Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review

Ehab Mudher Mikhael, 1, 2 Mohamed Azmi Hassali, 2 Saad Abdulrahman Hussain 3 1Department of Clinical Pharmacy, College of Pharmacy, University of Baghdad, Baghdad, Iraq; 2Department of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang, M...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mikhael EM, Hassali MA, Hussain SA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	diabetes self-management education type 2 diabetes mellitus middle east countries. Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/ea2a234acd5348f9bc3356f2099dbc0f
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ea2a234acd5348f9bc3356f2099dbc0f
record_format	dspace
spelling	oai:doaj.org-article:ea2a234acd5348f9bc3356f2099dbc0f2021-12-02T03:10:50ZEffectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review1178-7007https://doaj.org/article/ea2a234acd5348f9bc3356f2099dbc0f2020-01-01T00:00:00Zhttps://www.dovepress.com/effectiveness-of-diabetes-self-management-educational-programs-for-typ-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Ehab Mudher Mikhael, 1, 2 Mohamed Azmi Hassali, 2 Saad Abdulrahman Hussain 3 1Department of Clinical Pharmacy, College of Pharmacy, University of Baghdad, Baghdad, Iraq; 2Department of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang, Malaysia; 3Department of Pharmacology and Toxicology, Faculty of Pharmacy, Al-Rafidain University College, Baghdad, IraqCorrespondence: Ehab Mudher Mikhael Email ehab_pharma84@yahoo.comAim: This review study aimed to determine the effectiveness and factors affecting the success of DSME programs in T2DM patients living in ME countries.Methods: An extensive manual literature search was conducted using PubMed and Google Scholar for clinical trials assessing the effect of diabetes self-management education (DSME) for type 2 diabetes mellitus patients in Middle East countries. Information from the included studies was summarized in relation to study population, sample size, duration of follow-up, characteristics of DSME program, and follow-up time, besides in addition to parameters used in assessment, results, and conclusions. The risk of bias in the included studies was assessed using the Cochrane risk of bias tool. The effect of DSME on clinical and patient-reported outcomes was measured by calculation of the percentage of DSME studies that produce a significant improvement in these outcomes for patients in intervention group as compared to those in control group. Additionally, the effect of DSME on each clinical outcome was assessed by calculating the mean for the absolute effect of DSME on that outcome.Results: Twelve studies were included in this review. Heterogeneity was found among included studies in terms of DSME program characteristics, the enrolled patients, duration of follow-up, assessment methods, and obtained outcomes. All clinical glycemic outcomes (glycosylated hemoglobin, fasting, and non-fasting blood glucose), lipid profile (total cholesterol and triglycerides), and body mass index were significantly improved for patients in intervention group as compared to those in control group in at least 60% of the included studies. All patients’ reported outcomes (medication adherence, self-management behavior, knowledge, self-efficacy, health belief and quality of life) were significantly improved by the DSME program.Conclusion: DSME programs are highly effective in improving glycemic control, lipid profile and BMI, and modestly effective in improving BP. Thus, they can reduce the risks of developing diabetes complications. Patient diabetes knowledge, DSM behaviors, adherence to medications, self-efficacy, and quality of life can also be significantly improved by DSME.Keywords: diabetes self-management education, type 2 diabetes mellitus, Middle East countriesMikhael EMHassali MAHussain SADove Medical Pressarticlediabetes self-management educationtype 2 diabetes mellitusmiddle east countries.Specialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 117-138 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes self-management education type 2 diabetes mellitus middle east countries. Specialties of internal medicine RC581-951
spellingShingle	diabetes self-management education type 2 diabetes mellitus middle east countries. Specialties of internal medicine RC581-951 Mikhael EM Hassali MA Hussain SA Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review
description	Ehab Mudher Mikhael, 1, 2 Mohamed Azmi Hassali, 2 Saad Abdulrahman Hussain 3 1Department of Clinical Pharmacy, College of Pharmacy, University of Baghdad, Baghdad, Iraq; 2Department of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Pulau Pinang, Malaysia; 3Department of Pharmacology and Toxicology, Faculty of Pharmacy, Al-Rafidain University College, Baghdad, IraqCorrespondence: Ehab Mudher Mikhael Email ehab_pharma84@yahoo.comAim: This review study aimed to determine the effectiveness and factors affecting the success of DSME programs in T2DM patients living in ME countries.Methods: An extensive manual literature search was conducted using PubMed and Google Scholar for clinical trials assessing the effect of diabetes self-management education (DSME) for type 2 diabetes mellitus patients in Middle East countries. Information from the included studies was summarized in relation to study population, sample size, duration of follow-up, characteristics of DSME program, and follow-up time, besides in addition to parameters used in assessment, results, and conclusions. The risk of bias in the included studies was assessed using the Cochrane risk of bias tool. The effect of DSME on clinical and patient-reported outcomes was measured by calculation of the percentage of DSME studies that produce a significant improvement in these outcomes for patients in intervention group as compared to those in control group. Additionally, the effect of DSME on each clinical outcome was assessed by calculating the mean for the absolute effect of DSME on that outcome.Results: Twelve studies were included in this review. Heterogeneity was found among included studies in terms of DSME program characteristics, the enrolled patients, duration of follow-up, assessment methods, and obtained outcomes. All clinical glycemic outcomes (glycosylated hemoglobin, fasting, and non-fasting blood glucose), lipid profile (total cholesterol and triglycerides), and body mass index were significantly improved for patients in intervention group as compared to those in control group in at least 60% of the included studies. All patients’ reported outcomes (medication adherence, self-management behavior, knowledge, self-efficacy, health belief and quality of life) were significantly improved by the DSME program.Conclusion: DSME programs are highly effective in improving glycemic control, lipid profile and BMI, and modestly effective in improving BP. Thus, they can reduce the risks of developing diabetes complications. Patient diabetes knowledge, DSM behaviors, adherence to medications, self-efficacy, and quality of life can also be significantly improved by DSME.Keywords: diabetes self-management education, type 2 diabetes mellitus, Middle East countries
format	article
author	Mikhael EM Hassali MA Hussain SA
author_facet	Mikhael EM Hassali MA Hussain SA
author_sort	Mikhael EM
title	Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review
title_short	Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review
title_full	Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review
title_fullStr	Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review
title_full_unstemmed	Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review
title_sort	effectiveness of diabetes self-management educational programs for type 2 diabetes mellitus patients in middle east countries: a systematic review
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/ea2a234acd5348f9bc3356f2099dbc0f
work_keys_str_mv	AT mikhaelem effectivenessofdiabetesselfmanagementeducationalprogramsfortype2diabetesmellituspatientsinmiddleeastcountriesasystematicreview AT hassalima effectivenessofdiabetesselfmanagementeducationalprogramsfortype2diabetesmellituspatientsinmiddleeastcountriesasystematicreview AT hussainsa effectivenessofdiabetesselfmanagementeducationalprogramsfortype2diabetesmellituspatientsinmiddleeastcountriesasystematicreview
_version_	1718401952407093248

Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review

Ejemplares similares