PMID- 33688505
OWN - NLM
STAT- MEDLINE
DCOM- 20211110
LR  - 20221207
IS  - 2314-6753 (Electronic)
IS  - 2314-6745 (Print)
VI  - 2021
DP  - 2021
TI  - Influence of the Model of Care on the Outcomes of Diabetes Self-Management 
      Education Program: A Scoping Review.
PG  - 2969243
LID - 10.1155/2021/2969243 [doi]
LID - 2969243
AB  - BACKGROUND: Type 2 diabetes mellitus (T2DM) accounts for approximately 95% of all 
      diabetes cases, making the disease a global public health concern. The increasing 
      prevalence of T2DM has highlighted the importance of evidence-based guidelines 
      for effective prevention, management, and treatment. Diabetes self-management 
      education (DSME) can produce positive effects on patient behaviors and health 
      status. Study objective. We synthesized findings from the existing studies to 
      find out whether or not the impact of DSME on patient health behaviors and 
      outcomes differ by the different models of diabetes care. That is, we determined 
      whether there are differences in DSME outcomes when patient's care provider is a 
      general practitioner, a specialist, a nurse, or a combination of these health 
      professionals. METHODS: Searches were made of six electronic databases to 
      identify relevant English language publications on DSME from 2000 through 2019. 
      Titles and abstracts of the search results were screened to select eligible 
      papers for full-text screening. All eligible papers were retrieved, and full-text 
      screening was done by three independent reviewers to select studies for inclusion 
      in the final analysis. Twenty-one studies were included in the final analysis. 
      The main outcome measures assessed were glycated hemoglobin (HbA1c), body mass 
      index (BMI), diet, and physical activity. RESULTS: The majority of the patients 
      with diabetes were seen by primary care physicians. In general, the studies 
      reported significant improvements in patient health behaviors and outcomes. Some 
      differences in outcomes between the different models of care were observed. 
      CONCLUSION: Our findings suggest that the effects of DSME on patients' health 
      behaviors and outcomes could differ by the different models of diabetes care. 
      However, considering the limited sample of publications reviewed, and because 
      none of the reviewed studies directly measured the impact of the DSME program on 
      patient behaviors and outcomes, significant conclusions could not be reached.
CI  - Copyright (c) 2021 Emmanuel Kumah et al.
FAU - Kumah, Emmanuel
AU  - Kumah E
AUID- ORCID: 0000-0002-3308-1703
AD  - Policy, Planning, Monitoring, & Evaluation Unit, Komfo Anokye Teaching Hospital, 
      Kumasi, Ghana.
FAU - Afriyie, Emmanuel K
AU  - Afriyie EK
AD  - Laboratory Services Directorate, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
FAU - Abuosi, Aaron A
AU  - Abuosi AA
AD  - Department of Public Administration and Health Services Management, University of 
      Ghana Business School, Ghana.
FAU - Ankomah, Samuel E
AU  - Ankomah SE
AUID- ORCID: 0000-0001-8803-953X
AD  - Department of Preventive and Social Medicine, Dunedin School of Medicine, 
      University of Otago, Dunedin, New Zealand.
FAU - Fusheini, Adam
AU  - Fusheini A
AD  - Department of Preventive and Social Medicine, Dunedin School of Medicine, 
      University of Otago, Dunedin, New Zealand.
AD  - Center for Health Literacy and Rural Health Promotion, P.O. Box GP1563, Accra, 
      Ghana.
FAU - Otchere, Godfred
AU  - Otchere G
AD  - Policy, Planning, Monitoring, & Evaluation Unit, Komfo Anokye Teaching Hospital, 
      Kumasi, Ghana.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20210219
PL  - England
TA  - J Diabetes Res
JT  - Journal of diabetes research
JID - 101605237
RN  - 0 (Biomarkers)
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
RN  - 0 (hemoglobin A1c protein, human)
SB  - IM
MH  - Biomarkers/blood
MH  - Blood Glucose/metabolism
MH  - *Delivery of Health Care, Integrated/organization & administration
MH  - Diabetes Mellitus, Type 2/blood/diagnosis/psychology/*therapy
MH  - Female
MH  - Glycated Hemoglobin/metabolism
MH  - *Glycemic Control
MH  - Health Behavior
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Male
MH  - Models, Organizational
MH  - *Patient Education as Topic/organization & administration
MH  - *Self Care
MH  - Treatment Outcome
PMC - PMC7914106
COIS- The authors declare that there is no conflict of interest regarding the 
      publication of this paper.
EDAT- 2021/03/11 06:00
MHDA- 2021/11/11 06:00
PMCR- 2021/02/19
CRDT- 2021/03/10 08:22
PHST- 2020/05/15 00:00 [received]
PHST- 2021/01/14 00:00 [revised]
PHST- 2021/02/11 00:00 [accepted]
PHST- 2021/03/10 08:22 [entrez]
PHST- 2021/03/11 06:00 [pubmed]
PHST- 2021/11/11 06:00 [medline]
PHST- 2021/02/19 00:00 [pmc-release]
AID - 10.1155/2021/2969243 [doi]
PST - epublish
SO  - J Diabetes Res. 2021 Feb 19;2021:2969243. doi: 10.1155/2021/2969243. eCollection 
      2021.