Impact of Diabetes Self-Management Education on A1C Levels Among Black/African Americans: A Systematic Review
Purpose: The purpose of this systematic review was to examine the impact of diabetes self-management education (DSME) programs on A1C levels of Black/African American adults with type 2 diabetes. Methods: Authors followed PRISMA guidelines and searched PubMed and CINAHL databases to identify article...
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| Published in: | The Science of Diabetes Self-Management and Care Vol. 50; no. 1; pp. 87 - 95 |
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| Main Authors: | , , |
| Format: | Book Review Journal Article |
| Language: | English |
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Los Angeles, CA
SAGE Publications
01-02-2024
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| Abstract | Purpose:
The purpose of this systematic review was to examine the impact of diabetes self-management education (DSME) programs on A1C levels of Black/African American adults with type 2 diabetes.
Methods:
Authors followed PRISMA guidelines and searched PubMed and CINAHL databases to identify articles published from 2000 to date. The primary outcome was A1C and participation in a DSME program among Black/African Americans with diabetes.
Results:
Nine high-quality randomized control trials (RCTs) were included in this review. Sample sizes ranged between 48 and 211. Studies reported Black/African American samples ranging from 23% to 57% (n = 4), 4 reported 100%, and 1 reported 96%. Most (56%) reported a statistically significant decline in A1C levels postprogram, whereas 44% noted insignificant changes. All the studies compared the DSME intervention effect to a control group or another type of diabetes self-management program.
Conclusion:
The results suggest that DSME programs can be effective at lowering A1C levels in Black/African American adults; however, more research with larger sample sizes of Black/African Americans is warranted. The availability of meta-analyses and more RCTs could also further strengthen the external validity of this review. Additionally, future studies focused on A1C outcomes within DSME programs not combined with other self-management interventions among Black/African Americans can advance science regarding the impact of DSME programs among this disparate population. |
|---|---|
| AbstractList | Purpose:
The purpose of this systematic review was to examine the impact of diabetes self-management education (DSME) programs on A1C levels of Black/African American adults with type 2 diabetes.
Methods:
Authors followed PRISMA guidelines and searched PubMed and CINAHL databases to identify articles published from 2000 to date. The primary outcome was A1C and participation in a DSME program among Black/African Americans with diabetes.
Results:
Nine high-quality randomized control trials (RCTs) were included in this review. Sample sizes ranged between 48 and 211. Studies reported Black/African American samples ranging from 23% to 57% (n = 4), 4 reported 100%, and 1 reported 96%. Most (56%) reported a statistically significant decline in A1C levels postprogram, whereas 44% noted insignificant changes. All the studies compared the DSME intervention effect to a control group or another type of diabetes self-management program.
Conclusion:
The results suggest that DSME programs can be effective at lowering A1C levels in Black/African American adults; however, more research with larger sample sizes of Black/African Americans is warranted. The availability of meta-analyses and more RCTs could also further strengthen the external validity of this review. Additionally, future studies focused on A1C outcomes within DSME programs not combined with other self-management interventions among Black/African Americans can advance science regarding the impact of DSME programs among this disparate population. The purpose of this systematic review was to examine the impact of diabetes self-management education (DSME) programs on A1C levels of Black/African American adults with type 2 diabetes. Authors followed PRISMA guidelines and searched PubMed and CINAHL databases to identify articles published from 2000 to date. The primary outcome was A1C and participation in a DSME program among Black/African Americans with diabetes. Nine high-quality randomized control trials (RCTs) were included in this review. Sample sizes ranged between 48 and 211. Studies reported Black/African American samples ranging from 23% to 57% (n = 4), 4 reported 100%, and 1 reported 96%. Most (56%) reported a statistically significant decline in A1C levels postprogram, whereas 44% noted insignificant changes. All the studies compared the DSME intervention effect to a control group or another type of diabetes self-management program. The results suggest that DSME programs can be effective at lowering A1C levels in Black/African American adults; however, more research with larger sample sizes of Black/African Americans is warranted. The availability of meta-analyses and more RCTs could also further strengthen the external validity of this review. Additionally, future studies focused on A1C outcomes within DSME programs not combined with other self-management interventions among Black/African Americans can advance science regarding the impact of DSME programs among this disparate population. PURPOSEThe purpose of this systematic review was to examine the impact of diabetes self-management education (DSME) programs on A1C levels of Black/African American adults with type 2 diabetes.METHODSAuthors followed PRISMA guidelines and searched PubMed and CINAHL databases to identify articles published from 2000 to date. The primary outcome was A1C and participation in a DSME program among Black/African Americans with diabetes.RESULTSNine high-quality randomized control trials (RCTs) were included in this review. Sample sizes ranged between 48 and 211. Studies reported Black/African American samples ranging from 23% to 57% (n = 4), 4 reported 100%, and 1 reported 96%. Most (56%) reported a statistically significant decline in A1C levels postprogram, whereas 44% noted insignificant changes. All the studies compared the DSME intervention effect to a control group or another type of diabetes self-management program.CONCLUSIONThe results suggest that DSME programs can be effective at lowering A1C levels in Black/African American adults; however, more research with larger sample sizes of Black/African Americans is warranted. The availability of meta-analyses and more RCTs could also further strengthen the external validity of this review. Additionally, future studies focused on A1C outcomes within DSME programs not combined with other self-management interventions among Black/African Americans can advance science regarding the impact of DSME programs among this disparate population. |
| Author | Okeyo, Hilda M. Biddle, Martha Williams, Lovoria B. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37994435$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1136/bmj.d5928 10.1002/jrsm.1411 10.2337/dci22-0044 10.1007/s11606-020-06011-w 10.1016/j.diabres.2007.08.028 10.12968/bjon.2020.29.5.266 10.1016/0197-2456(95)00134-4 10.1177/0145721710392246 10.1136/bmj.n71 10.1007/s11606-019-04894-y 10.1155/2014/789761 10.1097/jxx.0000000000000240 10.1186/s12913-018-3186-7 10.1016/0197-2456(94)00031-w 10.1016/j.jand.2022.07.020 10.1016/s0197-2456(99)00026-4 10.1016/j.jand.2012.07.036 10.1016/j.pec.2011.04.008 10.3390/ijerph15091859 10.1136/bmjdrc-2021-002438 10.1007/s11892-013-0421-9 10.1016/j.dsx.2020.12.030 10.1111/jgs.16339 10.1016/j.pec.2019.09.009 10.1016/j.jand.2022.07.021 10.1136/bmj.323.7303.42 10.1186/s40779-020-00238-8 10.4178/epih.e2021090 10.1016/j.jand.2015.05.012 10.1370/afm.1819 10.2105/ajph.2010.300106 10.1177/0145721713520570 10.1007/s11606-011-1689-6 10.1136/bmj.b4012 10.4158/EP15655.OR |
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The purpose of this systematic review was to examine the impact of diabetes self-management education (DSME) programs on A1C levels of Black/African... The purpose of this systematic review was to examine the impact of diabetes self-management education (DSME) programs on A1C levels of Black/African American... PURPOSEThe purpose of this systematic review was to examine the impact of diabetes self-management education (DSME) programs on A1C levels of Black/African... |
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