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 .
Controlled Trial of Nursing Interventions to Improve Health Outcomes of Older African American Women With Type 2 Diabetes
Background : Type 2 diabetes affects one in five African American women older than 60 years . These women face distinct challenges in managing diabetes self-care . Therefore , tailored self-care interventions for this population need to be developed and tested . Objectives : The effectiveness of a tailored , four-visit , in-home symptom-focused diabetes intervention with and without booster telephone calls was compared with an attentional control focused on skills training for weight management and diet . Methods : African American women ( n = 180 ; > 55 years old , Type 2 diabetes mellitus > 1 year , HbA1c > 7 % ) were r and omly assigned to the intervention or attentional control condition . Half the intervention participants were assigned to also receive a telephone-delivered booster intervention . Participants were evaluated at baseline and 3 , 6 , and 9 months . Results : Baseline HbA1 was 8.3 in the intervention group ( n = 60 ) , 8.29 in the intervention with booster group ( n = 55 ) , and 8.44 in the attentional control condition ( n = 59 ) . HbA1c declined significantly in the whole sample ( 0.57 % ) with no differences between study arms . Participants in the booster arm decreased HbA1c by 0.76 % . Symptom distress , perceived quality of life , impact of diabetes , and self-care activities also improved significantly for the whole sample with no significant differences between study arms . Discussion : Parsimonious interventions of four in-person visits yielded clinical ly significant decreases in HbA1c . Although the weight and diet program was intended as an attentional control , the positive effects suggest it met a need in this population . Because the contents of both the intervention and the attentional control were effective despite different approaches , a revised symptom-focused intervention that incorporates weight and diet skills training may offer even better results
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 .