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Cited by 209Diabetes Management and EducationDiabetes Management and ResearchDiabetes, Cardiovascular Risks, and Lipoproteins

The DOI matches its Crossref record; 63 of the 63 references it cites were found in a registry or an index.

The Effect of Nurse-led Diabetes Self-management Education on Glycosylated Hemoglobin and Cardiovascular Risk Factors: A Meta-analysis

Tshiananga, Jacques Kande Tshiang, Kocher, Serge, Weber, Christian, Erny-Albrecht, Katrina, Berndt, Karsten, Neeser, Kurt·2012·The Diabetes Educator
DOI 10.1177/0145721711423978
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Abstract

PURPOSE: The purpose of this meta-analysis was to determine the effect of nurse-led diabetes self-management education (DSME) on blood glucose control and cardiovascular risk factors. METHODS: The electronic databases PubMed and ISIS Knowledge were searched for relevant randomized controlled studies published between 1999 and 2009. Effect size was calculated for change in A1C, blood pressure, and lipid levels using both fixed- and random-effects models. Subgroup analyses were performed on patient age, gender, diabetes type, baseline A1C, length of follow-up, and study setting. RESULTS: A total of 34 randomized controlled trials with a combined cohort size of 5993 patients was identified. Mean patient age was 52.8 years, 47% were male, and mean A1C at baseline was 8.5%. Mean change in A1C was a reduction by -0.70% for nurse-led DSME versus -0.21% with usual care (UC). This corresponded to an effect size of 0.506, using a random-effects model for nurse-led DSME versus UC. Effect size was significantly associated with patient age older than 65 years and with duration of follow-up. Nurse-led DSME was also associated with improvements in cardiovascular risk factors, particularly among male patients, among those with good glycemic control, and in studies conducted in the United States. CONCLUSIONS: Nurse-led DSME is associated with improved glycemic control, demonstrating that programs are most effective among seniors and with follow-up periods of 1 to 6 months. Future programs tailored to the needs of patients younger than 65 years may improve the impact of DSME on blood glucose.

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Crossref · 10.1177/0145721711423978

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Research works printed but not linked: 4

  1. 10.1037/0033-2909.112.1.155 · DOI · Paper page
  2. Anderson RM, 2005, Ethn Dis, 15, 671
  3. Sun J, 2008, Asia Pac J Clin Nutr, 17, 514
  4. Pan C, 2010, Int J Gen Med, 3, 173

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Metadata

Authors
Tshiananga, J. K. T., Kocher, S., Weber, C., Erny-Albrecht, K., Berndt, K., & Neeser, K.
Affiliations
Institute for Medical Informatics and Biostatistics (CH)
ORCID
Venue
The Diabetes Educator
Publisher
SAGE Publications
Published
2011-11-23
Volume
38
Issue
1
Pages
108-123
ISSN
  • 0145-7217 (ISSN-L)
  • 1554-6063
DOI
10.1177/0145721711423978
OpenAlex
W2141633549
Cited by
209
References
63
Citations by year
2026: 3 · 2025: 12 · 2024: 8 · 2023: 7 · 2022: 20 · 2021: 18 · 2020: 26 · 2019: 22 · 2018: 20 · 2017: 21 · 2016: 12 · 2015: 18 · 2014: 14 · 2013: 8
FWCI
5.76
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • The Science of Diabetes Self-Management and Care (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
diabetes self-management education, nurse-led intervention, glycemic control, HbA1c, cardiovascular risk factors, blood pressure, serum lipids, older adults, patient age, follow-up duration, type 1 and type 2 diabetes
MeSH terms
Cardiovascular Diseases, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Diabetic Angiopathies, Female, Glycated Hemoglobin, Humans, Male, Middle Aged, Nurse Clinicians, Patient Education as Topic, Self Care, Biomarkers, Disease Management

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