Effectiveness of individual strategies for the empowerment of patients with diabetes mellitus: A systematic review with meta-analysis

Autor: Cláudia Di Lorenzo Oliveira, Nayara Ragi Baldoni, Jéssica Azevedo Aquino, André Oliveira Baldoni, Amaury Lelis Dal Fabbro, Geisa Cristina da Silva Alves, Cristina Sanches, Cristina Rabelo Flôr
Rok vydání: 2018
Předmět:
Blood Glucose
Male
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
Endocrinology
Diabetes and Metabolism
media_common.quotation_subject
education
Scopus
030209 endocrinology & metabolism
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Patient Education as Topic
Patient-Centered Care
Diabetes mellitus
Internal Medicine
Humans
Medicine
030212 general & internal medicine
Empowerment
Referral and Consultation
Glycemic
media_common
Glycated Hemoglobin
Internet
Nutrition and Dietetics
business.industry
medicine.disease
Telemedicine
Telephone
Self Care
Diabetes Mellitus
Type 1
Treatment Outcome
Diabetes Mellitus
Type 2
Meta-analysis
Scale (social sciences)
Physical therapy
Female
Patient Participation
Family Practice
business
Psychosocial
Biomarkers
Zdroj: Primary Care Diabetes. 12:97-110
ISSN: 1751-9918
DOI: 10.1016/j.pcd.2017.10.004
Popis: Aims To identify and evaluate the effectiveness of individual empowerment strategies in patients with diabetes mellitus (DM). Methods A systematic review was performed in the PubMed, Scopus, Science Direct and BVS. For meta-analysis and evaluation of Cochrane Risk and Bias, Revman V 5.2 software was used. Results Eleven studies of 1073 publications met the inclusion criteria. The strategies used were individual consultations, phone calls, sessions via a website and use of a booklet. Glycemic Hemoglobin (HbA1c) was used to evaluate the effectiveness of the strategies, and 45.4% of the studies also used the Diabetes Empowerment Scale. Five studies (45.5%) showed significant improvements in HbA1c reduction, improvements in self-efficacy (18.2%), knowledge levels of DM (18.2%), quality of life (18.2%). However, after meta-analysis, no statistically significant improvement was found for HbA1c. Conclusion This systematic review showed that individual strategies for DM empowerment were not effective in reducing HbA1c, despite contributing to improvements in psychosocial parameters. Therefore, individual strategies need to be reviewed so that they become effective in DM control.
Databáze: OpenAIRE
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