Diabetes self management education (DSME) can be delivered in many forms. Group-based DSME is widespread, cheaper and has the added advantages of people meeting others with diabetes.
Systematic review with meta-analysis
This study compared group-based DSME to routine treatment. RCT studies, up to Jan 2008, adults, type 2 diabetes (intervention had at least one session and =/>6 months follow-up.)
Results: In total 21 studies (26 publications, 2833 participants) were included. Participants: 40% male, baseline age 60, BMI 31.6, HbA1c 8.23%, diabetes 8 years and 82% used medication.
Outcomes
- HbA1c was significantly reduced at 6, 12 months (0.46% points; P = 0.001, 11 studies, 1503 participants) and 2 years.
- Fasting blood glucose levels also significantly reduced at 12 months (1.26 mmol/L; P<0.00001, 5 studies, 690 participants) but not at 6 months.
- Diabetes knowledge was improved significantly at 6, 12 months and 2 years and self-management skills also improved significantly at 6 months.
- For the main psychosocial outcomes, there were significant improvement for empowerment/self-efficacy after 6 months.
- For quality of life, no conclusion could be drawn due to high heterogeneity.
- Significant improvements in patient satisfaction and body weight at 12 months for the intervention group.
- No differences between the groups in mortality rate, body mass index, blood pressure and lipid profile.
Conclusions
Group-based DSME in people with type 2 diabetes results in improvements in clinical, lifestyle and psychosocial outcomes.
Reference
- Steinsbekk A, et al. Group-based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis(external link) BMC Health Services Research 2012 12:213.
Links
Auckland PHO run self-management courses(external link)
Living well with type 2 diabetes(external link) Marlborough Primary Health
Diabetes self-management(external link) East Health Trust
Diabetes self-management(external link) Hearts & Minds, Auckland
Self-management Group Sessions(external link) Western Bay Of Plenty PHO
Apps
Diabetes apps
Self-management and healthy living apps