The effectiveness of patient activation intervention on type 2 diabetes mellitus glycemic control and self-management behaviors: A systematic review of RCTs

Almutairi, Nasser; Hosseinzadeh, Hassan; Gopaldasani, Vinod

doi:10.1016/j.pcd.2019.08.009

Cited by 70 publications

(58 citation statements)

References 47 publications

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“…Self-management is the primary means for controlling T2DM and its burden on healthcare systems and patients (Funnell et al 2011;Ansari et al 2019). T2DM self-management includes physical activity, healthy eating, medication adherence, blood glucose monitoring and diabetes self-care-related problem solving (Funnell et al 2011;Almutairi et al 2019). Health literacy (HL) is one of the major drivers of self-management behaviours and refers to the 'cognitive and social skills which determine the motivation and ability of people to gain access to, understand and use information in ways which promote and maintain good health' (Nutbeam 1998).…”

Section: Introductionmentioning

confidence: 99%

Association of health literacy and diabetes self-management: a systematic review

Dahal

Hosseinzadeh

2019

Aust. J. Prim. Health

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The purpose of this review is to summarise the existing evidence about the association of health literacy (HL) with type 2 diabetes mellitus self-management. The PubMed, Medline, CINHAL, Scopus and Web of Science databases were searched for randomised control trials of type 2 diabetes mellitus (T2DM) self-management and HL published between 2009 and 2018. Fourteen randomised control trials were included in this review. Our findings showed that HL was instrumental in improving diabetes knowledge, physical activity, self-efficacy and quality of life; however, its associations with glycaemic control, self-monitoring of blood glucose, foot care and medication adherence was inconclusive. Customized and community-based HL interventions were more efficient compared to patient-focused HL interventions. This review concludes that HL is key for T2DM self-management, but customised, structured and community-based interventions are more likely to yield better outcomes.

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Section: Introductionmentioning

confidence: 99%

Association of health literacy and diabetes self-management: a systematic review

Dahal

Hosseinzadeh

2019

Aust. J. Prim. Health

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“…The most common reported physiological outcome is HbA 1c , and the reported reduction ranges between −23 and −15 mmol/mol (0.1%-0.8%). [10][11][12][13][14][15] For blood pressure, studies have reported reductions from no effect to 1.8 mm Hg in SBP and 0.3-1.5 mm Hg in DBP. 12,16 Previous studies demonstrated improved lipid profiles among people living with diabetes who received DSM interventions.…”

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confidence: 99%

The effects of diabetes self‐management interventions on physiological outcomes in people living with diabetes in Africa: A systematic review and meta‐analysis

2021

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Diabetes mellitus remains a significant public health challenge, with about 463 million adults suffering from diabetes worldwide. 1 Type 1 and type 2 diabetes are the major types of diabetes mellitus. While type 1 diabetes accounts for 5%−10%, type 2 diabetes accounts for 90%−95% of overall cases of diabetes mellitus. 1,2 Diabetes mellitus is one of the most challenging chronic illnesses in health systems in Africa, 3 with 19 million people in Africa suffering from the illness in 2019. Africa accounts for the highest proportion (77%) of diabetes mellitus-related deaths worldwide due to the inaccessibility of insulin, high medical costs, and a variety of social, cultural and ethnic factors. 1,4 Self-management refers to the ability of a patient to deal with chronic illnesses, including symptoms, treatment, physical and social consequences, and lifestyle changes. 5 An international guideline has recommended diabetes self-management (DSM) interventions to enhance health in diabetes mellitus patients, with the ultimate goal of controlling glycosylated haemoglobin (HbA 1c ). 6 DSM interventions provide education and support that are related to seven American Association of Diabetes Educators self-care behaviours (the AADE 7), namely healthy eating, being active,

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“…Our TPB‐based approach should also help clinicians focus their actions and communications and avoid unnecessary friction. Ultimately, our aim is to make persons with T2DM aware of their situation and capable of identifying their weaknesses and capabilities and thus be equipped to obtain clinical improvements from behavioural changes (Almutairi et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a Diabetes Education Program based on Tailored interventions and Theory of Planned Behaviour: Cluster randomized controlled trial protocol

Caro‐Bautista

Villa-Estrada

Gómez‐González

et al. 2020

Journal of Advanced Nursing

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Aim To measure the Effectiveness of a Diabetes Education Program for people with T2DM, based on Tailored interventions and the Theory of Planned Behaviour. Design Cluster randomized controlled clinical trial. Methods This multicentre study will be carried out at 30 primary healthcare centres, where 436 persons with Type 2 Diabetes Mellitus (T2DM), aged between 18–75 years, will be recruited. The experimental educational program to be applied is modelled using components obtained from a systematic review and prior qualitative analysis. In addition, a taxonomy of nursing practice is used to standardize the program, based on the Theory of Planned Behaviour as a conceptual model. The intervention will be carried out by community nurses, using ADAPP‐Ti®, an application developed with FileMaker Pro v.18. The control group will receive usual care and data will be collected at 6, 12, and 18 months, for both groups. The primary outcome considered will be glycosylated haemoglobin and cardiovascular factors, while the secondary ones will be tobacco consumption, body mass index, barriers to self‐care, health‐related quality of life, and lifestyle modification. The protocol was approved by the Ethics Committee of the Province of Malaga (Spain) in November 2014. Discussion The degree of metabolic control in T2DM is not always associated with healthy lifestyles and significant levels of medication are often prescribed to achieve clinical objectives. An intervention focused on needs, based on the best available evidence and a solid conceptual framework, might successfully consolidate appropriate self‐care behaviour in this population. Impact The study will result in the publication of an educational program featuring well‐defined interventions and activities that will enable clinicians to tailor health care to the individual's needs and to combat treatment inertia in attending this population.

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The effectiveness of patient activation intervention on type 2 diabetes mellitus glycemic control and self-management behaviors: A systematic review of RCTs

Cited by 70 publications

References 47 publications

Association of health literacy and diabetes self-management: a systematic review

Association of health literacy and diabetes self-management: a systematic review

The effects of diabetes self‐management interventions on physiological outcomes in people living with diabetes in Africa: A systematic review and meta‐analysis

Effectiveness of a Diabetes Education Program based on Tailored interventions and Theory of Planned Behaviour: Cluster randomized controlled trial protocol

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