The effects of diabetes self-management education on quality of life for persons with type 1 diabetes: a systematic review of randomized controlled trials
Open accessAbstract
PURPOSE: It is well documented that chronic conditions, such as diabetes, impact quality of life (QoL). QoL assessment is essential when developing and evaluating diabetes self-management education support interventions. The aim of this systematic review was to evaluate the evidence and gaps in the research and the impact of diabetes self-management education (DSME) on QoL outcomes in persons with type 1 diabetes mellitus (T1DM). METHODS: A systematic review of English language studies published between January 1, 2007, and March 31, 2020, was conducted using a modified Cochrane review method. Studies were included if they were randomized controlled trials (RCTs), participants had T1DM with or without caregivers, a DSME intervention alone or a component(s) of the ADCES7™ Self-Care Behaviors was described, and QoL was a primary or secondary outcome. A 3-tiered review process was utilized for selecting articles. Retained articles were assessed for risk of bias. RESULTS: Nineteen articles, reporting on 17 RCTs, met inclusion criteria, of which 7 studies reported QoL as the primary outcome and 10 as a secondary outcome. Seven studies detected significant impact of DMSE on QoL outcomes in either the participants or family caregivers, which varied in participant populations, selection of QoL tools (generic vs diabetes-specific), intervention type, intervention length, and type of interventionist. CONCLUSION: DSME has the potential to influence QoL outcomes in people with T1DM. Research using more standardized methods are needed to delineate impact on a broader range of factors that influence QoL for those living with T1DM across the life span and their caregivers.
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Diabetes self-management education and support is associated with improved quality of life.
“DSMES is associated with improved diabetes knowledge and self-care behaviors (17), lower A1C (17-21), lower selfreported weight (22), improved quality of life (19,23,24), reduced all-cause mortality risk (25), positive coping behaviors (5,26), and reduced health care costs (27)(28)(29).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [24]
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- Authors
- Davidson, P., LaManna, J., Davis, J., Ojeda, M. M., Hyer, S., Dickinson, J. K., Todd, A., Hammons, T. M., Mohammed Fahim, S., McDaniel, C. C., McKee, C. A., Clements, J. N., Yehl, K., Litchman, M. L., Blanchette, J. E., & Kavookjian, J.
- Affiliations
- West Chester University (US)
- University of Central Florida (US)
- Walden University (US)
- Columbia University (US)
- Cincinnati VA Medical Center (US)
- Auburn University Harrison School of Pharmacy, Auburn University, Auburn, Alabama
- Auburn University (US)
- Spartanburg Regional Medical Center (US)
- Association of Diabetes Care & Education Specialists, Chicago, Illinois
- University of Utah (US)
- ORCID
- Venue
- The Science of Diabetes Self-Management and Care
- Publisher
- SAGE Publications
- Published
- 2022-01-14
- Volume
- 48
- Issue
- 2
- Pages
- 111-135
- ISSN
- 0145-7217 (ISSN-L)
- 2635-0106
- 2635-0114
- PMC
- PMC9069895
- OpenAlex
- W4205934719
- Cited by
- 32
- References
- 67
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 8 · 2023: 7 · 2022: 4
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Science of Diabetes Self-Management and Care (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- ScholarWorks (Walden University) (submittedVersion)
- Funders
- National Institutes of Health (TL1TR003106)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- diabetes self-management education, type 1 diabetes, quality of life, family caregivers, self-care behavior, diabetes self-management interventions
- MeSH terms
- Self-Management, Chronic Disease, Diabetes Mellitus, Type 1, Humans, Quality of Life, Randomized Controlled Trials as Topic
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