Effectiveness of diabetes self-management education intervention elements: A meta-analysis

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Citation: Fan,L., & Sidani,S. (2009). Effectiveness of diabetes self-management education intervention elements: A meta-analysis. Canadian Journal of Diabetes, 33(1), 18-26.

Abstract

OBJECTIVES: This meta-analysis aimed to examine differences in knowledge, self-management behaviours and metabolic control associated with various diabetes self-management education (DSME) intervention elements.
METHODS: Fifty randomized, controlled trials evaluating DSME interventions in adults with type 2 diabetes, published in English between 1990 and 2006, were included in the analysis. Data related to type of intervention, teaching method, mode of delivery and dose were extracted.
RESULTS: Overall, the weighted mean effect size of the DSME interventions was 1.29 for knowledge, 0.51 for metabolic control and 0.36 for self-management behaviours. Differences in outcomes were observed for number of sessions, duration of intervention and provision of booster sessions.
CONCLUSIONS: These results provide researchers and practitioners with evidence to guide the design of DSME interventions that are effective in improving knowledge, behaviour and metabolic control outcomes among patients with type 2 diabetes.

Keywords: Adults (20-64 years), Adult's Health (men's health, women's health), Behaviour Modification (e.g., provision of item/tool, incentives, goal setting), Chronic Diseases, Diabetes, Education / Awareness & Skill Development / Training, Female, Home, Internet, Male, Meta-analysis, Phone, Primary health care provider office (e.g., Public health nurse, dietitian, social worker), Seniors (60+ years), Social Support (e.g., counseling, case management, outreach programs)