Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis
Open accessAbstract
BACKGROUND: Diabetes self-management education (DSME) can be delivered in many forms. Group based DSME is widespread due to being a cheaper method and the added advantages of having patient meet and discuss with each other. assess effects of group-based DSME compared to routine treatment on clinical, lifestyle and psychosocial outcomes in type-2 diabetes patients. METHODS: A systematic review with meta-analysis. Computerised bibliographic database were searched up to January 2008 for randomised controlled trials evaluating group-based DSME for adult type-2 diabetics versus routine treatment where the intervention had at least one session and =/>6 months follow-up. At least two reviewers independently extracted data and assessed study quality. RESULTS: In total 21 studies (26 publications, 2833 participants) were included. Of all the participants 4 out of 10 were male, baseline age was 60 years, BMI 31.6, HbA1c 8.23%, diabetes duration 8 years and 82% used medication. For the main clinical outcomes, HbA1c was significantly reduced at 6 months (0.44% points; P=0.0006, 13 studies, 1883 participants), 12 months (0.46% points; P=0.001, 11 studies, 1503 participants) and 2 years (0.87% points; P<0.00001, 3 studies, 397 participants) and fasting blood glucose levels were also significantly reduced at 12 months (1.26 mmol/l; P<0.00001, 5 studies, 690 participants) but not at 6 months. For the main lifestyle outcomes, diabetes knowledge was improved significantly at 6 months (SMD 0.83; P=0.00001, 6 studies, 768 participants), 12 months (SMD 0.85; P<0.00001, 5 studies, 955 participants) and 2 years (SMD 1.59; P=0.03, 2 studies, 355 participants) and self-management skills also improved significantly at 6 months (SMD 0.55; P=0.01, 4 studies, 534 participants). For the main psychosocial outcomes, there were significant improvement for empowerment/self-efficacy (SMD 0.28, P=0.01, 2 studies, 326 participants) after 6 months. For quality of life no conclusion could be drawn due to high heterogeneity. For the secondary outcomes there were significant improvements in patient satisfaction and body weight at 12 months for the intervention group. There were 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.
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Diabetes education often uses group settings to reduce pressure on health staff resources given increasing numbers of people diagnosed with diabetes.
“For instance, diabetes education often uses group settings to reduce the pressure on health staff resources given the increasing numbers of people diagnosed with diabetes [4].”
From Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review (2018) · cites this paper as [4]
Diabetes self-management education and support is associated with less frequent use of acute care and inpatient hospital services.
“DSMES is associated with an increased use of primary care and preventive services (27,30,31) and less frequent use of acute care and inpatient hospital services (22).”
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 [22]
Diabetes self-management education and support is associated with lower self-reported weight.
“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 [22]
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Cites
1 retracted
Group based training for self-management strategies in people with type 2 diabetes mellitus
Deakin, T. A., McShane, C. E., Cade, J. E., & Williams, R. (2005) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003417.pub2 · Cited by 862 · see citing works
RetractedCochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series
(2008) · doi:10.1002/9780470712184 · Cited by 25,048 · see citing works
Developing and evaluating complex interventions: the new Medical Research Council guidance
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., & Petticrew, M. (2008) · BMJ · doi:10.1136/bmj.a1655 · Cited by 10,995 · cited 1× · see citing works
“Educational programs are frequently defined as complex interventions where it is often difficult to define the 'active ingredient' framework [7].”
BackgroundCochrane Handbook for Systematic Reviews of Interventions Version 5.0.1. The Cochrane Collaboration
Higgins, J., Green, S. R., & Higgins, J. (2008) · Cited by 5,544 · see citing works
Assessing Risk of Bias in Included Studies
Higgins, J. P., & Altman, D. G. (2008) · Cochrane Handbook for Systematic Reviews of Interventions · doi:10.1002/9780470712184.ch8 · Cited by 3,396 · see citing works
Effectiveness of Self-Management Training in Type 2 Diabetes
Norris, S. L., Engelgau, M. M., & Venkat Narayan, K. M. (2001) · Diabetes Care · doi:10.2337/diacare.24.3.561 · Cited by 1,846 · see citing works
Analysing Data and Undertaking Meta‐Analyses
Deeks, J. J., Higgins, J. P., & Altman, D. G. (2008) · Cochrane Handbook for Systematic Reviews of Interventions · doi:10.1002/9780470712184.ch9 · Cited by 1,800 · see citing works
Self-Management Education for Adults With Type 2 Diabetes
Norris, S. L., Lau, J., Smith, S. J., Schmid, C. H., & Engelgau, M. M. (2002) · Diabetes Care · doi:10.2337/diacare.25.7.1159 · Cited by 1,750 · see citing works
National Standards for Diabetes Self-Management Education
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., Maryniuk, M. D., Peyrot, M. F., Piette, J. D., Reader, D., et al. (2008) · Diabetes Care · doi:10.2337/dc09-s087 · Cited by 1,348 · see citing works
Behavioral treatment of obesity
Butryn, M. L., Webb, V., & Wadden, T. A. (2011) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2011.08.006 · Cited by 636 · see citing works
The Reliability and Validity of a Brief Diabetes Knowledge Test
Fitzgerald, J. T., Funnell, M. M., Hess, G. E., Barr, P. A., Anderson, R. M., Hiss, R. G., & Davis, W. K. (1998) · Diabetes Care · doi:10.2337/diacare.21.5.706 · Cited by 604 · see citing works
Culturally Competent Diabetes Self-Management Education for Mexican Americans
Brown, S. A., García, A. A., Kouzekanani, K., & Hanis, C. L. (2002) · Diabetes Care · doi:10.2337/diacare.25.2.259 · Cited by 437 · see citing works
Structured patient education: the Diabetes X‐PERT Programme makes a difference
Deakin, T., Cade, J. E., Williams, R., & Greenwood, D. C. (2006) · Diabetic Medicine · doi:10.1111/j.1464-5491.2006.01906.x · Cited by 374 · see citing works
Individual patient education for people with type 2 diabetes mellitus
Duke, S.-A. S., Colagiuri, S., & Colagiuri, R. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005268.pub2 · Cited by 361 · cited 1× · see citing works
“More recent reviews have evaluated the effects of different types of self-management training in type 2 diabetes [16-27] Although there is evidence that self-management training is effective, most reviews called for further research by way of well-designed and long-term studies.”
