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Cited by 110Diabetes Management and EducationChronic Disease Management StrategiesMedication Adherence and Compliance

The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.

Effectiveness of therapeutic patient education interventions for chronic diseases: A systematic review and meta-analyses of randomized controlled trials

Open access
Correia, Jorge César, Waqas, Ahmed, Assal, Jean-Philippe, Davies, Melanie J., Somers, Florence, Golay, Alain, Pataky, Zoltan·2023·Frontiers in Medicine
DOI 10.3389/fmed.2022.996528PMC PMC9905441
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Abstract

Background: Chronic disorders are highly prevalent and are a major contributor to death and disability worldwide. Evidence has shown that therapeutic patient education (TPE) interventions are effective in improving a range of biomedical and psychological outcomes for a variety of chronic disorders. This has been demonstrated in scores of randomized controlled and evidence-synthesis studies. However, no quantitative evidence has been published so far on the content and effective teaching strategies in TPE programs. The present systematic review and meta-analysis aim to bridge this gap by answering the who, what, and how of TPE programs. Methods: Using a pretested search strategy, we searched the Web of Science, MEDLINE, CINAHL, PsycINFO, and the COCHRANE databases, from inception to August 2019. The search strategy was based on four comprehensive search concepts (patient education, chronic diseases, study design, and outcomes). After a careful screening for eligible studies, two reviewers extracted qualitative and quantitative data from the randomized controlled trials on the TPE interventions. We also developed a taxonomy of curriculum skills and intervention delivery techniques to aid the extraction of data in these domains. Results: We found that these interventions were effective in improving biological outcomes (SMD = 0.48; 95% CI: 0.38–0.57), adherence to the treatment regimen (SMD = 0.73; 95% CI: 0.46–1.002), knowledge (SMD = 1.22; 95% CI: 0.79–1.65), self-efficacy (SMD = 0.43; 95% CI: 0.30–0.56), and psychological health (SMD = −0.41; 95% CI: −0.53 to −0.29). This effectiveness was consistent across different delivery formats (individual, group, and electronic) and delivery agents (non-specialists vs. specialists). Conclusion: The flexibility in the choice of mode of delivery and curriculum development gives stakeholders an opportunity to scale up TPE interventions in healthcare settings. Systematic review registration: Identifier: CRD42019141294.

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Crossref · 10.3389/fmed.2022.996528

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Figures

Figure 1 PRISMA flowchart demonstrating the process of the screening process of studies.
Figure 1 PRISMA flowchart demonstrating the process of the screening process of studies.CC BY · PubMed Central
Figure 2 Risk of bias among included trials of therapeutic patient education interventions.
Figure 2 Risk of bias among included trials of therapeutic patient education interventions.CC BY · PubMed Central
Figure 3 Proportion of studies employing specific techniques for delivery of therapeutic patient education interventions.
Figure 3 Proportion of studies employing specific techniques for delivery of therapeutic patient education interventions.CC BY · PubMed Central
Figure 4 Strategies and skills taught as part of therapeutic patient education interventions.
Figure 4 Strategies and skills taught as part of therapeutic patient education interventions.CC BY · PubMed Central
Figure 5 Summary of a forest plot demonstrating the effectiveness of therapeutic patient education interventions among different biological outcomes.
Figure 5 Summary of a forest plot demonstrating the effectiveness of therapeutic patient education interventions among different biological outcomes.CC BY · PubMed Central
Figure 6 Summary of a forest plot demonstrating the effectiveness of therapeutic patient education interventions among different psychosocial and psychological outcomes.
Figure 6 Summary of a forest plot demonstrating the effectiveness of therapeutic patient education interventions among different psychosocial and psychological outcomes.CC BY · PubMed Central

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Research works printed but not linked: 2

  1. 2013, IDF Diabetes Atlas
  2. Therapeutic Patient Education Effectiveness: A Systematic Review Meta-Analysis CorreiaJC SomersF GolayA PatakyZ 361451812019

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Metadata

Authors
Correia, J. C., Waqas, A., Assal, J.-P., Davies, M. J., Somers, F., Golay, A., & Pataky, Z.
Affiliations
  • University of Geneva (CH)
  • University of Liverpool (GB)
  • National Institute for Health and Care Research (GB)
Corresponding author
Correia, Jorge César
ORCID
Venue
Frontiers in Medicine
Publisher
Frontiers Media SA
Published
2023-01-25
Volume
9
Pages
996528-996528
ISSN
2296-858X (ISSN-L)
DOI
10.3389/fmed.2022.996528
PMC
PMC9905441
OpenAlex
W4317910562
Cited by
104
References
32
Citations by year
2026: 28 · 2025: 35 · 2024: 30 · 2023: 10
FWCI
3.72
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Archive ouverte UNIGE (University of Geneva) (acceptedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
  • Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Keywords
therapeutic education, chronic disease, medication adherence, patient knowledge, self-efficacy, mental health, intervention delivery format, curriculum development

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