Self-management interventions for type 2 diabetes: a systematic review

Authors

  • E Heinrich
  • NC Schaper
  • NK de Vries

DOI:

https://doi.org/10.1002/edn.160

Keywords:

Type 2 diabetes, self-management, intervention, education, health behaviour

Abstract

Abstract

This paper systematically reviews published randomised controlled trials, to determine the educational focus and effectiveness of type 2 diabetes multicomponent self-management interventions. PubMed, PsycINFO, Web of Science and reference lists of included studies were searched for English-language articles published 2000–2010. Descriptive information was summarised; when possible, effect sizes were calculated. Fourteen studies, described in 19 articles, were reviewed: six one-on-one interventions; six group interventions; two interventions comprising both intervention types. Four studies used learning as an intervention method; seven used learning and planning; three used learning, planning and practising. Self-management interventions seemed effective for diet, self-monitoring of blood glucose, knowledge and diabetes specific quality of life (QoL); there were mixed results for exercise and clinical outcomes. Findings showed that dietary behaviour seemed relatively easy to change with self-management interventions. Group interventions with a practise component had the greatest potential to improve metabolic control. Self-management interventions had positive effects on diabetesspecific QoL, and interventions using a collaborative learning approach improved knowledge. Multi-component self-management interventions potentially lead to clinically relevant improvements in behaviour and some clinical parameters. Further research is needed to explain the mixed effects on exercise and to identify processes underlying behaviour change.

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References

Barlow J, Wright C, Sheasby J, et al. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns 2002;48:177–87.

Funnell MM, Anderson AM. Empowerment and Self-Management of Diabetes. Clinical Diabetes 2004;22:123–7.

Vermeire E, Wens J, Van Royen P, et al. Interventions for improving adherence to treatment recommendations in people with type 2 diabetes mellitus. Cochrane Database of Systematic Reviews 2005. DOI:10.1002/14651858.CD003638.pub2.

Brown SA. Interventions to promote diabetes self-management: state of the science. Diabetes Educ 1999;25:52–61.

Norris SL, Engelgau MM, Narayan KM. Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care 2001;24:561–87.

Norris SL, Lau J, Smith SJ, et al. Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care 2002;25:1159–71.

Kirk AF, Mutrie N, Macintyre PD, et al. Promoting and maintaining physical activity in people with type 2 diabetes. Am J Prey Med 2004;27:289–96.

Glasgow RE, Toobert DJ. Brief, computer-assisted diabetes dietary self-management counseling: effects on behavior, physiologic outcomes, and quality of life. Med Care 2000;38:1062–73.

Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale, New Jersey: Lawrence Earlbaum Associates, 1988 pp19–74.

Lipsey MW. Design Sensitivity. Statistical Power for Experimental Research. London New Delhi: Sage Publications, 1990 pp48–56.

Skelly AH, Carlson JR, Leeman J, et al. Symptom-focused management for African American women with Type 2 diabetes: a pilot study. Appl Nurs Res 2005;18: 213–20.

Anderson RM, Funnell MM, Nwankwo R, et al. Evaluating a problem-based empowerment program for African Americans with diabetes: results of a randomized controlled trial. Ethn Dis 2005;15:671–8.

Christian JG, Bessesen DH, Byers TE, et al. Clinic-based support to help over-weight patients with type 2 diabetes increase physical activity and lose weight. Arch Intern Med 2008;168:141–6.

Whittemore R, Melkus GD, Sullivan A, et al. A nurse-coaching intervention for women with type 2 diabetes. Diabetes Educ 2004;30:795–804.

Toobert DJ, Glasgow RE, Strycker LA, et al. Biologic and quality-of-life outcomes from the Mediterranean Lifestyle Program: a randomized clinical trial. Diabetes Care 2003;26:2288–93.

Kim HS, Oh JA. Adherence to diabetes control recommendations: impact of nurse telephone calls. J Adv Nurs 2003;44:256–61.

Clark M, Hampson SE, Avery L, et al. Effects of a tailored lifestyle self-management intervention in patients with type 2 diabetes. Br J Health Psychol 2004a;9:365–79.

Sacco WP, Malone JI, Morrison AD, et al. Effect of a brief, regular telephone intervention by paraprofessionals for type 2 diabetes. J Behav Med 2009;32:349–59.

