Impact of Diabetes Self-Management Education on A1C Levels Among Black/African Americans: A Systematic Review.

The science of diabetes self-management and care Pub Date : 2024-02-01 Epub Date: 2023-11-23 DOI:10.1177/26350106231213400

Hilda M Okeyo, Martha Biddle, Lovoria B Williams

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Abstract

Purpose: The purpose of this systematic review was to examine the impact of diabetes self-management education (DSME) programs on A1C levels of Black/African American adults with type 2 diabetes.

Methods: Authors followed PRISMA guidelines and searched PubMed and CINAHL databases to identify articles published from 2000 to date. The primary outcome was A1C and participation in a DSME program among Black/African Americans with diabetes.

Results: Nine high-quality randomized control trials (RCTs) were included in this review. Sample sizes ranged between 48 and 211. Studies reported Black/African American samples ranging from 23% to 57% (n = 4), 4 reported 100%, and 1 reported 96%. Most (56%) reported a statistically significant decline in A1C levels postprogram, whereas 44% noted insignificant changes. All the studies compared the DSME intervention effect to a control group or another type of diabetes self-management program.

Conclusion: The results suggest that DSME programs can be effective at lowering A1C levels in Black/African American adults; however, more research with larger sample sizes of Black/African Americans is warranted. The availability of meta-analyses and more RCTs could also further strengthen the external validity of this review. Additionally, future studies focused on A1C outcomes within DSME programs not combined with other self-management interventions among Black/African Americans can advance science regarding the impact of DSME programs among this disparate population.

查看原文本刊更多论文

糖尿病自我管理教育对黑人/非裔美国人A1C水平的影响:一项系统综述。

目的:本系统综述的目的是研究糖尿病自我管理教育(DSME)项目对2型糖尿病黑人/非裔美国成年人A1C水平的影响。方法:作者按照PRISMA指南，检索PubMed和CINAHL数据库，确定2000年至今发表的文章。主要结果是糖尿病黑人/非裔美国人的糖化血红蛋白和参与DSME项目。结果:本综述纳入了9项高质量随机对照试验(rct)。样本量在48到211之间。研究报告的黑人/非裔美国人样本从23%到57%不等(n = 4)， 4份报告100%，1份报告96%。大多数患者(56%)报告术后A1C水平有统计学意义的下降，而44%的患者报告无显著变化。所有的研究都将DSME干预效果与对照组或其他类型的糖尿病自我管理计划进行了比较。结论:结果表明，DSME项目可以有效降低黑人/非裔美国成年人的A1C水平;然而，需要对黑人/非裔美国人进行更大规模的研究。meta分析的可用性和更多的随机对照试验也可以进一步加强本综述的外部效度。此外，未来的研究重点是在非裔美国人中，不结合其他自我管理干预措施的DSME项目中的A1C结果，可以推进DSME项目对这一不同人群影响的科学研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The science of diabetes self-management and care

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