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 .
The First Step First Bite Program: guidance to increase physical activity and daily intake of low-glycemic index foods.
Practical lifestyle interventions are needed to help people with type 2 diabetes increase their physical activity and follow nutrition therapy guidelines . This study examined whether combining instructions to walk more and to eat more low-glycemic index ( GI ) foods ( First Step First Bite Program ) improved hemoglobin A1c and anthropometric and cardiovascular health outcomes in people with type 2 diabetes vs the First Step Program ( instruction only on walking ) . Subjects were r and omly assigned to the First Step Program or First Step First Bite Program ( n=22 in each group ) and attended four weekly group meetings with minimal follow-up during weeks 5 to 16 . All subjects monitored steps per day throughout the study ; First Step First Bite Program subjects also monitored daily intake of low-GI foods . At week 16 ( n=19 per group ) , both groups had increased steps per day by approximately 3,000 compared with baseline ( P<0.01 ) . In the First Step Program vs First Step First Bite Program groups , respectively , waist girth decreased by 5.9+/-0.9 cm vs 3.7+/-0.5 cm and hip decreased by 3.7+/-0.6 cm vs 2.2+/-0.5 cm ( P<0.01 over time , both groups ) . There was no significant difference between groups at week 16 for anthropometric or metabolic variables measured , including hemoglobin A1c . Both the First Step First Bite Program and First Step Program result ed in increased physical activity ;  First Step First Bite Program also increased daily intake of low-GI foods . Both groups experienced similar significant reductions in waist and hip girth . Thus , adding a low-GI component to a walking program in people with type 2 diabetes in good glycemic control did not improve anthropometric or metabolic outcomes . A great number and /or longer duration of low-GI foods may be required to observe improved clinical outcomes
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 .