Effectiveness of interventions based on patient empowerment in the control of type 2 diabetes in sub‐Saharan Africa: A review of randomized controlled trials
| Autor: | Charity Oga-Omenka, Marie Hatem, Amélie Mogueo, Barthelemy Kuate Defo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent Endocrinology Diabetes and Metabolism Psychological intervention MEDLINE Reviews effectiveness Blood Pressure PsycINFO CINAHL Type 2 diabetes Review Glycemic Control lcsh:Diseases of the endocrine glands. Clinical endocrinology law.invention Young Adult Randomized controlled trial Patient Education as Topic law Diabetes mellitus medicine Humans Hypoglycemic Agents Healthy Lifestyle intervention Africa South of the Sahara Aged Randomized Controlled Trials as Topic Glycated Hemoglobin lcsh:RC648-665 Self-management business.industry Middle Aged medicine.disease patient empowerment Treatment Outcome Diabetes Mellitus Type 2 Physical therapy self‐management Patient Compliance Female business sub‐Saharan Africa |
| Zdroj: | Endocrinology, Diabetes & Metabolism Endocrinology, Diabetes & Metabolism, Vol 4, Iss 1, Pp n/a-n/a (2021) |
| ISSN: | 2398-9238 |
| Popis: | Background It is estimated that 1.6 million deaths worldwide were directly caused by diabetes in 2016, and the burden of diabetes has been increasing rapidly in low‐ and middle‐income countries. This study reviews existing interventions based on patient empowerment and their effectiveness in controlling diabetes in sub‐Saharan Africa. Method PubMed, MEDLINE, EMBASE, CINAHL, Web of Science, PsycINFO and Global Health were searched through August 2018, for randomized controlled trials of educational interventions on adherence to the medication plan and lifestyle changes among adults aged 18 years and over with type 2 diabetes. Random‐effects meta‐analysis was used. Results Eleven publications from nine studies involving 2743 participants met the inclusion criteria. The duration of interventions with group education and individual education ranged from 3 to 12 months. For six studies comprising 1549 participants with meta‐analysable data on glycaemic control (HbA1c), there were statistically significant differences between intervention and control groups: mean difference was −0.57 [95% confidence interval (CI) −0.75, −0.40] (P This original research is, to our knowledge, the first systematic review done in context sub‐Saharan Africa showing the effectiveness of existing interventions based on patient empowerment in the control of type 2 diabetes. Our study found that interventions based on patient empowerment may improve glycaemia (HbA1c) and blood pressure (BP) in patients with type 2 diabetes. It also found that the long‐term and lifestyle interventions appear to be the most effective interventions for glycaemic control. |
| Databáze: | OpenAIRE |
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