This systematic review found robust data demonstrating that engagement in diabetes self-management education results in a statistically significant decrease in A1C levels .
PRACTICE IMPLICATION S The data suggest mode of delivery , hours of engagement , and baseline A1C can affect the likelihood of achieving statistically significant and clinical ly meaningful improvement in A1C
OBJECTIVE Assess effect of diabetes self-management education and support methods , providers , duration , and contact time on glycemic control in adults with type 2 diabetes .
Evaluating the Efficacy of an Empowerment-Based Self-Management Consultant Intervention: Results of a Two-Year Randomized Controlled Trial.
OBJECTIVES : This study was conducted to determine if an empowerment-based Diabetes Self-Management Consultant ( DSMC ) was more effective than a group receiving Mailed metabolic Assessment s Only ( MAO ) in improving diabetes-related quality of life and blood glucose control . MATERIAL S AND METHODS : A two-year clinical trial , in which 310 patients with type 2 diabetes were r and omized to the DSMC intervention or the MAO group .  The DSMC met with the patient to review the baseline assessment s , then met with this review was patient and the patient 's physician . Subsequently patients received monthly telephone calls from the DSMC who used the empowerment approach to help patients identify self-management problems , consider options , set goals and make adjustments to their diabetes self-management plans . RESULTS : The Diabetes Self-Management Consultant ( DSMC ) intervention result ed in improvements in diabetes related quality of life ( PAID ) p= .008 , the Empowerment Scale p= .024 , A1C p= .016 , Perceived underst and ing of diabetes p= .001 and satisfaction with diabetes care p= .019 as compared to the MAO group . DISCUSSION / CONCLUSION : The DSMC the intervention result ed in a broad array of modest diabetes related improvements . A promising area for future research would be to test the efficacy of combining an empowerment-based DSMC intervention with case management using algorithm-based medication adjustments for higher risk patients
This systematic review found robust data demonstrating that engagement in diabetes self-management education results in a statistically significant decrease in A1C levels .
PRACTICE IMPLICATION S The data suggest mode of delivery , hours of engagement , and baseline A1C can affect the likelihood of achieving statistically significant and clinical ly meaningful improvement in A1C
OBJECTIVE Assess effect of diabetes self-management education and support methods , providers , duration , and contact time on glycemic control in adults with type 2 diabetes .