BackgroundStudies of educational interventions and outcomes in diabetic adults: A meta-analysis revisited
Brown, S. A. (1990) · Patient Education and Counseling · doi:10.1016/0738-3991(90)90070-2 · Cited by 361 · see citing works
Does patient education in chronic disease have therapeutic value?
Mazzuca, S. A. (1982) · Journal of Chronic Diseases · doi:10.1016/0021-9681(82)90071-6 · Cited by 349 · see citing works
Trento, M., Passera, P., Borgo, E., Tomalino, M., Bajardi, M., Cavallo, F., & Porta, M. (2004) · Diabetes Care · doi:10.2337/diacare.27.3.670 · Cited by 328 · see citing works
Padgett, D. K., Mumford, E., Hynes, M. M., & Carter, R. (1988) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(88)90040-6 · Cited by 322 · see citing works
Steed, L., Cooke, D., & Newman, S. (2003) · Patient Education and Counseling · doi:10.1016/s0738-3991(02)00213-6 · Cited by 315 · see citing works
Group Visits Improve Metabolic Control in Type 2 Diabetes
Trento, M., Passera, P., Tomalino, M., Bajardi, M., Pomero, F., Allione, A., Vaccari, P., Molinatti, G. M., & Porta, M. (2001) · Diabetes Care · doi:10.2337/diacare.24.6.995 · Cited by 299 · see citing works
Mullen, P. D., Green, L. W., & Persinger, G. S. (1985) · Preventive Medicine · doi:10.1016/0091-7435(85)90070-2 · Cited by 292 · see citing works
Provider–patient interaction in diabetes care: effects on patient self-care and outcomes
van Dam, H. A., van der Horst, F. G., van den Borne, B. H. P., Ryckman, R., & Crebolder, H. F. J. M. (2002) · Patient Education and Counseling · doi:10.1016/s0738-3991(02)00122-2 · Cited by 264 · see citing works
Toobert, D. J., Glasgow, R. E., Strycker, L. A., Barrera, M., Ritzwoller, D. P., & Weidner, G. (2007) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-4-1 · Cited by 255 · see citing works
Biologic and Quality-of-Life Outcomes From the Mediterranean Lifestyle Program
Toobert, D. J., Glasgow, R. E., Strycker, L. A., Barrera, M., Radcliffe, J. L., Wander, R. C., & Bagdade, J. D. (2003) · Diabetes Care · doi:10.2337/diacare.26.8.2288 · Cited by 238 · see citing works
Minet, L., Møller, S., Vach, W., Wagner, L., & Henriksen, J. E. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2009.09.033 · Cited by 229 · see citing works
McKibbin, C., Patterson, T., Norman, G., Patrick, K., Jin, H., Roesch, S. C., Mudaliar, S., Barrio, C., O'Hanlon, K. M., Griver, K., et al. (2006) · Schizophrenia Research · doi:10.1016/j.schres.2006.05.010 · Cited by 216 · see citing works
Trento, M., Passera, P., Bajardi, M., Tomalino, M., Grassi, G., Borgo, E., Donnola, C., Cavallo, F., Bondonio, P., & Porta, M. (2002) · Diabetologia · doi:10.1007/s00125-002-0904-8 · Cited by 209 · see citing works
Patients' perspectives on diabetes health care education
Cooper, H. (2003) · Health Education Research · doi:10.1093/her/18.2.191 · Cited by 208 · see citing works
Mayer-Davis, E. J., D'Antonio, A. M., Smith, S. M., Kirkner, G., Levin Martin, S., Parra-Medina, D., & Schultz, R. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.10.1736 · Cited by 202 · cited 10× · see citing works
“One study [47] reported the findings as mean changes from baseline with standard deviations and another [44] also reported the findings as mean changes from baseline but did not give standard deviations.”
