Your browser doesn't support javascript.
loading
Effectiveness of individual strategies for the empowerment of patients with diabetes mellitus: A systematic review with meta-analysis.
Aquino, Jéssica Azevedo; Baldoni, Nayara Ragi; Flôr, Cristina Rabelo; Sanches, Cristina; Di Lorenzo Oliveira, Cláudia; Alves, Geisa Cristina Silva; Fabbro, Amaury Lelis Dal; Baldoni, André Oliveira.
Affiliation
  • Aquino JA; 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.
  • Baldoni NR; Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirao Preto, SP, Brazil. Electronic address: nayarabaldoni@usp.br.
  • Flôr CR; 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.
  • Sanches C; 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.
  • Di Lorenzo Oliveira C; 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.
  • Alves GCS; Central-West Campus Dona Lindu, Federal University of São João del-Rei, Divinopolis, MG, Brazil. Electronic address: geisa.cristina@gmail.com.
  • Fabbro ALD; Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirao Preto, SP, Brazil. Electronic address: adfabbro@fmrp.usp.br.
  • Baldoni AO; 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.
Prim Care Diabetes ; 12(2): 97-110, 2018 04.
Article in En | MEDLINE | ID: mdl-29162491
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.
Subject(s)
Key words
Fulltext
Print
XML
PubMed Links
Search on Google

Full text: 1 Database: MEDLINE Main subject: Patient Participation / Self Care / Patient-Centered Care / Diabetes Mellitus, Type 1 Type of study: Diagnostic_studies / Prognostic_studies / Systematic_reviews Limits: Female / Humans / Male Language: En Year: 2018 Type: Article
Fulltext
Print
XML
PubMed Links
Search on Google

Full text: 1 Database: MEDLINE Main subject: Patient Participation / Self Care / Patient-Centered Care / Diabetes Mellitus, Type 1 Type of study: Diagnostic_studies / Prognostic_studies / Systematic_reviews Limits: Female / Humans / Male Language: En Year: 2018 Type: Article