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

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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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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: Erny-Albrecht, Katrina
Neeser, Kurt
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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The Effect of Nurse-led Diabetes Self-management Education on Glycosylated Hemoglobin and Cardiovascular Risk Factors: A Meta-analysis

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