Jacqueline LaManna1,2, Michelle L Litchman1,3, Jane K Dickinson1,4, Andrew Todd2, Mary M Julius1,5, Christina R Whitehouse1,6, Suzanne Hyer2, Jan Kavookjian1,7. 1. American Association of Diabetes Educators, Research Committee, Chicago, Illinois. 2. University of Central Florida, College of Nursing, Orlando, Florida. 3. University of Utah, College of Nursing, Salt Lake City, Utah. 4. Department of Health and Behavior Studies, Teachers College Columbia University, New York, New York. 5. Northeast Ohio Veterans Administration (VA), Cleveland, Ohio. 6. Villanova University, M. Louise Fitzpatrick College of Nursing, Villanova, Pennsylvania. 7. Auburn University, Harrison School of Pharmacy, Auburn University, Alabama.
Abstract
PURPOSE: The primary purpose of this study is to report a systematic review of evidence and gaps in the literature among well-conducted studies assessing the impact of diabetes education on hypoglycemia outcomes and secondarily reporting the impact on other included target outcomes. METHODS: The authors used a modified Cochrane method to systematically search and review English-language titles, abstracts, and full-text articles published in the United States between January 2001 and December 2017, with diabetes education specified as an intervention and a directly measurable outcome for hypoglycemia risk or events included. RESULTS: Fourteen quasi-experimental, experimental, and case-control studies met the inclusion criteria, with 8 articles reporting a positive impact of diabetes self-management education and support (DSMES) on hypoglycemia outcomes; 2 of the 8 reported decreased hypoglycemia events, and 1 reported decreased events in both the intervention and control groups. In addition, 5 studies targeted change in reported hypoglycemia symptoms, with all 5 reporting a significant decrease. DSMES also demonstrated an impact on intermediate (knowledge gain, behavior change) and long-term (humanistic and economic/utilization) outcomes. An absence of common hypoglycemia measures and terminology and suboptimal descriptions of DSMES programs for content, delivery, duration, practitioner types, and participants were identified as gaps in the literature. CONCLUSIONS: Most retained studies reported that diabetes education positively affected varied measures of hypoglycemia outcomes (number of events, reported symptoms) as well as other targeted outcomes. Diabetes education is an important intervention for reducing hypoglycemia events and/or symptoms and should be included as a component of future hypoglycemia risk mitigation studies.
PURPOSE: The primary purpose of this study is to report a systematic review of evidence and gaps in the literature among well-conducted studies assessing the impact of diabetes education on hypoglycemia outcomes and secondarily reporting the impact on other included target outcomes. METHODS: The authors used a modified Cochrane method to systematically search and review English-language titles, abstracts, and full-text articles published in the United States between January 2001 and December 2017, with diabetes education specified as an intervention and a directly measurable outcome for hypoglycemia risk or events included. RESULTS: Fourteen quasi-experimental, experimental, and case-control studies met the inclusion criteria, with 8 articles reporting a positive impact of diabetes self-management education and support (DSMES) on hypoglycemia outcomes; 2 of the 8 reported decreased hypoglycemia events, and 1 reported decreased events in both the intervention and control groups. In addition, 5 studies targeted change in reported hypoglycemia symptoms, with all 5 reporting a significant decrease. DSMES also demonstrated an impact on intermediate (knowledge gain, behavior change) and long-term (humanistic and economic/utilization) outcomes. An absence of common hypoglycemia measures and terminology and suboptimal descriptions of DSMES programs for content, delivery, duration, practitioner types, and participants were identified as gaps in the literature. CONCLUSIONS: Most retained studies reported that diabetes education positively affected varied measures of hypoglycemia outcomes (number of events, reported symptoms) as well as other targeted outcomes. Diabetes education is an important intervention for reducing hypoglycemia events and/or symptoms and should be included as a component of future hypoglycemia risk mitigation studies.
Authors: Patricia Davidson; Jacqueline LaManna; Jean Davis; Maria M Ojeda; Suzanne Hyer; Jane K Dickinson; Andrew Todd; Tamara M Hammons; Shahariar Mohammed Fahim; Cassidi C McDaniel; Cynthia A McKee; Jennifer N Clements; Kirsten Yehl; Michelle L Litchman; Julia E Blanchette; Jan Kavookjian Journal: Sci Diabetes Self Manag Care Date: 2022-01-14
Authors: Carter Shelton; Andrew P Demidowich; Mahsa Motevalli; Sam Sokolinsky; Periwinkle MacKay; Cynthia Tucker; Cora Abundo; Eileen Peters; Roliette Gooding; Margaret Hackett; Joyce Wedler; Lee Ann Alexander; Luvenia Barry; Mary Flynn; Patricia Rios; Constance Lulu Fulda; Michelle F Young; Barbara Kahl; Eileen Pummer; Nestoras N Mathioudakis; Aniket Sidhaye; Eric E Howell; Leo Rotello; Mihail Zilbermint Journal: J Diabetes Sci Technol Date: 2021-04-21
Authors: Ahmad Hasyim Wibisono; Dennti Kurniasih; Eti Sumartiyah; Rima Novia Putri; Dikha Ayu Kurnia; Yunisar Gultom; Debie Dahlia Journal: J Public Health Res Date: 2021-04-14
Authors: Jill Carlton; Joanna Leaviss; Frans Pouwer; Christel Hendrieckx; Melanie M Broadley; Mark Clowes; Rory J McCrimmon; Simon R Heller; Jane Speight Journal: Diabetologia Date: 2021-02-02 Impact factor: 10.122