PURPOSE: It is well documented that chronic conditions, such as diabetes, impact quality of life (QoL). QoL assessment is essential when developing and evaluating diabetes self-management education support interventions. The aim of this systematic review was to evaluate the evidence and gaps in the research and the impact of diabetes self-management education (DSME) on QoL outcomes in persons with type 1 diabetes mellitus (T1DM). METHODS: A systematic review of English language studies published between January 1, 2007, and March 31, 2020, was conducted using a modified Cochrane review method. Studies were included if they were randomized controlled trials (RCTs), participants had T1DM with or without caregivers, a DSME intervention alone or a component(s) of the ADCES7™ Self-Care Behaviors was described, and QoL was a primary or secondary outcome. A 3-tiered review process was utilized for selecting articles. Retained articles were assessed for risk of bias. RESULTS: Nineteen articles, reporting on 17 RCTs, met inclusion criteria, of which 7 studies reported QoL as the primary outcome and 10 as a secondary outcome. Seven studies detected significant impact of DMSE on QoL outcomes in either the participants or family caregivers, which varied in participant populations, selection of QoL tools (generic vs diabetes-specific), intervention type, intervention length, and type of interventionist. CONCLUSION: DSME has the potential to influence QoL outcomes in people with T1DM. Research using more standardized methods are needed to delineate impact on a broader range of factors that influence QoL for those living with T1DM across the life span and their caregivers.
PURPOSE: It is well documented that chronic conditions, such as diabetes, impact quality of life (QoL). QoL assessment is essential when developing and evaluating diabetes self-management education support interventions. The aim of this systematic review was to evaluate the evidence and gaps in the research and the impact of diabetes self-management education (DSME) on QoL outcomes in persons with type 1 diabetes mellitus (T1DM). METHODS: A systematic review of English language studies published between January 1, 2007, and March 31, 2020, was conducted using a modified Cochrane review method. Studies were included if they were randomized controlled trials (RCTs), participants had T1DM with or without caregivers, a DSME intervention alone or a component(s) of the ADCES7™ Self-Care Behaviors was described, and QoL was a primary or secondary outcome. A 3-tiered review process was utilized for selecting articles. Retained articles were assessed for risk of bias. RESULTS: Nineteen articles, reporting on 17 RCTs, met inclusion criteria, of which 7 studies reported QoL as the primary outcome and 10 as a secondary outcome. Seven studies detected significant impact of DMSE on QoL outcomes in either the participants or family caregivers, which varied in participant populations, selection of QoL tools (generic vs diabetes-specific), intervention type, intervention length, and type of interventionist. CONCLUSION: DSME has the potential to influence QoL outcomes in people with T1DM. Research using more standardized methods are needed to delineate impact on a broader range of factors that influence QoL for those living with T1DM across the life span and their caregivers.
Authors: R M Sánchez-Hernández; D Alvarado-Martel; Y López-Plasencia; A Carrillo-Domínguez; A Jiménez-Rodríguez; J Rodríguez-Cordero; T Vera-Elzo; Á Santana Del Pino; F J Nóvoa-Mogollón; A M Wägner Journal: Diabet Med Date: 2019-06-13 Impact factor: 4.359
Authors: Jacqueline LaManna; Michelle L Litchman; Jane K Dickinson; Andrew Todd; Mary M Julius; Christina R Whitehouse; Suzanne Hyer; Jan Kavookjian Journal: Diabetes Educ Date: 2019-06-18 Impact factor: 2.140
Authors: D Hessler; L Fisher; W Polonsky; L Strycker; J Parra; V Bowyer; M Dedhia; U Masharani Journal: Diabet Med Date: 2019-08-05 Impact factor: 4.359
Authors: Anna Rydén; Elisabeth Sörstadius; Klas Bergenheim; Alexandru Romanovschi; Fredrik Thorén; Edward A Witt; Catarina Sternhufvud Journal: PLoS One Date: 2016-11-03 Impact factor: 3.240
Authors: Deborah Christie; Rebecca Thompson; Mary Sawtell; Elizabeth Allen; John Cairns; Felicity Smith; Elizabeth Jamieson; Katrina Hargreaves; Anne Ingold; Lucy Brooks; Meg Wiggins; Sandy Oliver; Rebecca Jones; Diana Elbourne; Andreia Santos; Ian C K Wong; Simon O'Neil; Vicki Strange; Peter Hindmarsh; Francesca Annan; Russell M Viner Journal: BMJ Open Diabetes Res Care Date: 2016-06-01
Authors: Rosanna Fiallo-Scharer; Mari Palta; Betty A Chewning; Victoria Rajamanickam; Tim Wysocki; Tosha B Wetterneck; Elizabeth D Cox Journal: Pediatr Diabetes Date: 2019-08-08 Impact factor: 4.866