Steed L, Lankester J, Barnard M, et al. Evaluation of the UCL diabetes self-management programme (UCL-DSMP): a randomized controlled trial. J Health Psychol 2005;10:261–76.

Cooper H, Booth K, Gill G. Using combined research methods for exploring diabetes patient education. Patient Educ Couns 2003a;51:45–52.

Hornsten A, Lundman B, Stenlund H, et al. Metabolic improvement after intervention focusing on personal understanding in type 2 diabetes. Diabetes Res Clin Pract 2005;68:65–74.

Adolfsson ET, Walker Engstrom ML, Smide B, et al. Patient education in type 2 diabetes: a randomized controlled 1-year follow-up study. Diabetes Res Chn Pract 2007;76:341–50.

Toobert DJ, Strycker LA, Glasgow RE, et al. Effects of the Mediterranean Lifestyle Program on multiple risk behaviors and psychosocial outcomes among women at risk for heart disease. Ann Behav Med 2005;29:128–37.

Gaede P, Beck M, Vedel P, et al Limited impact of lifestyle education in patients with Type 2 diabetes mellitus and microalbuminuria: results from a randomized intervention study. Diabet Med 2001;18:104–8.

Wattana C, Srisuphan W, Pothiban L, et al. Effects of a diabetes self-management program on glycemic con-trol, coronary heart disease risk, and quality of life among Thai patients with type 2 diabetes. Nurs Health Sci 2007;9:135–41.

Toobert DJ, Glasgow RE, Strycker LA, et al. Long-term effects of the Med-iterranean lifestyle program: a random-ized clinical trial for postmenopausal women with type 2 diabetes. Int J Behav Nutr Phys Act 2007;4:1.

Deakin T, McShane CE, Cade JE, et al Group based training for self-management strategies in people with type 2 diabetes mellitus. The Cochrane Database of Systematic Reviews 2005, Issue 2. DOI: 10.1002/ 14651858.CD003417.pub2.

Duke SA, Colagiuri S, Colagiuri R. Individual patient education for people with type 2 diabetes mellitus. Cochrane Database Syst Rev 2009, Issue 1. DOI: 10.1002/14651858.CD005268.pub2.

Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med 1993;118:622–9.

Newman S, Steed L, Mulligan K. Self-management interventions for chronic illness. Lancet 2004;364:1523–37.

Bartholomew LK, Parcel GS, Kok G, et al. Planning health promotion pro-grams. An intervention mapping approach, 2nd edn. San Francisco: Jossey-Bass, 2000 pp496–499.

Glasgow RE, Anderson RM. In diabetes care, moving from compliance to adher-ence is not enough. Something entirely different is needed. Diabetes Care 1999;22:2090–2.

Davidson KW, Goldstein M, Kaplan RM, et al Evidence-based behavioral medi-cine: what is it and how do we achieve it? Ann Behav Med 2003;26: 161–71.

Abraham C, Michie S. A taxonomy of behavior change techniques used in interventions. Health Psychology 2008;27:379–87.

Semaan S, Des Jarlais DC, Sogolow E, et al. A meta-analysis of the effect of HIV prevention interventions on the sex behaviors of drug users in the United States. J Acquir Immune Defic Syndr 2002;30:S73–593.

Michie S, Abraham C. Interventions to change health behaviours: Evidence-based or evidence-inspired? Psychology and Health 2004;19:29–49.

Clark M, Hampson SE, Avery L, et al Effects of a brief tailored intervention on the process and predictors of lifestyle behaviour change in patients with type 2 diabetes. Psychology, Health and Medicine 2004b;9:440–49.

Cooper HC, Booth K, Gill G. Patients' perspectives on diabetes health care education. Health Educ Res 2003b;18:191–206.

Barrera M, Toobert DJ, Angell XL, et al. Social support and social-ecological resources as mediators of lifestyle inter-vention effects for type 2 diabetes. J Health Psychol 2006;11:483–95.

Cooper H, Booth K, Gill G. A trial of empowerment-based education in type 2 diabetes - global rather than gly-caemic benefits. Diabetes Res Chn Pract 2008;82:165–71.

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Published

2010-08-01

How to Cite

Heinrich, E., Schaper, N., & de Vries, N. (2010). Self-management interventions for type 2 diabetes: a systematic review. International Diabetes Nursing, 7(2), 71–76. https://doi.org/10.1002/edn.160

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Section

Review Article