Participant-Directed Intervention Tailoring Is Associated With Improvements in Glycemic Control for South Asian Adults With Type 2 Diabetes

Tang, Tricia S.; Sidhu, Rawel; Halani, Khalif; Elliott, Thomas; Sohal, Parmjit; Garg, Arun

doi:10.1016/j.jcjd.2021.11.003

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…Studies including an education element (delivered through SMS messages, phone apps, flashcards or face-to-face group sessions) did not typically report clinically relevant improvements in glycaemic control. Whilst four studies reported a statistically significant decrease in HbA1c levels [ 30 , 33 , 35 , 36 ], only one 3-month intervention reported an overall clinically relevant decrease in HbA1c levels (−0.65% (0.96), p = 0.01) with 40% of participants achieving an over 1% decrease in HbA1c [ 33 ]. Three studies reported a small but significant decrease in fasting blood glucose after the intervention [ 31 , 32 , 34 ] ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…To increase the chances of success, future interventions should primarily consider the substantial sub-ethnic diversity within the South Asian population relating to patients’ educational levels, language, cultural background and socioeconomic status [ 33 , 36 ]. Feedback from the community has been considered crucial in creating acceptable interventions that increase compliance and adherence [ 36 ], whilst understanding that perceptions from a particular community may not be extrapolated to another. For example, while a group of UK South Asians preferred one-to-one interventions [ 33 ], Canadian South Asians considered a peer support group to be beneficial [ 57 ].…”

Section: Discussionmentioning

confidence: 99%

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Culturally Tailored Dietary Interventions for Improving Glycaemic Control and Preventing Complications in South Asians with Type 2 Diabetes: Success and Future Implications

Farhat

2023

Healthcare

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Glycaemic control is the basis of type 2 diabetes mellitus (T2DM) management and is crucial for preventing diabetes microvascular and macrovascular complications. The South Asian population is at higher risk of T2DM and resultant cardiovascular disease, peripheral vascular disease and death compared to Caucasians. Effective diabetes care has been deemed challenging in this population, but little is known about the usefulness of lifestyle interventions in improving glycaemic control and reducing complications. This narrative review aims to explore the efficacy of lifestyle interventions targeted to South Asians with T2DM in inducing clinically relevant improvements in HbA1c levels at such levels that reduce the risk of diabetes complications. A search of the literature using six databases (MEDLINE (EBSCOhost), PubMed, CINAHL, PsycINFO, Cochrane Central Register of Controlled Trials and Scopus) identified dietary-based, physical-activity-based and education-based interventions that aimed to manage T2DM in South Asians. Results showed that dietary and physical activity interventions (duration 3-12 months) have been effective in generating a clinically relevant decrease in HbA1c levels (≥0.5%) in South Asians with T2DM and could potentially assist in reducing diabetes complications. Education-based interventions produced small effects on glycaemic control. These outcomes support the development of comparable longer-term randomised clinical trials combining dietary and physical activity interventions with the aim to provide further evidence on specific interventions that can lower complications and ensure effective diabetes care in a high-risk population.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Culturally Tailored Dietary Interventions for Improving Glycaemic Control and Preventing Complications in South Asians with Type 2 Diabetes: Success and Future Implications

Farhat

2023

Healthcare

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“…Peer leaders completed 30 h of knowledge and skills training in T2DM self-management, providing emotional support, and linking patients to clinical resources. It is important to note that the peer leaders themselves had T2DM and a mean self-reported HbA1c ≤ 8.0% [33]. Individuals in the usual care control group received all services normally available to them at the diabetes education centers, including access to a nurse, dietician and social worker.…”

Section: Peer Coaches and Peer Mentorsmentioning

confidence: 99%

Recent Findings on the Effectiveness of Peer Support for Patients with Type 2 Diabetes

Werner,

Ufholz,

Yamajala

2024

Curr Cardiovasc Risk Rep

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Purpose of Review To review randomized controlled trials (RCTs) published from 2021–2023 that reported the effects of peer support interventions on outcomes in patients with type 2 diabetes (T2DM). Recent Findings Literature searches yielded 137 articles and nine RCTs were ultimately reviewed. The reviewed trials involved in-person support groups, peer coach/mentor support, cultural peer support by community health workers, peer support during shared medical appointments (SMAs) including virtual reality-based SMAs, telehealth-facilitated programs, and telephone peer support. Most interventions combined two or more peer support strategies. Peer support was associated with significant decreases in HbA1c in 6 of the 9 reviewed studies. The largest statistically significant improvements in HbA1c were reported in a study of community health workers in Asia (-2.7% at 12 months) and a Canadian study in which trained volunteer peer coaches with T2DM met with participants once and subsequently made weekly or biweekly phone calls to them (-1.35% at 12 months). Systolic blood pressure was significantly improved in 3 of 9 studies. Summary The findings suggest that peer support can be beneficial to glycemic control and blood pressure in T2DM patients. Studies of peer support embedded within SMAs resulted in significant reductions in HbA1c and suggest that linkages between healthcare systems, providers, and peer support programs may enhance T2DM outcomes.

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Life With Diabetes Does Not Occur in a Vacuum: Considering Mental Health

Commissariat

2022

Canadian Journal of Diabetes

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Participant-Directed Intervention Tailoring Is Associated With Improvements in Glycemic Control for South Asian Adults With Type 2 Diabetes

Cited by 3 publications

References 21 publications

Culturally Tailored Dietary Interventions for Improving Glycaemic Control and Preventing Complications in South Asians with Type 2 Diabetes: Success and Future Implications

Culturally Tailored Dietary Interventions for Improving Glycaemic Control and Preventing Complications in South Asians with Type 2 Diabetes: Success and Future Implications

Recent Findings on the Effectiveness of Peer Support for Patients with Type 2 Diabetes

Life With Diabetes Does Not Occur in a Vacuum: Considering Mental Health

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