Effectiveness of educational and behavioural interventions for reducing fear of hypoglycaemia among adults with type 1 diabetes:Systematic review and meta-analyses
| Autor: | Hannah Chatwin, Melanie Broadley, Bastiaan de Galan, Ellen Bazelmans, Jane Speight, Frans Pouwer, Giesje Nefs |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: |
education
type 1 diabetes Endocrinology Diabetes and Metabolism CLINICAL EFFECTIVENESS Metabolic Disorders Radboud Institute for Health Sciences [Radboudumc 6] Metabolic Disorders Radboud Institute for Molecular Life Sciences [Radboudumc 6] low blood glucose THERAPY PREVENTION VALIDATION Endocrinology All institutes and research themes of the Radboud University Medical Center QUALITY-OF-LIFE GLYCEMIC CONTROL ROUTINE CARE Internal Medicine AWARENESS TRAINING BGAT TRIAL SUBCUTANEOUS INSULIN INFUSION intervention fear of hypoglycaemia hypoglycaemia |
| Zdroj: | Chatwin, H, Broadley, M, de Galan, B, Bazelmans, E, Speight, J, Pouwer, F & Nefs, G 2023, ' Effectiveness of educational and behavioural interventions for reducing fear of hypoglycaemia among adults with type 1 diabetes : Systematic review and meta-analyses ', Diabetic Medicine, vol. 40, no. 5, e15071 . https://doi.org/10.1111/dme.15071 Diabetic Medicine, 40, 5 Diabetic Medicine, 40 |
| ISSN: | 0742-3071 |
| DOI: | 10.1111/dme.15071 |
| Popis: | Contains fulltext : 291892.pdf (Publisher’s version ) (Open Access) AIMS: To summarize and critically appraise evidence regarding the effectiveness of educational and/or behavioural interventions in reducing fear of hypoglycaemia among adults with type 1 diabetes. METHODS: Systematic searches of medical and psychology databases were conducted. Risk-of-bias was assessed using the Joanna Briggs Institute Critical Appraisal Tools. Data were synthesized using random-effects meta-analyses for randomized controlled trials (RCTs) and narrative synthesis for observational studies. RESULTS: Five RCTs (N = 682) and seven observational studies (N = 1519) met the inclusion criteria, reporting on behavioural, structured education and cognitive-behavioural therapy (CBT) interventions. Most studies assessed fear of hypoglycaemia using the Hypoglycaemia Fear Survey Worry (HFS-W) and Behaviour (HFS-B) subscales. Mean fear of hypoglycaemia at baseline was relatively low across studies. Meta-analyses showed a significant effect of interventions on HFS-W (SMD = -0.17, p = 0.032) but not on HFS-B scores (SMD = -0.34, p = 0.113). Across RCTs, Blood Glucose Awareness Training (BGAT) had the largest effect on HFS-W and HFS-B scores, and one CBT-based program was as effective as BGAT in reducing HFS-B scores. Observational studies showed that Dose Adjustment for Normal Eating (DAFNE) was associated with significant fear of hypoglycaemia reductions. CONCLUSIONS: Current evidence suggests that educational and behavioural interventions can reduce fear of hypoglycaemia. However, no study to date has examined these interventions among people with high fear of hypoglycaemia. |
| Databáze: | OpenAIRE |
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