scholarly journals Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review

2020 ◽  
Vol Volume 13 ◽  
pp. 117-138 ◽  
Author(s):  
Ehab Mudher Mikhael ◽  
Mohamed Azmi Hassali ◽  
Saad Abdulrahman Hussain
BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e025714 ◽  
Author(s):  
Benard Ayaka Bene ◽  
Siobhan O’Connor ◽  
Nikolaos Mastellos ◽  
Azeem Majeed ◽  
Kayode Philip Fadahunsi ◽  
...  

IntroductionThe emergence of mobile health (mHealth) solutions, particularly mHealth applications (apps), has shown promise in self-management of chronic diseases including type 2 diabetes mellitus (T2DM). While majority of the previous systematic reviews have focused on the effectiveness of mHealth apps in improving treatment outcomes in patients with T2DM, there is a need to also understand how mHealth apps influence self-management of T2DM. This is crucial to ensure improvement in the design and use of mHealth apps for T2DM. This protocol describes how a systematic review will be conducted to determine in which way(s) mHealth apps might impact on self-management of T2DM.MethodsThe following electronic databases will be searched from inception to April 2019: PubMed, MEDLINE, EMBASE, Global Health, PsycINFO, CINAHL, The Cochrane Central Register of Controlled Trials, Scopus, Web of Science, ProQuest Dissertations & Theses Global, Health Management Information Consortium database, Google Scholar and ClinicalTrials.gov. The Cochrane risk of bias tool will be used to assess methodological quality. The primary outcome measures to be assessed will be ‘change in blood glucose’. The secondary outcomes measures will be ‘changes in cardiovascular risk markers’ (including blood pressure, body mass index and blood lipids), and self-management practices. Others will include: health-related quality of life, economic data, social support, harms (eg, death or complications leading to hospital admissions or emergency unit attendances), death from any cause, anxiety or depression and adverse events (eg, hypoglycaemic episodes).Ethics and disseminationThis study will not involve the collection of primary data and will not require ethical approval. The review will be published in a peer-reviewed journal and a one-page summary of the findings will be shared with relevant organisations. Presentation of findings will be made at appropriate conferences.Trial registration numberCRD42017071106.


2020 ◽  
Vol 26 (6) ◽  
pp. 431
Author(s):  
Hassan Hosseinzadeh ◽  
Iksheta Verma ◽  
Vinod Gopaldasani

Patient activation has been recognised as a reliable driver of self-management decision-making. This systematic review and meta-analysis examines existing evidence on whether embedding patient activation within Type 2 diabetes mellitus (T2DM) self-management programs can improve patient outcomes. This review has included 10 randomised controlled trials (RCTs) conducted between 2004 and 2019 retrieved from well-known databases such as MEDLINE, PubMed, CINAHL Plus, Scopus, ProQuest and ScienceDirect. The eligible RCTs were excluded if they scored low according to Cochrane Collaboration’s ‘risk of bias’ criteria. Random-effects meta-analyses showed that there were no significance changes in haemoglobin A1C (HbA1c), body mass index (BMI) and patient activation measure (PAM) between intervention and control groups after the intervention; however, the systematic review findings indicated that an improved patient activation level led to significant improvements in T2DM self-management and clinical outcomes including HbA1c level. Studies with a longer follow-up period conducted in community settings and delivered by peer coaches were more likely to lead to significant improvement in both patient activation levels and T2DM self-management and clinical outcomes. This review concludes that patient activation can be used as a reliable tool for improving T2DM self-management and clinical outcomes.


Jurnal NERS ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. 55
Author(s):  
Novita Fajriyah ◽  
Tria Anisa Firmanti ◽  
Ainul Mufidah ◽  
Nita Tri Septiana

Introduction: Various efforts have been made to improve the self-care management of patients with type 2 diabetes mellitus (T2DM). One of them is by using a Diabetes Self-Management Education and Support (DSME/S) program. DSME/S produces positive effects in relation to patient behavior and health status. This is a systematic review of randomized controlled trials published where the aim was to evaluate the impact of the DSME/S program in term of biological. psychological and social aspects.Methods: The articles were searched for using the PRISMA approach from within Scopus, Sage Journal, ProQuest, Google Scholar and PubMed to identify the relevant English publications on DSME over the last 5 years (2013-2018). In total, 15 studies met the inclusion criteria.Results: The articles included at least one result that covered the biological, psychological, and social aspects that are more general and relevant for T2DM patients who received the DSME program. DSME had a positive impact on T2DM, namely the reduction of HbA1c, blood glucose, LDL, cholesterol, blood pressure, weight, waist circumference, decreased distress, anxiety and increased self-efficacy and self-empowerment.Conclusion: It can increase the social and family support, improve self-management motivation, increase knowledge and improve the behavior of T2DM patients. The findings of our review showed that DSME has a positive impact on the biological, psychological and social aspects of type 2 diabetes mellitus.


