Interventions were generally effective on behavior change and patients ’ glycemic control in the short term ( ≤9 months ) .
Conclusions The limited studies available suggest that diabetes self-management education programs in developing countries are effective in the short term but must be tailored to conform to the cultural aspects of the target population
Purpose Although self-management education is a key factor in the care for diabetes patients , its implementation in developing countries is not well documented .
This systematic review considers the published literature on diabetes self-management education in high and low mortality developing countries .
The aim is to provide a state of the art of current practice s and assess program outcomes , cultural sensitivity , and accessibility to low literate patients .
Effectiveness of using group visit model to support diabetes patient self-management in rural communities of Shanghai: a randomized controlled trial
Background Diabetes has become a major public health problem in China . Support of patient self-management is a key component of effective diabetes care and improved patient outcomes . A series of peer-led community-based disease-specific self-management programs including diabetes have been widely disseminated in urban communities of Shanghai since 1999 . However , the strategy of using trained lay leaders to support patient self-management faces challenges in rural communities in Shanghai . This study developed a Chinese diabetes group visit program as an alternative approach to support patient self-management and examined its effectiveness on self-management behaviors , self-efficacy and health status for patients with type 2 diabetes in rural communities of Shanghai . Methods 208 patients with type 2 diabetes aged 35–80 years were r and omly assigned to the intervention group ( n=119 ) of 12 monthly group visit sessions or to a control group ( n=89 ) of usual care . The trial was undertaken in two rural communities in Shanghai , China . R and omization and allocation to study group were carried out by using a r and om number table . Analysis of covariance was used to compare changes in the 17 self-management behavior , self-efficacy and health status related variables in two groups at 12 months ’ follow-up based on 176 patients ( n=98 ; n=78 ) . Results Compared with controls , the intervention patients , on average , increased their duration of aerobic exercise  by more than 40 minutes per week ( p=0.001 ) ; had significant increase of 0.71 in mean score on self-efficacy to manage diabetes ( p=0.02 ) ; and had significant improvements in measures of illness intrusiveness and systolic blood pressure . The intervention patients attended an average of 10.1 of the 12 program sessions with 75.6 % of them attended 10 and more sessions . Conclusion The Chinese diabetes group visit model is a feasible , acceptable and effective alternative for supporting diabetes patient self-management in Chinese rural communities . The model requires larger studies to determine its effect on blood glucose control and health care utilization . Trial registration IS RCT
Interventions were generally effective on behavior change and patients ’ glycemic control in the short term ( ≤9 months ) .
Conclusions The limited studies available suggest that diabetes self-management education programs in developing countries are effective in the short term but must be tailored to conform to the cultural aspects of the target population
Purpose Although self-management education is a key factor in the care for diabetes patients , its implementation in developing countries is not well documented .
This systematic review considers the published literature on diabetes self-management education in high and low mortality developing countries .
The aim is to provide a state of the art of current practice s and assess program outcomes , cultural sensitivity , and accessibility to low literate patients .