BackgroundMethodInfluentialThe clinical effectiveness of diabetes education models for Type 2 diabetes: a systematic review
Loveman, E., Frampton, G. K., & Clegg, A. J. (2008) · Health Technology Assessment · doi:10.3310/hta12090 · Cited by 194 · see citing works
National Standards for Diabetes Self-Management Education
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., Maryniuk, M. D., Peyrot, M. F., Piette, J. D., Reader, D., et al. (2009) · Diabetes Care · doi:10.2337/dc10-s089 · Cited by 190 · see citing works
Effects of Educational Interventions In Diabetes Care
Brown, S. A. (1988) · Nursing Research · doi:10.1097/00006199-198807000-00010 · Cited by 190 · see citing works
Brown, S. A. (1992) · Research in Nursing & Health · doi:10.1002/nur.4770150603 · Cited by 178 · see citing works
Promotora Diabetes Intervention for Mexican Americans
Lujan, J., Ostwald, S. K., & Ortiz, M. (2007) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721707304080 · Cited by 174 · see citing works
Costs and Benefits Associated With Diabetes Education A Review of the Literature
Boren, S. A., Fitzner, K. A., Panhalkar, P. S., & Specker, J. E. (2009) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721708326774 · Cited by 171 · see citing works
Diabetes self-management among low-income spanish-speaking patients: A pilot study
Rosal, M. C., Olendzki, B., Reed, G. W., Gumieniak, O., Scavron, J., & Ockene, I. (2005) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2903_9 · Cited by 161 · see citing works
Wattana, C., Srisuphan, W., Pothiban, L., & Upchurch, S. L. (2007) · Nursing and Health Sciences · doi:10.1111/j.1442-2018.2007.00315.x · Cited by 136 · see citing works
Patient education in type 2 diabetes—A randomized controlled 1-year follow-up study
Adolfsson, E. T., Walker‐Engström, M., Smide, B., & Wikblad, K. F. (2006) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2006.09.018 · Cited by 117 · see citing works
Experience-based group education in Type 2 diabetes
Sarkadi, A., & Rosenqvist, U. (2004) · Patient Education and Counseling · doi:10.1016/j.pec.2003.10.009 · Cited by 109 · see citing works
Group Education for Obese Patients with Type 2 Diabetes: Greater Success at Less Cost
Heller, S. R., Clarke, P., Daly, H., Davis, I., McCulloch, D. K., Allison, S. P., & Tattersall, R. B. (1988) · Diabetic Medicine · doi:10.1111/j.1464-5491.1988.tb01050.x · Cited by 98 · see citing works
Alam, R., Sturt, J. A., Lall, R., & Winkley, K. (2008) · Patient Education and Counseling · doi:10.1016/j.pec.2008.08.026 · Cited by 96 · see citing works
Group Visits: Promoting Adherence to Diabetes Guidelines
Clancy, D. E., Huang, P., Okonofua, E. C., Yeager, D. E., & Magruder, K. M. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-007-0150-3 · Cited by 90 · see citing works
Behavioral Treatment of Obesity: Its application to type II diabetes
Wing, R. R. (1993) · Diabetes Care · doi:10.2337/diacare.16.1.193 · Cited by 74 · see citing works
Baradaran, H. R., Knill-Jones, R. P., Wallia, S., & Rodgers, A. (2006) · BMC Public Health · doi:10.1186/1471-2458-6-134 · Cited by 72 · see citing works
Albano, M. G., Crozet, C., & d’Ivernois, J.-F. (2008) · Acta Diabetologica · doi:10.1007/s00592-008-0044-9 · Cited by 61 · see citing works
Metabolic improvement after intervention focusing on personal understanding in type 2 diabetes
Hörnsten, Å., Lundman, B. M., Stenlund, H. C., & Sandström, H. (2004) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2004.08.003 · Cited by 55 · see citing works
Holtrop, J. S., Hickner, J. M., Dosh, S. A., Noel, M., & Ettenhofer, T. L. (2002) · American Journal of Health Education · doi:10.1080/19325037.2002.10604732 · Cited by 31 · see citing works
[The education of type-2 diabetics: why not in groups?].
Lozano, M. L., Armalé, M. J., Domingo, I. T., & Nebra, C. S. (1999) · PubMed · Cited by 25 · see citing works
Complications of diabetes: renal disease and promotion of self-management
Melville, A., Richardson, R., Lister-Sharp, D., & McIntosh, A. (2000) · BMJ Quality & Safety · doi:10.1136/qhc.9.4.257 · Cited by 23 · see citing works
Cabrera-Pivaral, C. E., Pérez, G. J. G., López, M. G. V., & Arias‐Merino, E. D. (2004) · Cadernos de Saúde Pública · doi:10.1590/s0102-311x2004000100045 · Cited by 20 · see citing works
A controlled study of weight reduction in type 2 diabetics treated by two reinforcers
Zapotoczky, H. G., Semlitsch, B., Herzog, G., Bahadori, B., Siebenhofer, A., Pieber, T. R., & Zapotoczky, H. G. (2001) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm0801_03 · Cited by 15 · see citing works
Stuctured group-based education for type 2 diabetes in primary care
Zabaleta, A. M., & Forbes, A. (2007) · British Journal of Community Nursing · doi:10.12968/bjcn.2007.12.4.23251 · Cited by 10 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- International Diabetes Federation Diabetes Atlas. Third Edition 2006 International Diabetes Federation, Brussels
- Green S Higgins JPT Cochrane Handbook for Systematic Reviews of Interventions 2008 Wiley-Blackwell, Chichester
Cited by
Sorted by citations
Cosentino, F., Grant, P. J., Aboyans, V., Bailey, C. J., Ceriello, A., Delgado, V., Federici, M., Filippatos, G., Grobbee, D. E., Hansen, T. B., et al. (2020) · European Heart Journal · doi:10.1093/eurheartj/ehz486 · Cited by 4,763 · see citing works