Author(s):  
Novita Fajriyah ◽  
Ida Trisnawati ◽  
Wahyu Sukma Samudera

Background: Diabetes mellitus is a metabolic disorder characterized by chronic hyperglycemia with impaired carbohydrate, protein and fat metabolism associated with dyslipidemia, which is a risk factor for increased cardiovascular disease and mortality. Educational / physical education programs and activities are alternatives in the management of Type 2 Diabetes mellitus (T2DM). Objective: To evaluate the effect of a single intervention or a combination of educational programs and physical activity on glucose values and lipid profiles in T2DM patients. Methods: The database used in this systematic review was Scopus and PubMed / Medline, in English. The analyzed papers were published between 2016-2020. Total of 20 randomized controlled trials were included that focused on educational program interventions and physical activity in T2DM patients. Results: The selected article has shown that the implementation of physical activity programs (aerobic, resistance, aerobic and resistance combination, as well as Passive Static Stretching (PSS)) and educational programs obtained based on article analysis namely professional Problem Based Learning (PBL), Conversation maps ( CMs), self-management education conducted by nurses, education with video media, family-based, group-based education, community-based multimodal intervention methods, diabetes self-management education (DSME) programs, autonomy support (family and peers). improve glycemic control as well as lipid profile in T2DM patients. Conclusions: educational programs regarding the importance of changing lifestyles and physical activity programs are scientifically expressed as complementary therapy strategies in the treatment and metabolic control of T2DM. Suggestion: Education programs and physical activities independently or modified can be used as alternative non-pharmacological / complementary therapies by taking into account the level of education and medical history of DMT2 patients. Keywords: education; physical activity; biochemistry; type 2 diabetes mellitus ABSTRAK Latar belakang: Diabetes mellitus adalah kelainan metabolisme yang ditandai dengan adanya hiperglikemia kronis dengan gangguan metabolisme karbohidrat, protein dan lemak yang dikaitkan dengan dislipidemia, yang merupakan faktor risiko peningkatan penyakit kardiovaskular dan mortalitas. Program pendidikan/edukasi dan aktivitas fisik menjadi alternative dalam pilar penatalaksanaan Diabetes mellitus tipe 2 (DMT2). Tujuan: Mengevaluasi pengaruh intervensi tunggal atau gabungan program pendidikan dan aktivitas fisik pada nilai glukosa dan profil lipid pada pasien DMT2. Metode: Database yang digunakan dalam tinjauan sistematis ini adalah Scopus dan PubMed/Medline, dengan bahasa Inggris, Makalah yang dianalisis diterbitkan antara 2016 – 2020. Sebanyak 20 uji coba terkontrol secara acak dimasukkan yang berfokus pada intervensi program pendidikan dan aktivitas fisik pada pasien DMT2. Hasil: Artikel yang dipilih telah menunjukkan bahwa pelaksanaan program aktivitas fisik (aerobic, resistensi, gabungan aerobic dan resistensi, serta Passive Static Stretching (PSS)) dan program pendidikan yang diperoleh berdasarkan analisa artikel yaitu profesional Problem Based Learning (PBL), Conversation maps (CMs), edukasi manajemen diri yang dilakukan oleh perawat, pendidikan dengan media video, berbasis keluarga, berbasis edukasi kelompok, metode intervensi multimodal berbasis masyarakat, program Diabetes Self-Management Education (DSME), dukungan otonomi (keluarga dan teman sebaya). meningkatkan kontrol glikemik serta profil lipid pada pasien DMT2. Simpulan: program pendidikan mengenai pentingnya mengubah gaya hidup dan program aktivitas fisik secara ilmiah diungkapkan sebagai strategi terapi komplementer dalam pengobatan dan kontrol metabolic pada DMT2. Saran: Program pendidikan dan aktivitas fisik secara independen maupun dimodivikasi dapat dijadikan sebagai alternative terapi non-farmakologis / komplementer dengan memperhatikan tingkat pendidikan dan riwayat kesehatan pasien DMT2. Kata kunci: edukasi; aktivitas fisik; biokimia; diabetes mellitus tipe 2


Author(s):  
Arwa Aljabali ◽  
Roaa Maghrabi ◽  
Ahmad Shok ◽  
Ghufran Alshawmali ◽  
Abdullah Alqahtani ◽  
...  

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