PMID- 33002545
OWN - NLM
STAT- MEDLINE
DCOM- 20210107
LR  - 20221207
IS  - 1872-8227 (Electronic)
IS  - 0168-8227 (Linking)
VI  - 169
DP  - 2020 Nov
TI  - Diabetes self-management education and support for adults with newly diagnosed 
      type 2 diabetes mellitus: A systematic review and meta-analysis of randomized 
      controlled trials.
PG  - 108480
LID - S0168-8227(20)30733-6 [pii]
LID - 10.1016/j.diabres.2020.108480 [doi]
AB  - This systematic review aimed to identify the effectiveness of diabetes 
      self-management education and support (DSMES) among adults within 12 months of 
      diagnosis of type 2 diabetes mellitus (T2DM). We searched the Cochrane Library, 
      MEDLINE, CINAHL, PsycINFO, ERIC, and other sources up to March 2019 to detect 
      randomized controlled trials in the last decade based on the global guidelines' 
      definition of DSMES. Data were categorized into biomedical, psychosocial, and 
      behavioral outcomes and synthesized using a random-effects model. Quality of 
      evidence was assessed using the Grading of Recommendations Assessment, 
      Development and Evaluation system. We scrutinized 12 studies that enrolled 2,386 
      adults with newly diagnosed T2DM. Biomedical outcomes presented the pooled 
      effects of HbA1c -0.21% (95% confidence interval, -0.38, -0.04), body weight 
      -2.36 kg (-5.77, 1.05), and waist circumference -1.8 cm (-5.63, 2.04) when the 
      data from the two studies with low risk of bias were combined (N = 1,082). 
      Psychosocial and behavioral effects were inconclusive owing to mixed results from 
      various scales and reporting. The quality of the body of evidence was low. DSMES 
      within 12 months of T2DM diagnosis might affect patient-centered outcomes. 
      Further studies with higher precision using standardized measurement methods are 
      required.
CI  - Copyright (c) 2020 Elsevier B.V. All rights reserved.
FAU - Tanaka, Rie
AU  - Tanaka R
AD  - Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 
      305-8575, Japan. Electronic address: riet@md.tsukuba.ac.jp.
FAU - Shibayama, Taiga
AU  - Shibayama T
AD  - Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 
      305-8575, Japan.
FAU - Sugimoto, Keiko
AU  - Sugimoto K
AD  - Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 
      305-8575, Japan.
FAU - Hidaka, Kikue
AU  - Hidaka K
AD  - Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 
      305-8575, Japan.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Systematic Review
DEP - 20200928
PL  - Ireland
TA  - Diabetes Res Clin Pract
JT  - Diabetes research and clinical practice
JID - 8508335
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Adult
MH  - Blood Pressure
MH  - Diabetes Mellitus, Type 2/*therapy
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - Glycemic Control
MH  - Health Behavior
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Education as Topic
MH  - Quality of Life
MH  - Randomized Controlled Trials as Topic
MH  - Self Care
MH  - Self-Management/*education/methods
OTO - NOTNLM
OT  - Outcome assessment
OT  - Patient education
OT  - Primary healthcare
OT  - Self-management
OT  - Systematic review
OT  - Type 2 diabetes mellitus
COIS- Declaration of Competing Interest The authors declare no conflicts of interest.
EDAT- 2020/10/02 06:00
MHDA- 2021/01/08 06:00
CRDT- 2020/10/01 20:11
PHST- 2019/11/27 00:00 [received]
PHST- 2020/09/09 00:00 [revised]
PHST- 2020/09/21 00:00 [accepted]
PHST- 2020/10/02 06:00 [pubmed]
PHST- 2021/01/08 06:00 [medline]
PHST- 2020/10/01 20:11 [entrez]
AID - S0168-8227(20)30733-6 [pii]
AID - 10.1016/j.diabres.2020.108480 [doi]
PST - ppublish
SO  - Diabetes Res Clin Pract. 2020 Nov;169:108480. doi: 10.1016/j.diabres.2020.108480. 
      Epub 2020 Sep 28.