2023 ESC guidelines for the management of cardiovascular disease in patients with diabetes.
Marx, N., Federici, M., Schütt, K., Müller-Wieland, D., Ajjan, R. A., Antunes, M. J., Christodorescu, R. M., Crawford, C., Di Angelantonio, E., Eliasson, B., et al. (2023) · European Heart Journal · doi:10.1093/eurheartj/ehad192 · Cited by 1,642 · see citing works
KDIGO 2020 Clinical practice guideline for diabetes management in chronic kidney disease
de Boer, I. H., Caramori, M. L., Chan, J. C. N., Heerspink, H. J. L., Hurst, C., Khunti, K., Liew, A., Michos, E. D., Navaneethan, S. D., Olowu, W. A., et al. (2020) · Kidney International · doi:10.1016/j.kint.2020.06.019 · Cited by 1,399 · see citing works
KDIGO 2022 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease
Rossing, P., Caramori, M. L., Chan, J. C. N., Heerspink, H. J. L., Hurst, C., Khunti, K., Liew, A., Michos, E. D., Navaneethan, S. D., Olowu, W. A., et al. (2022) · Kidney International · doi:10.1016/j.kint.2022.06.008 · Cited by 1,373 · see citing works
Chrvala, C. A., Sherr, D., & Lipman, R. D. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2015.11.003 · Cited by 914 · see citing works
5. Lifestyle Management:<i>Standards of Medical Care in Diabetes—2019</i>
American Diabetes Association (2019) · Diabetes Care · doi:10.2337/dc19-s005 · Cited by 700 · see citing works
Personalised care planning for adults with chronic or long-term health conditions
Coulter, A., Entwistle, V. A., Eccles, A., Ryan, S., Shepperd, S., & Perera, R. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010523.pub2 · Cited by 592 · see citing works
4. Lifestyle Management: <i>Standards of Medical Care in Diabetes—2018</i>
American Diabetes Association (2018) · Diabetes Care · doi:10.2337/dc18-s004 · Cited by 563 · see citing works
Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., et al. (2020) · Diabetes Care · doi:10.2337/dci20-0023 · Cited by 500 · see citing works
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Hess Fischl, A., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2015) · Diabetes Care · doi:10.2337/dc15-0730 · Cited by 492 · see citing works
American Diabetes Association Professional Practice Committee (2022) · Diabetes Care · doi:10.2337/dc22-s005 · Cited by 445 · see citing works
Taylor, S. J., Pinnock, H., Epiphaniou, E., Pearce, G., Parke, H. L., Schwappach, A., Purushotham, N., Jacob, S., Griffiths, C. J., Greenhalgh, T., et al. (2014) · Health Services and Delivery Research · doi:10.3310/hsdr02530 · Cited by 431 · see citing works
Hou, C., Carter, B., Hewitt, J., Francisa, T., & Mayor, S. (2016) · Diabetes Care · doi:10.2337/dc16-0346 · Cited by 411 · see citing works
Diabetes Self-management Education and Support in Type 2 Diabetes
Powers, M. A., Bardsley, J. K., Cypress, M., Duker, P. N., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L. M., & Vivian, E. (2015) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721715588904 · Cited by 407 · see citing works
Diabetes structured self-management education programmes: a narrative review and current innovations
Chatterjee, S., Davies, M. J., Heller, S., Speight, J., Snoek, F. J., & Khunti, K. (2018) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(17)30239-5 · Cited by 372 · see citing works
Powers, M. A., Bardsley, J. K., Cypress, M., Duker, P. N., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L. M., & Vivian, E. (2015) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2015.05.012 · Cited by 367 · see citing works
ElSayed, N. A., Aleppo, G., Aroda, V. R., Bannuru, R. R., Brown, F. M., Bruemmer, D., Collins, B. S., Hilliard, M. E., Isaacs, D., Johnson, E. L., et al. (2023) · Diabetes Care · doi:10.2337/dc23-s005 · Cited by 362 · see citing works
Diabetes Self-management Education and Support in Type 2 Diabetes
Powers, M. A., Bardsley, J. K., Cypress, M., Duker, P. N., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L. M., & Vivian, E. (2017) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721716689694 · Cited by 351 · see citing works
(2019) · Diabetes Care · doi:10.2337/dc20-s005 · Cited by 346 · see citing works
Telehealth Interventions Delivering Home-based Support Group Videoconferencing: Systematic Review
Banbury, A., Nancarrow, S., Dart, J., Gray, L., & Parkinson, L. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.8090 · Cited by 336 · see citing works
