Jéssica Azevedo Aquino1, Nayara Ragi Baldoni2, Cristina Rabelo Flôr3, Cristina Sanches4, Cláudia Di Lorenzo Oliveira5, Geisa Cristina Silva Alves6, Amaury Lelis Dal Fabbro7, André Oliveira Baldoni8. 1. Central-West Campus Dona Lindu, Federal University of São João del-Rei, Divinopolis, MG, Brazil; Group of Research in Epidemiology and Evaluation of New Technologies in Health, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: jessica.a.aquino@gmail.com. 2. Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirao Preto, SP, Brazil. Electronic address: nayarabaldoni@usp.br. 3. Central-West Campus Dona Lindu, Federal University of São João del-Rei, Divinopolis, MG, Brazil; Group of Research in Epidemiology and Evaluation of New Technologies in Health, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: cristinaflor@ufsj.edu.br. 4. Central-West Campus Dona Lindu, Federal University of São João del-Rei, Divinopolis, MG, Brazil; Group of Research in Epidemiology and Evaluation of New Technologies in Health, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: csgiraud@ufsj.edu.br. 5. Central-West Campus Dona Lindu, Federal University of São João del-Rei, Divinopolis, MG, Brazil; Group of Research in Epidemiology and Evaluation of New Technologies in Health, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: claudia.dlorenzo@gmail.com. 6. Central-West Campus Dona Lindu, Federal University of São João del-Rei, Divinopolis, MG, Brazil. Electronic address: geisa.cristina@gmail.com. 7. Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirao Preto, SP, Brazil. Electronic address: adfabbro@fmrp.usp.br. 8. Central-West Campus Dona Lindu, Federal University of São João del-Rei, Divinopolis, MG, Brazil; Group of Research in Epidemiology and Evaluation of New Technologies in Health, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: andrebaldoni@ufsj.edu.br.
Abstract
AIMS: To identify and evaluate the effectiveness of individual empowerment strategies in patients with diabetes mellitus (DM). METHODS: A systematic review was performed in the PubMed, Scopus, Science Direct and BVS. For meta-analysis and evaluation of Cochrane Risk and Bias, Revman V 5.2 software was used. RESULTS: Eleven studies of 1073 publications met the inclusion criteria. The strategies used were individual consultations, phone calls, sessions via a website and use of a booklet. Glycemic Hemoglobin (HbA1c) was used to evaluate the effectiveness of the strategies, and 45.4% of the studies also used the Diabetes Empowerment Scale. Five studies (45.5%) showed significant improvements in HbA1c reduction, improvements in self-efficacy (18.2%), knowledge levels of DM (18.2%), quality of life (18.2%). However, after meta-analysis, no statistically significant improvement was found for HbA1c. CONCLUSION: This systematic review showed that individual strategies for DM empowerment were not effective in reducing HbA1c, despite contributing to improvements in psychosocial parameters. Therefore, individual strategies need to be reviewed so that they become effective in DM control.
AIMS: To identify and evaluate the effectiveness of individual empowerment strategies in patients with diabetes mellitus (DM). METHODS: A systematic review was performed in the PubMed, Scopus, Science Direct and BVS. For meta-analysis and evaluation of Cochrane Risk and Bias, Revman V 5.2 software was used. RESULTS: Eleven studies of 1073 publications met the inclusion criteria. The strategies used were individual consultations, phone calls, sessions via a website and use of a booklet. Glycemic Hemoglobin (HbA1c) was used to evaluate the effectiveness of the strategies, and 45.4% of the studies also used the Diabetes Empowerment Scale. Five studies (45.5%) showed significant improvements in HbA1c reduction, improvements in self-efficacy (18.2%), knowledge levels of DM (18.2%), quality of life (18.2%). However, after meta-analysis, no statistically significant improvement was found for HbA1c. CONCLUSION: This systematic review showed that individual strategies for DM empowerment were not effective in reducing HbA1c, despite contributing to improvements in psychosocial parameters. Therefore, individual strategies need to be reviewed so that they become effective in DM control.
Authors: Audrey White; Elizabeth Buschur; Cara Harris; Michael L Pennell; Adam Soliman; Kathleen Wyne; Kathleen M Dungan Journal: Diabetes Metab Syndr Obes Date: 2022-08-04 Impact factor: 3.249
Authors: Donají V Gómez-Velasco; Paloma Almeda-Valdes; Alexandro J Martagón; Gabriela A Galán-Ramírez; Carlos A Aguilar-Salinas Journal: Diabetes Metab Syndr Obes Date: 2019-08-06 Impact factor: 3.168