2005;28(3):626–631. They also found that multifaceted interventions and multidisciplinary approaches were desirable. To systematically describe the scope and components of the interventions, specific features were extracted from each intervention article using main components that have been previously described for the taxonomy of diabetes interventions by Elasy et al. Seven interventions included counseling and reminders through telephone calls or text messages [34,35,38,39,41,55,57], and a study in Iran incorporated only telephone calls with no face-to-face encounters . The most commonly reported physiologic measure was HbA1c level. I was thrilled to serve as guest editor of this Diabetes Spectrum From Research to Practice section, “Behavioral Interventions to Promote Diabetes Self-Management.” My enthusiasm for this special section results from my conviction that patient behavior is the cornerstone of diabetes management. Diabetes affects at least 171 million people worldwide and is dramatically increasing in many countries as a consequence of increased obesity, sedentary lifestyle, and aging populations (1). Type 2 diabetes makes up 90 to 95 percent of all diagnosed cases of diabetes, according to the CDC. In this systematic review, we define socially disadvantaged groups as those that have low SES or belong to an ethno-racial minority. PLoS One. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. Further research is needed, in particular on which strategies are most effective for specific groups, on which interventions produce long-term improvement in clinical and patient-oriented diabetes outcomes, on interventions aimed at providers and the health system, and that incorporate a formal economic analysis. Self management interventions for type 2 diabetes in adult people with severe mental illness. These types of interventions would require additional resources for needs assessment, leader training, community and family outreach, and follow-up. Ineffective Health Maintenance: Nanda Nursing Diagnosis and Nursing Care Plan. The impact of mobile health (mHealth) interventions on diabetes and obesity management is promising; however, studies showed varied results in the efficacy of mHealth interventions. Interventions to improve diabetes outcomes can be directed at individuals with diabetes, health providers, or the health system. There are a number of treatments available to help you manage and treat your diabetes. For studies that did not report clinical measures, provider management and self-management outcomes were used to make judgments. All pharmacist task-sharing interventions incorporated diabetes self-management education, but no trial included education alone. 1 It is estimated that there are now 242 000 people in New Zealand with type 1 or type 2 diabetes, and a further 500 000 people with pre-diabetes (HbA 1c 41– 49 mmol/mol). We do not capture any email address. Several large-scale trials have demonstrated that comprehensive interventions that include self-management can prevent complications from type 1 1,2 and type 2 diabetes. A normal blood sugar level ranges between 70-150. Many of the resources needed for such community-oriented behaviorally mediated and intensive interventions are “up front,” including intervention design and recruiting and training community-based educators. A data extraction form was used to collect information on type of social disadvantage (low SES population or specific ethno-racial group), study objectives, study design, setting of intervention, study population (including demographics, SES, and health insurance), measures and scales used, and main findings. They also have practice and policy implications. The disadvantaged populations included in this study have significantly higher rates of diabetes complications, health services use, and poor control. A priority research question is how do interventions affect the self-management behaviors of persons with Type 2 diabetes? The impact of mobile health (mHealth) interventions on diabetes and obesity management is promising; however, studies showed varied results in the efficacy of mHealth interventions. A comprehensive search was conducted via Ebscohost using databases of Academic Search Complete, CINAHL, Health Source: Nursing/Academic Edition, MEDLINE, PsycArtiCLES, and PsycInfo. Diabetes management program for African-American women with type 2 diabetes: Adults, Seniors: Black: Home, Health care facility: Group Education, Supportive Relationships: The diabetes network internet-based physical activity intervention: All: All: Home: Individual Education, Supportive Relationships: The Diabetes Prevention Program (DPP) All: All interventions for diabetes management recipes ( options) | interventions for diabetes management normal range charthow to interventions for diabetes management for Type 2 diabetes. Wong MK, Cheng SYR, Chu TK, Lam FY, Lai SK, Wong KC, Liang J. JMIR Res Protoc. Ineffective health maintenance is defined as the state of a person wherein he or she is unable to identify, manage and ask help in maintaining his/her healthy well-being.. Health maintenance is a very crucial process to a person because he/she needs to maintain a healthy body with proper functioning at all times. Eleven (20–23,27,29–33,35) of the 17 studies were judged by two reviewers to have both statistically and clinically significant positive outcomes. We also assessed whether there was an adequate description of the intervention. A review that was limited to diabetes self-management interventions in disadvantaged populations included five of the studies in this systematic review (41). The two main approaches to preventing retinopathy and nephropathy are intensive glycemic control and aggressive control of hypertension. Healthcare providers can help you have a healthy pregnancy and baby. Intensive lifestyle interventions provide ongoing counseling, coaching, or individualized guidance to patients with type 2 diabetes to help them change their diet, level of physical activity, or both. We identified 26 features of the diabetes interventions (Table 3). The traditional approach to diabetes education has been one of the health professional imparting knowledge about diabetes and its management to … The opinions, results, and conclusions are those of the authors, and no endorsement by the Ministry is intended or should be inferred. Background: Diabetes and obesity have become epidemics and costly chronic diseases. NLM Aggressive interventions with glycemic control, as well as management of lipids and blood pressure, seem to have favorable effects on many complications of diabetes. Diabetes in Older Adults: A Growing Population With Special Challenges. Features found in multiple studies with more consistent effects included cultural tailoring of the intervention, use of community educators or lay people leading the intervention, one-on-one interventions with individualized assessment and reassessment, use of treatment algorithms by various health care providers, focus on behavior-related tasks in the intervention, use of feedback about patient’s control of disease or performance, and high-intensity interventions (>10 contact times) delivered over a long duration (≥6 months). World Health Organization: Diabetes programme [homepage]. Socially disadvantaged groups may experience difficulties with language, cultural beliefs, transportation, getting time off work, child care, and low health literacy in addition to financial barriers to care. The features of successful interventions identified in our review are consistent with those described for multiple health conditions as leading to positive outcomes for disadvantaged groups (16). Patients must interact with program staff multiple times for a period of six months or longer. The results of this systematic review provide reason for optimism that interventions for socially disadvantaged populations can be effective and have the potential to reduce health disparities in diabetes care and outcomes. The association between quality of life, depressive symptoms and glycemic control in a group of type 2 diabetes patients. A table elsewhere in this issue shows conventional and Système International (SI) units and conversion factors for many substances. Other studies described interventions that were more focused on specific aspects of diabetes-related care. Effectiveness of a community program for older adults with type 2 diabetes and multimorbidity: a pragmatic randomized controlled trial. After scanning titles of the citations, 615 were accepted for further screening and complete abstracts of these studies were reviewed. 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