ElSayed, N. A., Aleppo, G., Bannuru, R. R., Beverly, E. A., Bruemmer, D., Collins, B. S., Darville, A. K., Ekhlaspour, L., Hassanein, M. M., Hilliard, M. E., et al. (2023) · Diabetes Care · doi:10.2337/dc24-s005 · Cited by 325 · see citing works
American Diabetes Association (2021) · Diabetes Care · doi:10.2337/dc21-s005 · Cited by 299 · see citing works
Davies, M. J., Gagliardino, J. J., Gray, L. J., Khunti, K., Mohan, V., & Hughes, R. (2013) · Diabetic Medicine · doi:10.1111/dme.12128 · Cited by 292 · see citing works
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2016) · Clinical Diabetes · doi:10.2337/diaclin.34.2.70 · Cited by 285 · see citing works
American Diabetes Association (2017) · Diabetes Care · doi:10.2337/dc17-s007 · Cited by 281 · see citing works
An Effective Model of Diabetes Care and Education: The ADCES7 Self-Care Behaviors™
Kolb, L. E. (2021) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721720978154 · Cited by 266 · see citing works
American Diabetes Association (2014) · Diabetes Care · doi:10.2337/dc15-s007 · Cited by 262 · see citing works
He, X., Li, J., Wang, B., Yao, Q., Li, L., Song, R., Shi, X., & Zhang, J.-A. (2017) · Endocrine · doi:10.1007/s12020-016-1168-2 · Cited by 250 · see citing works
Clinical inertia to insulin initiation and intensification in the UK: A focused literature review
Khunti, K., & Millar-Jones, D. (2016) · Primary care diabetes · doi:10.1016/j.pcd.2016.09.003 · Cited by 231 · see citing works
Odgers‐Jewell, K., Ball, L. E., Kelly, J. T., Isenring, E. A., Reidlinger, D. P., & Thomas, R. (2017) · Diabetic Medicine · doi:10.1111/dme.13340 · Cited by 224 · see citing works
Coffey, L., Mahon, C. P., & Gallagher, P. (2018) · International Wound Journal · doi:10.1111/iwj.13010 · Cited by 202 · see citing works
American Association of Diabetes Educators (2020) · The Diabetes Educator · doi:10.1177/0145721719894903 · Cited by 184 · see citing works
Wichit, N., Mnatzaganian, G., Courtney, M. D., Schulz, P., & Johnson, M. (2016) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2016.11.013 · Cited by 175 · see citing works
Navaneethan, S. D., Zoungas, S., Caramori, M. L., Chan, J. C. N., Heerspink, H. J. L., Hurst, C., Liew, A., Michos, E. D., Olowu, W. A., Sadusky, T., et al. (2020) · Annals of Internal Medicine · doi:10.7326/m20-5938 · Cited by 165 · see citing works
García-Molina, L., Lewis-Mikhael, A.-M., Gallego, B. R., Ibáñez, N. C., Oliveras‐López, M., & Bueno‐Cavanillas, A. (2019) · European Journal of Nutrition · doi:10.1007/s00394-019-02147-6 · Cited by 163 · see citing works
3. Foundations of Care and Comprehensive Medical Evaluation
American Diabetes Association (2016) · Diabetes Care · doi:10.2337/dc16-s006 · Cited by 159 · see citing works
Ricci‐Cabello, I., Ruíz-Pérez, I., Rojas‐García, A., Pastor‐Moreno, G., Rodríguez‐Barranco, M., & Gonçalves, D. C. (2014) · BMC Endocrine Disorders · doi:10.1186/1472-6823-14-60 · Cited by 159 · see citing works
Borek, A., Abraham, C., Greaves, C. J., & Tarrant, M. (2018) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.12121 · Cited by 153 · see citing works
Stenberg, U., Haaland‐Øverby, M., Fredriksen, K., Westermann, K. F., & Kvisvik, T. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.07.027 · Cited by 145 · see citing works
Cunningham, A. T., Crittendon, D. R., White, N., Mills, G. D., Diaz, V., & LaNoue, M. D. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3186-7 · Cited by 142 · see citing works
The role of patient education in the prevention and management of type 2 diabetes: an overview
Coppola, A., Sasso, L., Bagnasco, A., Giustina, A., & Gazzaruso, C. (2015) · Endocrine · doi:10.1007/s12020-015-0775-7 · Cited by 140 · see citing works
A checklist to improve reporting of group-based behaviour-change interventions
Borek, A., Abraham, C., Smith, J. R., Greaves, C. J., & Tarrant, M. (2015) · BMC Public Health · doi:10.1186/s12889-015-2300-6 · Cited by 139 · see citing works
Koetsenruijter, J., van Eikelenboom, N., van Lieshout, J., Vassilev, I., Lionis, C., Todorova, E., Portillo, M. C., Foss, C., Serrano Gil, M., Roukova, P., et al. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2015.10.029 · Cited by 135 · see citing works
