Influence of the Model of Care on the Outcomes of Diabetes Self-Management Education Program: A Scoping Review
Background. Type 2 diabetes mellitus (T2DM) accounts for approximately 95% of all diabetes cases, making the disease a global public health concern. The increasing prevalence of T2DM has highlighted the importance of evidence-based guidelines for effective prevention, management, and treatment. Diab...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2021/2969243 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841524513132511232 |
|---|---|
| author | Emmanuel Kumah Emmanuel K. Afriyie Aaron A. Abuosi Samuel E. Ankomah Adam Fusheini Godfred Otchere |
| author_facet | Emmanuel Kumah Emmanuel K. Afriyie Aaron A. Abuosi Samuel E. Ankomah Adam Fusheini Godfred Otchere |
| author_sort | Emmanuel Kumah |
| collection | DOAJ |
| description | Background. Type 2 diabetes mellitus (T2DM) accounts for approximately 95% of all diabetes cases, making the disease a global public health concern. The increasing prevalence of T2DM has highlighted the importance of evidence-based guidelines for effective prevention, management, and treatment. Diabetes self-management education (DSME) can produce positive effects on patient behaviors and health status. Study objective. We synthesized findings from the existing studies to find out whether or not the impact of DSME on patient health behaviors and outcomes differ by the different models of diabetes care. That is, we determined whether there are differences in DSME outcomes when patient’s care provider is a general practitioner, a specialist, a nurse, or a combination of these health professionals. Methods. Searches were made of six electronic databases to identify relevant English language publications on DSME from 2000 through 2019. Titles and abstracts of the search results were screened to select eligible papers for full-text screening. All eligible papers were retrieved, and full-text screening was done by three independent reviewers to select studies for inclusion in the final analysis. Twenty-one studies were included in the final analysis. The main outcome measures assessed were glycated hemoglobin (HbA1c), body mass index (BMI), diet, and physical activity. Results. The majority of the patients with diabetes were seen by primary care physicians. In general, the studies reported significant improvements in patient health behaviors and outcomes. Some differences in outcomes between the different models of care were observed. Conclusion. Our findings suggest that the effects of DSME on patients’ health behaviors and outcomes could differ by the different models of diabetes care. However, considering the limited sample of publications reviewed, and because none of the reviewed studies directly measured the impact of the DSME program on patient behaviors and outcomes, significant conclusions could not be reached. |
| format | Article |
| id | doaj-art-18429ea5660f4d2093fe358c6136f3c8 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-18429ea5660f4d2093fe358c6136f3c82025-02-03T05:52:56ZengWileyJournal of Diabetes Research2314-67452314-67532021-01-01202110.1155/2021/29692432969243Influence of the Model of Care on the Outcomes of Diabetes Self-Management Education Program: A Scoping ReviewEmmanuel Kumah0Emmanuel K. Afriyie1Aaron A. Abuosi2Samuel E. Ankomah3Adam Fusheini4Godfred Otchere5Policy, Planning, Monitoring, & Evaluation Unit, Komfo Anokye Teaching Hospital, Kumasi, GhanaLaboratory Services Directorate, Komfo Anokye Teaching Hospital, Kumasi, GhanaDepartment of Public Administration and Health Services Management, University of Ghana Business School, GhanaDepartment of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New ZealandDepartment of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New ZealandPolicy, Planning, Monitoring, & Evaluation Unit, Komfo Anokye Teaching Hospital, Kumasi, GhanaBackground. Type 2 diabetes mellitus (T2DM) accounts for approximately 95% of all diabetes cases, making the disease a global public health concern. The increasing prevalence of T2DM has highlighted the importance of evidence-based guidelines for effective prevention, management, and treatment. Diabetes self-management education (DSME) can produce positive effects on patient behaviors and health status. Study objective. We synthesized findings from the existing studies to find out whether or not the impact of DSME on patient health behaviors and outcomes differ by the different models of diabetes care. That is, we determined whether there are differences in DSME outcomes when patient’s care provider is a general practitioner, a specialist, a nurse, or a combination of these health professionals. Methods. Searches were made of six electronic databases to identify relevant English language publications on DSME from 2000 through 2019. Titles and abstracts of the search results were screened to select eligible papers for full-text screening. All eligible papers were retrieved, and full-text screening was done by three independent reviewers to select studies for inclusion in the final analysis. Twenty-one studies were included in the final analysis. The main outcome measures assessed were glycated hemoglobin (HbA1c), body mass index (BMI), diet, and physical activity. Results. The majority of the patients with diabetes were seen by primary care physicians. In general, the studies reported significant improvements in patient health behaviors and outcomes. Some differences in outcomes between the different models of care were observed. Conclusion. Our findings suggest that the effects of DSME on patients’ health behaviors and outcomes could differ by the different models of diabetes care. However, considering the limited sample of publications reviewed, and because none of the reviewed studies directly measured the impact of the DSME program on patient behaviors and outcomes, significant conclusions could not be reached.http://dx.doi.org/10.1155/2021/2969243 |
| spellingShingle | Emmanuel Kumah Emmanuel K. Afriyie Aaron A. Abuosi Samuel E. Ankomah Adam Fusheini Godfred Otchere Influence of the Model of Care on the Outcomes of Diabetes Self-Management Education Program: A Scoping Review Journal of Diabetes Research |
| title | Influence of the Model of Care on the Outcomes of Diabetes Self-Management Education Program: A Scoping Review |
| title_full | Influence of the Model of Care on the Outcomes of Diabetes Self-Management Education Program: A Scoping Review |
| title_fullStr | Influence of the Model of Care on the Outcomes of Diabetes Self-Management Education Program: A Scoping Review |
| title_full_unstemmed | Influence of the Model of Care on the Outcomes of Diabetes Self-Management Education Program: A Scoping Review |
| title_short | Influence of the Model of Care on the Outcomes of Diabetes Self-Management Education Program: A Scoping Review |
| title_sort | influence of the model of care on the outcomes of diabetes self management education program a scoping review |
| url | http://dx.doi.org/10.1155/2021/2969243 |
| work_keys_str_mv | AT emmanuelkumah influenceofthemodelofcareontheoutcomesofdiabetesselfmanagementeducationprogramascopingreview AT emmanuelkafriyie influenceofthemodelofcareontheoutcomesofdiabetesselfmanagementeducationprogramascopingreview AT aaronaabuosi influenceofthemodelofcareontheoutcomesofdiabetesselfmanagementeducationprogramascopingreview AT samueleankomah influenceofthemodelofcareontheoutcomesofdiabetesselfmanagementeducationprogramascopingreview AT adamfusheini influenceofthemodelofcareontheoutcomesofdiabetesselfmanagementeducationprogramascopingreview AT godfredotchere influenceofthemodelofcareontheoutcomesofdiabetesselfmanagementeducationprogramascopingreview |