|
Sign In to gain access to subscriptions and/or personal tools.
|
The Diabetes Educator, Vol. 29, No. 3,
488-501 (2003)
DOI: 10.1177/014572170302900313
Meta-Analysis of Randomized Educational and Behavioral Interventions in Type 2 Diabetes
Tiffany L. Gary, PhD
Departments of Epidemiology, Loyola College, Baltimore, Maryland.
Jeanine M. Genkinger, MHS
Departments of Epidemiology, Loyola College, Baltimore, Maryland.
Eliseo Guallar, MD, DrPH
Departments of Epidemiology, Loyola College, Baltimore, Maryland.
Mark Peyrot, PhD
Departments of Medicine; The Johns Hopkins University, Baltimore, Maryland; Department of Sociology, Loyola College, Baltimore, Maryland.
Frederick L. Brancati, MD,MHS
Departments of Epidemiology and Medicine, Loyola College, Baltimore, Maryland.
PURPOSE
this meta-analysis was conducted to assess the effect of educational and behavioral interventions on body weight and glycemic control in type 2 diabetes.
MEHODS
Studies selected for analysis were published randomized controlled trials that evaluated educational and behavioral interventions (no drug interventions) in type 2 diabetes (sample size 210). These criteria were applied to searches of electronic databases and relevant bibliographies. Data were independently abstracted by 2 reviewers and adjudicated by consensus.
RESULTS
Of the 63 articles that met the inclusion criteria, 18 provided enough information for pooled estimates of glycohemoglobin (total Ghb, HbA1, or HbA1 C). These 18 studies yielded 2720 participants (sample sizes of 18 to 749). Interventions ranged from 1 to 19 months; follow-up ranged from 1 to 26 months. Glycohemoglobin was reduced by a mean of 0.43%. When results were stratified by quality score, glycohemoglobin was -0.50% and -0.38% for studies with high and low quality scores, respectively. When weighting studies by sample size, fasting blood glucose was reduced by 24 mg/dL and weight by 3 lbs.
CONCLUSIONS
Previous educational and behavioral interventions in type 2 diabetes have produced modest improvements in glycemic control. Future research should refine such interventions and improve methodology.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
J. L. Kitzmiller, J. M. Block, F. M. Brown, P. M. Catalano, D. L. Conway, D. R. Coustan, E. P. Gunderson, W. H. Herman, L. D. Hoffman, M. Inturrisi, et al.
Managing Preexisting Diabetes for Pregnancy: Summary of evidence and consensus recommendations for care
Diabetes Care,
May 1, 2008;
31(5):
1060 - 1079.
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. S. Magwood, J. Zapka, and C. Jenkins
A Review of Systematic Reviews Evaluating Diabetes Interventions: Focus on Quality of Life and Disparities
The Diabetes Educator,
March 1, 2008;
34(2):
242 - 265.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. Thoolen, D. de Ridder, J. Bensing, K. Gorter, and G. Rutten
Beyond Good Intentions: the development and evaluation of a proactive self-management course for patients recently diagnosed with Type 2 diabetes
Health Educ. Res.,
February 1, 2008;
23(1):
53 - 61.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. C. Wangberg
An Internet-based diabetes self-care intervention tailored to self-efficacy
Health Educ. Res.,
February 1, 2008;
23(1):
170 - 179.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. M. Anderson and M. M. Funnell
The Art and Science of Diabetes Education: A Culture Out of Balance
The Diabetes Educator,
January 1, 2008;
34(1):
109 - 117.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. S. Ford, C. Li, R. R. Little, and A. H. Mokdad
Trends in A1C Concentrations Among U.S. Adults With Diagnosed Diabetes From 1999 to 2004
Diabetes Care,
January 1, 2008;
31(1):
102 - 104.
[Full Text]
[PDF]
|
|
|
|
|
|
|
American Diabetes Association
Standards of Medical Care in Diabetes--2008
Diabetes Care,
January 1, 2008;
31(Supplement_1):
S12 - S54.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. M. Funnell, T. L. Brown, B. P. Childs, L. B. Haas, G. M. Hosey, B. Jensen, M. Maryniuk, M. Peyrot, J. D. Piette, D. Reader, et al.
National Standards for Diabetes Self-Management Education
Diabetes Care,
January 1, 2008;
31(Supplement_1):
S97 - S104.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. M. Funnell, T. L. Brown, B. P. Childs, L. B. Haas, G. M. Hosey, B. Jensen, M. Maryniuk, M. Peyrot, J. D. Piette, D. Reader, et al.
National Standards for Diabetes Self-Management Education
The Diabetes Educator,
July 1, 2007;
33(4):
599 - 614.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. M. Funnell, T. L. Brown, B. P. Childs, L. B. Haas, G. M. Hosey, B. Jensen, M. Maryniuk, M. Peyrot, J. D. Piette, D. Reader, et al.
National Standards for Diabetes Self-Management Education
Diabetes Care,
June 1, 2007;
30(6):
1630 - 1637.
