: To determine effectiveness of nurse-led educational intervention on glycemic control and self-care behaviors in patients with type 2 diabetes.Design: Mixed methods systematic review.Data Sources: A comprehensive search in Medline, CINAHL and Scopus was conducted in February 2023 to identify peer-reviewed papers published between 2003 and 2023.Review Methods: The review was guided by the Joanna Briggs Institute systematic review manual. Data were extracted and assessed by two evaluators using a standardized checklist. Due to the high level of heterogeneity between studies, the data were analyzed using Popay et al.'s (2006) conduct of narrative synthesis in systematic reviews.Results: Ten randomized controlled trials met the inclusion criteria. Studies described nurse-led educational interventions delivered either face-to-face or online. The outcomes of the educational interventions and the measurement tools used were diverse, with many studies reporting attrition. Most studies reported that nurse-led educational interventions improved outcomes for patients with type 2 diabetes.Conclusions: The evidence identifies that nurse-led educational interventions are effective for glycemic control and self-care behaviors in patients with type 2 diabetes. This review demonstrates evidence of approaches that could inform future practice and research to support all adult populations of patients with type 2 diabetes to improve glucose control and self-care behaviors. Future research would benefit from well-designed clinical trials that use common outcome measures to provide more information about the effectiveness as well as the sustainability of such interventions.

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Section: Effectiveness Of Interventionsmentioning

confidence: 89%

Section: Effectiveness Of Interventionsmentioning

confidence: 89%