Captieux, M., Pearce, G., Parke, H. L., Epiphaniou, E., Wild, S., Taylor, S. J. C., & Pinnock, H. (2018) · BMJ Open · doi:10.1136/bmjopen-2018-024262 · Cited by 132 · see citing works
Heitkemper, E. M., Mamykina, L., Travers, J., & Smaldone, A. (2017) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocx025 · Cited by 130 · see citing works
Mash, R. J., Rhode, H., Zwarenstein, M., Rollnick, S., Lombard, C. J., Steyn, K., & Levitt, N. S. (2014) · Diabetic Medicine · doi:10.1111/dme.12475 · Cited by 128 · see citing works
Wan, E., Fung, C., Jiao, F., Yu, E., Chin, W. Y., Fong, D., Wong, C., Chan, A. K. L., Chan, K. H., Kwok, R., et al. (2017) · Diabetes Care · doi:10.2337/dc17-0426 · Cited by 101 · see citing works
Borek, A. J., & Abraham, C. (2018) · Applied Psychology: Health and Well-Being · doi:10.1111/aphw.12120 · Cited by 127 · see citing works
Zhao, F., Suhonen, R., Koskinen, S., & Leino‐Kilpi, H. (2017) · Journal of Advanced Nursing · doi:10.1111/jan.13163 · Cited by 125 · see citing works
Ibrahim, M., Davies, M. J., Ahmad, E., Annabi, F. A., Eckel, R. H., Ba-Essa, E. M., El Sayed, N. A., Hess Fischl, A., Houeiss, P., Iraqi, H., et al. (2020) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2020-001248 · Cited by 124 · see citing works
Self-efficacy-focused education in persons with diabetes: a systematic review and meta-analysis
Jiang, X., Wang, J., Lu, Y., Jiang, H., & Li, M. (2019) · Psychology Research and Behavior Management · doi:10.2147/prbm.s192571 · Cited by 120 · see citing works
Hermanns, N., Ehrmann, D., Finke‐Groene, K., & Kulzer, B. (2020) · Diabetic Medicine · doi:10.1111/dme.14256 · Cited by 117 · see citing works
Do sulphonylureas still have a place in clinical practice?
Khunti, K., Chatterjee, S., Gerstein, H. C., Zoungas, S., & Davies, M. J. (2018) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(18)30025-1 · Cited by 116 · see citing works
Fan, Z., Liu, S., Liu, Y., & Deng, L. (2019) · Journal of Diabetes Research · doi:10.1155/2019/1073131 · Cited by 116 · see citing works
Tam, R., Beck, K. L., Manore, M. M., Gifford, J. A., Flood, V. M., & O'Connor, H. T. (2019) · Sports Medicine · doi:10.1007/s40279-019-01157-y · Cited by 114 · see citing works
van Vugt, M., de Wit, M., Cleijne, W., & Snoek, F. J. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2800 · Cited by 112 · see citing works
Time to do more: Addressing clinical inertia in the management of type 2 diabetes mellitus
Strain, W. D., Cos, X., Hirst, M., Vencio, S. A. C., Mohan, V., Vokó, Z., Yabe, D., Blüher, M., & Paldánius, P. M. (2014) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2014.05.005 · Cited by 112 · see citing works
Mikhael, E. M., Hassali, M. A., & Hussain, S. A. (2020) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s232958 · Cited by 111 · see citing works
Mash, R. J., Levitt, N. S., Steyn, K., Zwarenstein, M., & Rollnick, S. (2012) · BMC Family Practice · doi:10.1186/1471-2296-13-126 · Cited by 108 · see citing works
Empowerment of patients with type 2 diabetes: current perspectives
Gómez‐Velasco, D., Almeda‐Valdés, P., Martagón, A. J., Galán-Ramírez, G. A., & Aguilar-Salinas, C. A. (2019) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s174910 · Cited by 105 · see citing works
Rise, M. B., Pellerud, A., Rygg, L. Ø., & Steinsbekk, A. (2013) · PLoS ONE · doi:10.1371/journal.pone.0064009 · Cited by 104 · see citing works
Self-citationHealth economic evaluations of patient education interventions a scoping review of the literature
Stenberg, U., Vågan, A., Flink, M., Lynggaard, V., Fredriksen, K., Westermann, K. F., & Gallefoss, F. (2018) · Patient Education and Counseling · doi:10.1016/j.pec.2018.01.006 · Cited by 102 · see citing works
Trief, P. M., Fisher, L., Sandberg, J. G., Cibula, D. A., Dimmock, J. A., Hessler, D., Forken, P. J., & Weinstock, R. S. (2016) · Diabetes Care · doi:10.2337/dc16-0035 · Cited by 94 · see citing works
Møller, G., Andersen, H. K., & Snorgaard, O. (2017) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.116.139626 · Cited by 93 · see citing works
Handelsman, Y., Anderson, J. E., Bakris, G. L., Ballantyne, C. M., Bhatt, D. L., Bloomgarden, Z. T., Bozkurt, B., Budoff, M. J., Butler, J., Cherney, D. Z. I., et al. (2024) · Metabolism · doi:10.1016/j.metabol.2024.155931 · Cited by 93 · see citing works
