Nurses only and multidisciplinary teams were the most frequent professionals to provide education , and most educational interventions were delivered postdischarge .
Psychoeducational interventions were generally effective at reducing smoking and admissions for patients with ACS .
Culturally appropriate health education , self-management educational interventions , group medical visits and psychoeducational interventions were generally effective for patients with T2DM .
Results indicate that there is a body of current evidence about the efficacy of health education , its content and delivery methods for patients with ACS or T2DM .
OBJECTIVES This umbrella review aim ed to identify the current evidence on health education-related interventions for patients with acute coronary syndrome ( ACS ) or type two diabetes mellitus ( T2DM ) ; identify the educational content , delivery methods , intensity , duration and setting required .
The purpose was to provide recommendations for educational interventions for high-risk patients with both ACS and T2DM .
Changes in diabetes self-care behaviors make a difference in glycemic control: the Diabetes Stages of Change (DiSC) study.
OBJECTIVE This study compared diabetes Treatment As Usual ( TAU ) with Pathways To Change ( PTC ) , an intervention developed from the Transtheoretical Model of Change ( TTM ) , to determine whether the PTC intervention would result in greater readiness to change , greater increases in self-care , and improved diabetes control . RESEARCH DESIGN AND METHODS Participants were stratified by diabetes treatment and r and omized to treatment with PTC or TAU as well as being r and omized regarding receipt of free blood testing strips . The PTC consisted of stage-matched personalized assessment reports , self-help manuals , newsletters , and individual phone counseling design ed to improve readiness for self-monitoring of blood glucose ( SMBG ) , healthy eating , and /or smoking cessation .  A total of 1029 individuals with type 1 and type 2 diabetes who were in one of three pre-action stages for either SMBG , healthy eating , or smoking were recruited . RESULTS For the SMBG intervention , 43.4 % of those receiving PTC plus strips moved to an action stage , as well as 30.5 % of those receiving PTC alone , 27.0 % of those receiving TAU plus strips , and 18.4 % of those receiving TAU alone ( P < 0.001 ) . For the healthy eating intervention , more participants who received PTC than TAU ( 32.5 vs. 25.8 % ) moved to action or maintenance ( P < 0.001 ) . For the smoking intervention , more participants receiving PTC ( 24.3 % ) than TAU ( 13.4 % ) moved to an action stage ( P < 0.03 ) . In intention-to-treat ( ITT ) analysis of those receiving the SMBG intervention , PTC result ed in a greater reduction of HbA(1c ) than TAU , but this did not reach statistical significance . However , in those who moved to an action stage for the SMBG and healthy eating interventions , HbA(1c ) was significantly reduced ( P < 0 0.001 ) . Individuals who received the healthy eating intervention decreased their percentage of calories from fat to a greater extent ( 35.2 vs. 36.1 % , P = 0.004 ) , increased servings of fruit per day ( 1.89 vs. 1.68 , P = 0.016 ) , and increased vegetable servings ( 2.24 vs. 2.06 , P = 0.011 ) but did not decrease weight . However , weight loss for individuals who received the healthy eating intervention and who increased SMBG frequency as recommended was significantly greater , with a 0.26-kg loss in those who remained in a pre-action SMBG stage but a 1.78-kg loss in those performed SMBG as recommended ( P < or= 0 . 01 ) . CONCLUSIONS This study demonstrates that this intervention has the potential of positively impacting the health of broad population s of individuals with diabetes , not just the minority who are ready for change
Nurses only and multidisciplinary teams were the most frequent professionals to provide education , and most educational interventions were delivered postdischarge .
Psychoeducational interventions were generally effective at reducing smoking and admissions for patients with ACS .
Culturally appropriate health education , self-management educational interventions , group medical visits and psychoeducational interventions were generally effective for patients with T2DM .
Results indicate that there is a body of current evidence about the efficacy of health education , its content and delivery methods for patients with ACS or T2DM .
OBJECTIVES This umbrella review aim ed to identify the current evidence on health education-related interventions for patients with acute coronary syndrome ( ACS ) or type two diabetes mellitus ( T2DM ) ; identify the educational content , delivery methods , intensity , duration and setting required .
The purpose was to provide recommendations for educational interventions for high-risk patients with both ACS and T2DM .