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Different Effects of Structured Education on Glycemic Control and Psychological Outcomes in Adolescent and Adult Patients with Type 1 Diabetes: A Systematic Review and Meta-Analysis
Joint Authors
Liu, Fang
Guan, Yuzhu
Li, Xia
Xie, Yuting
He, Jing
Zhou, Zhi-Guang
Li, Lezhi
Source
International Journal of Endocrinology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-26
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Aim.
This systematic review aimed at investigating the effectiveness of structured education (SE) in improving glycemic control and psychological outcomes in adolescent and adult patients with type 1 diabetes.
Methods.
Electronic databases (EMBASE, Medline, PubMed, and the Cochrane Library) and the reference lists of included studies were searched from the beginning of the database through April 2019.
Randomized controlled trials comparing SE with a control condition and reporting a change in glycosylated hemoglobin (HbA1c) level were included.
The primary outcome was glycemic control measured by HbA1c.
Secondary outcomes were diabetes-related distress, well-being, depression, and quality of life.
Results.
Eighteen studies representing 2759 patients were included.
Twelve studies targeted adolescents and six targeted adults.
Adolescent patients who were randomized to the intervention group did not show significant improvement of HbA1c in the short (SMD = −0.04; 95% CI: −0.14 to 0.06; P=0.41), medium (SMD = −0.03; 95% CI: −0.13 to 0.07; P=0.55), and long term (SMD = 0.04; 95% CI: −0.16 to 0.25; P=0.66) or of diabetes self-efficacy (SMD = −0.17; 95% CI: −0.33 to 0.00; overall effect P=0.05).
However, SE was effective in reducing HbA1c levels in adult patients with inadequate baseline control (HbA1c higher than 7.5%) (SMD = −0.52; 95% CI: −0.86 to −0.17; P=0.003).
SE significantly improved the well-being and psychological distress of adult patients but had no effect on the extent of depression.
Conclusions.
Development of more efficient SE programs according to the patients’ personal characteristics is needed.
American Psychological Association (APA)
Liu, Fang& Guan, Yuzhu& Li, Xia& Xie, Yuting& He, Jing& Zhou, Zhi-Guang…[et al.]. 2020. Different Effects of Structured Education on Glycemic Control and Psychological Outcomes in Adolescent and Adult Patients with Type 1 Diabetes: A Systematic Review and Meta-Analysis. International Journal of Endocrinology،Vol. 2020, no. 2020, pp.1-13.
https://search.emarefa.net/detail/BIM-1170685
Modern Language Association (MLA)
Liu, Fang…[et al.]. Different Effects of Structured Education on Glycemic Control and Psychological Outcomes in Adolescent and Adult Patients with Type 1 Diabetes: A Systematic Review and Meta-Analysis. International Journal of Endocrinology No. 2020 (2020), pp.1-13.
https://search.emarefa.net/detail/BIM-1170685
American Medical Association (AMA)
Liu, Fang& Guan, Yuzhu& Li, Xia& Xie, Yuting& He, Jing& Zhou, Zhi-Guang…[et al.]. Different Effects of Structured Education on Glycemic Control and Psychological Outcomes in Adolescent and Adult Patients with Type 1 Diabetes: A Systematic Review and Meta-Analysis. International Journal of Endocrinology. 2020. Vol. 2020, no. 2020, pp.1-13.
https://search.emarefa.net/detail/BIM-1170685
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1170685