The pooled main outcomes by r and om-effects model showed significant improvements in HbA1c , self-efficacy , and diabetes knowledge , but not in BMI .
As for quality of life , no conclusions can be drawn as the pooled outcome became the opposite with reduced heterogeneity after one study was excluded .
No significant publication bias was found in the main outcomes .
AIM To synthesize the effects of theory-based self-management educational interventions on patients with type 2 diabetes ( T2DM ) in r and omized controlled trials .
BACKGROUND Type 2 diabetes is a common chronic disease causing complications that put a heavy burden on society and reduce the quality of life of patients .
Good self-management of diabetes can prevent complications and improve the quality of life of T2DM patients .
Applying the Stages of Change model to Type 2 diabetes care in Trinidad: A randomised trial
Objective To improve glycaemic control among Type 2 diabetics using patient-physician consultations guided by the Stages of Change ( SOC ) model . Design and Methods A r and omised trial was conducted . After ensuring concealment of allocation , Type 2 diabetics were r and omly assigned to receive the intervention or the control . The intervention consisted of identifying each patient 's Stage of Change for managing their diabetes by diet , exercise and medications , and applying personalised , stage-specific care during the patient-physician consultations based on the SOC model . Patients in the control group received routine care . The variables of interest were effect on glycaemic control ( measured by the difference in HbA1c levels ) and patients ' readiness to change ( measured by identifying patients ' SOC for managing their diabetes by diet , exercise and medications ) . Results Participants were primarily over age 50 , male and Indo-Trinidadian . Most had received only a primary school education and over 65 % had a monthly income of $ 320 USD/month or less . Sixty-one Type 2 diabetics participated in each arm . Three patients were lost to follow-up in the intervention arm . After 48 weeks , there was an overall increase in HbA1c of 0.52 % ( SE 0.17 ) and 1.09 % ( SE 0.18 ) for both the intervention and control groups respectively . There was a relative reduction in HbA1c of 0.57 % ( 95 % CI 0.07 , 1.07 ) with the intervention group compared to the control ( p = 0.025 ) . For exercise and diet there was an overall tendency for participants in the intervention arm to move to a more favourable SOC , but little change was noted with regards medication use . Conclusions The result suggests a tendency to a worsening of glycaemic control in this population despite adopting more favourable SOC for diet and exercise . We hypothesized that harsh social conditions prevailing at the time of the study overrode the clinical intervention
The pooled main outcomes by r and om-effects model showed significant improvements in HbA1c , self-efficacy , and diabetes knowledge , but not in BMI .
As for quality of life , no conclusions can be drawn as the pooled outcome became the opposite with reduced heterogeneity after one study was excluded .
No significant publication bias was found in the main outcomes .
AIM To synthesize the effects of theory-based self-management educational interventions on patients with type 2 diabetes ( T2DM ) in r and omized controlled trials .
BACKGROUND Type 2 diabetes is a common chronic disease causing complications that put a heavy burden on society and reduce the quality of life of patients .
Good self-management of diabetes can prevent complications and improve the quality of life of T2DM patients .