Bibliographic Details
| Title: |
The effect of diabetes self-management education on HbA1c and quality of life in African-Americans: a systematic review and meta-analysis |
| Authors: |
Amy T. Cunningham, Denine R. Crittendon, Neva White, Geoffrey D. Mills, Victor Diaz, Marianna D. LaNoue |
| Source: |
BMC Health Services Research, Vol 18, Iss 1, Pp 1-13 (2018) |
| Publisher Information: |
BMC, 2018. |
| Publication Year: |
2018 |
| Collection: |
LCC:Public aspects of medicine |
| Subject Terms: |
Type 2 diabetes, Diabetes self-management education, African-Americans, Disparities, Public aspects of medicine, RA1-1270 |
| More Details: |
Abstract Background Type 2 diabetes presents a major morbidity and mortality burden in the United States. Diabetes self-management education (DSME) is an intervention associated with improved hemoglobin A1c(HbA1c) and quality of life(QOL), and is recommended for all individuals with type 2 diabetes. African-Americans have disproportionate type 2 diabetes morbidity and mortality, yet no prior meta-analyses have examined DSME outcomes exclusively in this population. This systematic review and meta-analysis examined the impact of DSME on HbA1c and QOL in African-Americans compared to usual care. Methods Randomized controlled trials, cluster-randomized trials, and quasi-experimental interventions were included. 352 citations were retrieved; 279 abstracts were reviewed, and 44 full-text articles were reviewed. Fourteen studies were eligible for systematic review and 8 for HbA1c meta-analysis; QOL measures were too heterogeneous to pool. Heterogeneity of HbA1c findings was assessed with Cochran’s Q and I 2. Results HbA1c weighted mean difference between intervention and usual care participants was not significant: − 0.08%[− 0.40–0.23];χ 2 = 84.79 (p |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1472-6963 |
| Relation: |
http://link.springer.com/article/10.1186/s12913-018-3186-7; https://doaj.org/toc/1472-6963 |
| DOI: |
10.1186/s12913-018-3186-7 |
| Access URL: |
https://doaj.org/article/63a9fe018d4543e0bfc9228cc761a77c |
| Accession Number: |
edsdoj.63a9fe018d4543e0bfc9228cc761a77c |
| Database: |
Directory of Open Access Journals |
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