Adam, L. M., O’Connor, C. P., & Garcia, A. C. (2017) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2017.11.003 · Cited by 92 · see citing works
Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Fischl, A. H., Hooks, B., Isaacs, D. M., Mandel, E. D., Maryniuk, M. D., et al. (2020) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721720930959 · Cited by 92 · see citing works
Stepanian, N., Larsen, M. H., Mendelsohn, J., Mariussen, K. L., & Heggdal, K. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09895-6 · Cited by 90 · see citing works
Maria, J. L., Anand, T. N., Boban, D., Jose, P., Prabhakaran, D., & Jeemon, P. (2020) · The Lancet Global Health · doi:10.1016/s2214-109x(20)30449-6 · Cited by 87 · see citing works
Repping-Wuts, H. J. W. J., Stikkelbroeck, N. M. M. L., Noordzij, A., Kerstens, M., & Hermus, A. R. M. M. (2013) · European Journal of Endocrinology · doi:10.1530/eje-12-1094 · Cited by 80 · see citing works
Saad, A. M. J., Younes, Z. M. H., Ahmed, H., Brown, J. A., Al Owesie, R. M., & Hassoun, A. A. K. (2018) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2017.12.014 · Cited by 78 · see citing works
SELF‐MANAGEMENT PROGRAMMES IN STAGES 1–4 CHRONIC KIDNEY DISEASE: A LITERATURE REVIEW
Bonner, A., Havas, K., Douglas, C., Thepha, T., Bennett, P. N., & Clark, R. A. (2014) · Journal of Renal Care · doi:10.1111/jorc.12058 · Cited by 76 · see citing works
Level of diabetes knowledge among adult patients with diabetes using diabetes knowledge test
Zowgar, A. M., Siddiqui, M. I., & Alattas, K. M. (2018) · Saudi Medical Journal · doi:10.15537/smj.2017.2.21343 · Cited by 75 · see citing works
Johnson, J. R., Emmons, H. C., Rivard, R. L., Griffin, K. H., & Dusek, J. A. (2015) · EXPLORE · doi:10.1016/j.explore.2015.08.002 · Cited by 74 · see citing works
Shah, H., & Abu‐Amara, M. (2013) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2013.04.024 · Cited by 71 · see citing works
Positive Psychological Characteristics in Diabetes: A Review
Celano, C. M., Beale, E. E., Moore, S. V., Wexler, D. J., & Huffman, J. C. (2013) · Current Diabetes Reports · doi:10.1007/s11892-013-0430-8 · Cited by 69 · see citing works
Kamradt, M., Bozorgmehr, K., Krisam, J., Freund, T., Kiel, M., Qreini, M., Flum, E., Berger, S. J., Besier, W., Szécsényi, J., et al. (2014) · Health and Quality of Life Outcomes · doi:10.1186/s12955-014-0185-1 · Cited by 69 · see citing works
Essien, O., Otu, A. A., Umoh, V. A., Enang, O., Hicks, J. P., & Walley, J. D. (2017) · PLoS ONE · doi:10.1371/journal.pone.0168835 · Cited by 69 · see citing works
Barriers to effective diabetes management–a survey of people with severe mental illness
Mulligan, K., McBain, H., Lamontagne-Godwin, F., Chapman, J., Flood, C., Haddad, M., Jones, J., & Simpson, A. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1744-5 · Cited by 68 · see citing works
Self management interventions for type 2 diabetes in adult people with severe mental illness
McBain, H. B., Mulligan, K., Haddad, M., Flood, C., Jones, J., & Simpson, A. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011361.pub2 · Cited by 67 · see citing works
Wong, C. K. H., Wong, W. C. W., Wan, E. Y. F., Chan, A. K. C., Chung, K. L., Chan, F. W. K., & Lam, C. L. K. (2014) · Diabetes Obesity and Metabolism · doi:10.1111/dom.12397 · Cited by 66 · see citing works
Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Fischl, A. H., Hooks, B., Isaacs, D. M., Mandel, E. D., Maryniuk, M. D., et al. (2020) · Journal of the American Pharmacists Association · doi:10.1016/j.japh.2020.04.018 · Cited by 66 · see citing works
Goh, G., Tan, N. C., Malhotra, R., Padmanabhan, U., Barbier, S., Allen Jr, J. C., & Østbye, T. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3938 · Cited by 64 · see citing works
A Clinical Practice Guideline to Guide a System Approach to Diabetes Care in Hong Kong
Lau, I. T. (2017) · Diabetes & Metabolism Journal · doi:10.4093/dmj.2017.41.2.81 · Cited by 64 · see citing works
Li-Geng, T., Kilham, J. P., & McLeod, K. M. (2020) · Health Equity · doi:10.1089/heq.2019.0087 · Cited by 63 · see citing works
Boakye, E. A., Varble, A., Rojek, R. P., Peavler, O., Trainer, A. K., Osazuwa‐Peters, N., & Hinyard, L. (2018) · Public Health Reports · doi:10.1177/0033354918794935 · Cited by 63 · see citing works