[Full Text]
[PDF]
|
|
|
|
|
|
|
Authors/Task Force Members, L. Ryden, E. Standl, M. Bartnik, G. V. d. Berghe, J. Betteridge, M.-J. de Boer, F. Cosentino, B. Jonsson, M. Laakso, et al.
Guidelines on diabetes, pre-diabetes, and cardiovascular diseases: full text: The Task Force on Diabetes and Cardiovascular Diseases of the European Society of Cardiology (ESC) and of the European Association for the Study of Diabetes (EASD)
Eur. Heart J. Suppl.,
June 1, 2007;
9(suppl_C):
C3 - C74.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Whittemore
Culturally Competent Interventions for Hispanic Adults With Type 2 Diabetes: A Systematic Review
J Transcult Nurs,
April 1, 2007;
18(2):
157 - 166.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. Keigher, G. Avalos, and F. Dunne
Treating to target in type 2 diabetes
The British Journal of Diabetes & Vascular Disease,
March 1, 2007;
7(2):
83 - 85.
[Abstract]
[PDF]
|
|
|
|
|
|
|
Authors/Task Force Members, L. Ryden, E. Standl, M. Bartnik, G. Van den Berghe, J. Betteridge, M.-J. de Boer, F. Cosentino, B. Jonsson, M. Laakso, et al.
Guidelines on diabetes, pre-diabetes, and cardiovascular diseases: executive summary: The Task Force on Diabetes and Cardiovascular Diseases of the European Society of Cardiology (ESC) and of the European Association for the Study of Diabetes (EASD)
Eur. Heart J.,
January 1, 2007;
28(1):
88 - 136.
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Atkinson and D. Radjenovic
Meeting Quality Standards for Self-Management Education in Pediatric Type 2 Diabetes
Diabetes Spectr,
January 1, 2007;
20(1):
40 - 46.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
American Diabetes Association
Standards of Medical Care in Diabetes--2007
Diabetes Care,
January 1, 2007;
30(suppl_1):
S4 - S41.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Mauldon, G. D. Melkus, and M. Cagganello
Tomando control: a culturally appropriate diabetes education program for spanish-speaking individuals with type 2 diabetes mellitus--evaluation of a pilot project.
The Diabetes Educator,
September 1, 2006;
32(5):
751 - 760.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. G. Shojania, S. R. Ranji, K. M. McDonald, J. M. Grimshaw, V. Sundaram, R. J. Rushakoff, and D. K. Owens
Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis.
JAMA,
July 26, 2006;
296(4):
427 - 440.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Smaldone, O. P. Ganda, S. McMurrich, K. Hannagan, S. Lin, A. E. Caballero, and K. Weinger
Should Group Education Classes Be Separated by Type of Diabetes?
Diabetes Care,
July 1, 2006;
29(7):
1656 - 1658.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. M. Funnell, R. M. Anderson, R. Nwankwo, M. L. Gillard, P. M. Butler, J. T. Fitzgerald, and J. T. Feathers
A study of certified diabetes educators: influences and barriers.
The Diabetes Educator,
May 1, 2006;
32(3):
359 - 372.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
American Diabetes Association
Standards of Medical Care in Diabetes-2006
Diabetes Care,
January 1, 2006;
29(suppl_1):
S4 - S42.
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. L. Gary, F. Hill-Briggs, M. Batts-Turner, and F. L. Brancati
Translational Research Principles of an Effectiveness Trial for Diabetes Care in an Urban African American Population
The Diabetes Educator,
November 1, 2005;
31(6):
880 - 889.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Smaldone and K. Weinger
Review: group based education in self management strategies improves outcomes in type 2 diabetes mellitus
Evid. Based Nurs.,
October 1, 2005;
8(4):
111 - 111.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Two Feathers, E. C. Kieffer, G. Palmisano, M. Anderson, B. Sinco, N. Janz, M. Heisler, M. Spencer, R. Guzman, J. Thompson, et al.
Racial and Ethnic Approaches to Community Health (REACH) Detroit Partnership: Improving Diabetes-Related Outcomes Among African American and Latino Adults
Am J Public Health,
September 1, 2005;
95(9):
1552 - 1560.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. M. Anderson
Is It Ethical to Assign Medically Underserved African Americans to a Usual-Care Control Group in Community-Based Intervention Research?
Diabetes Care,
July 1, 2005;
28(7):
1817 - 1820.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Rachmani, I. Slavacheski, M. Berla, R. Frommer-Shapira, and M. Ravid
Treatment of High-Risk Patients with Diabetes: Motivation and Teaching Intervention: A Randomized, Prospective 8-Year Follow-Up Study
J. Am. Soc. Nephrol.,
March 1, 2005;
16(3_suppl_1):
S22 - S26.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. Eysenbach, J. Powell, M. Englesakis, C. Rizo, and A. Stern
Health related virtual communities and electronic support groups: systematic review of the effects of online peer to peer interactions
BMJ,
May 15, 2004;
328(7449):
1166.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