Wadi, N. M., Asantewa-Ampaduh, S., Rivas, C. A., & Goff, L. M. (2021) · Public Health Nutrition · doi:10.1017/s1368980021003682 · Cited by 61 · see citing works
Booth, A., Cantrell, A. J., Preston, L., Chambers, D., & Goyder, E. (2015) · Health Services and Delivery Research · doi:10.3310/hsdr03460 · Cited by 61 · see citing works
Jutterström, L., Hörnsten, Å., Sandström, H., Stenlund, H. C., & Isaksson, U. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.06.016 · Cited by 61 · see citing works
Golden, S. H., Maruthur, N. M., Mathioudakis, N. N., Spanakis, E. K., Rubin, D. J., Zilbermint, M. F., & Hill‐Briggs, F. (2017) · Current Diabetes Reports · doi:10.1007/s11892-017-0875-2 · Cited by 61 · see citing works
KDOQI US Commentary on the KDIGO 2020 Clinical Practice Guideline for Diabetes Management in CKD
Mottl, A. K., Alicic, R. Z., Argyropoulos, C., Brosius, F. C., Mauer, M. S., Molitch, M. E., Nelson, R. G., Perreault, L., & Nicholas, S. B. (2022) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2021.09.010 · Cited by 60 · see citing works
Ferguson, S., Swan, M., & Smaldone, A. M. (2015) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721715584404 · Cited by 59 · see citing works
Tanaka, R., Shibayama, T., Sugimoto, K., & Hidaka, K. (2020) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2020.108480 · Cited by 58 · see citing works
Lynch, E. B., Mack, L., Avery, E., Wang, Y., Dawar, R., Richardson, D., Keim, K. S., Ventrelle, J., Appelhans, B. M., Tahsin, B., et al. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-04894-y · Cited by 58 · see citing works
Diabetes mellitus type 2 in adults
Dedov, I. I., Shestakova, M. V., Mayorov, A. Y., Шамхалова, М. Ш., Sukhareva, O. Y., Galstyan, G. R., Tokmakova, A. Y., Nikonova, T. V., Surkova, E. V., Кононенко, И. В., et al. (2020) · Diabetes Mellitus · doi:10.14341/dm12507 · Cited by 58 · see citing works
the members of the Guidelines International Network Implementation Working Group, Vernooij, R. W. M., Willson, M. L., & Gagliardi, A. R. (2015) · Implementation Science · doi:10.1186/s13012-016-0419-1 · Cited by 56 · see citing works
Sugiyama, T., Steers, W. N., Wenger, N. S., Duru, O. K., & Mangione, C. M. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-0779-2 · Cited by 55 · see citing works
Werfalli, M., Kalula, S., Manning, K., & Levitt, N. S. (2020) · PLoS ONE · doi:10.1371/journal.pone.0230173 · Cited by 55 · see citing works
Improving Quality Outcomes: The Value of Diabetes Care and Education Specialists
Rodriguez, K., Ryan, D., Dickinson, J. K., & Phan, V. (2022) · Clinical Diabetes · doi:10.2337/cd21-0089 · Cited by 54 · see citing works
A Critical Evaluation of Existing Diabetic Foot Screening Guidelines
Formosa, C., Gatt, A., & Chockalingam, N. (2016) · The Review of Diabetic Studies · doi:10.1900/rds.2016.13.158 · Cited by 54 · see citing works
- Authors
- Steinsbekk, A., Rygg, L., Lisulo, M., Rise, M. B., & Fretheim, A.
- Affiliations
- Norwegian University of Science and Technology (NO)
- University of Oslo (NO)
- Corresponding author
- Steinsbekk, Aslak
- Venue
- BMC Health Services Research
- Published
- 2012-07-23
- Volume
- 12
- Issue
- 1
- Pages
- 213-213
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC3418213
- OpenAlex
- W2025306913
- Cited by
- 660
- References
- 52
- Citations by year
- 2026: 23 · 2025: 28 · 2024: 28 · 2023: 46 · 2022: 48 · 2021: 52 · 2020: 71 · 2019: 67 · 2018: 59 · 2017: 63 · 2016: 56 · 2015: 53 · 2014: 43 · 2013: 21 · 2012: 1
- FWCI
- 5.24
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- BIBSYS Brage (BIBSYS (Norway)) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- Deakin University
- 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 Treatment and Management
- Keywords
- type 2 diabetes, HbA1c, glycemic control, fasting blood glucose, diabetes knowledge, self-management skills, psychosocial outcomes, patient education, cost-effectiveness, patient satisfaction, quality of life
- MeSH terms
- Adult, Diabetes Mellitus, Type 2, Diagnostic Tests, Routine, Female, Group Processes, Humans, Health Knowledge, Attitudes, Practice, Male, Patient Education as Topic, Power, Psychological, Quality of Life, Self Care, Randomized Controlled Trials as Topic, Outcome Assessment, Health Care
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