Endocrine

, Volume 55, Issue 3, pp 712–731 | Cite as

Diabetes self-management education reduces risk of all-cause mortality in type 2 diabetes patients: a systematic review and meta-analysis

  • Xiaoqin He
  • Jie Li
  • Bin Wang
  • Qiuming Yao
  • Ling Li
  • Ronghua Song
  • Xiaohong Shi
  • Jin-an Zhang
Meta-Analysis

Abstract

Background

Diabetes self-management education is an essential part of diabetes care, but its impact on all-cause mortality risk of type 2 diabetes patients is unclear. A systematic review and meta-analysis aiming to elucidate the impact of diabetes self-management education on all-cause mortality risk of type 2 diabetes patients was performed.

Methods

Randomised controlled trials were identified though literature search in Medline, Embase, CENTRAL, conference abstracts, and reference lists. Only randomised controlled trials comparing diabetes self-management education with usual care in type 2 diabetes patients and reporting outcomes after a follow-up of at least 12 months were considered eligible. Risk ratios with 95 %CIs were pooled. This study was registered at PROSPERO with the number of CRD42016043911.

Results

42 randomised controlled trials containing 13,017 participants were included. The mean time of follow-up was 1.5 years. There was no heterogeneity among those included studies (I2 = 0 %). Mortality occurred in 159 participants (2.3 %) in the diabetes self-management education group and in 187 (3.1 %) in the usual care group, and diabetes self-management education significantly reduced risk of all-cause mortality in type 2 diabetes patients (pooled risk ratios : 0.74, 95 %CI 0.60–0.90, P = 0.003; absolute risk difference: −0.8 %, 95 %CI −1.4 to −0.3). Both multidisciplinary team education and nurse-led education could significantly reduce mortality risk in type 2 diabetes patients, and the pooled risk ratios were 0.66 (95 %CI 0.46–0.96, P = 0.02; I2 = 0 %) and 0.64 (95 % CI 0.47– 0.88, P = 0.005; I2 = 0 %), respectively. Subgroup analyses of studies with longer duration of follow-up (≥1.5 years) or larger sample size (≥300) also found a significant effect of diabetes self-management education in reducing mortality risk among type 2 diabetes. Significant effect of diabetes self-management education in reducing mortality risk was also found in those patients receiving diabetes self-management education with contact hours more than 10 h (pooled risk ratio: 0.60, 95 %CI 0.44–0.82, P = 0.001; I2 = 0 %), those receiving repeated diabetes self-management education (pooled RR: 0.71, P = 0.001; I2 = 0 %), those receiving diabetes self-management education using structured curriculum (pooled risk ratio: 0.72, P = 0.01; I2 = 0 %) and those receiving diabetes self-management education using in-person communication (pooled risk ratio: 0.75, P = 0.02; I2 = 0 %). The quality of evidence for the effect of diabetes self-management education in reducing all-cause mortality risk among type 2 diabetes patients was rated as moderate according to the Grading of Recommendations Assessment, Development, and Evaluation method, and the absolute risk reduction of all-cause mortality of type 2 diabetic patients by diabetes self-management education was estimated to be 4 fewer per 1000 person-years (from 1 fewer to 6 fewer).

Conclusions

The available evidence suggests that diabetes self-management education can reduce all-cause mortality risk in type 2 diabetes patients. Further clinical trials with longer time of follow-up are needed to validate the finding above.

Keywords

Diabetes self-management education Type 2 diabetes All-cause mortality Meta-analysis 

Supplementary material

12020_2016_1168_MOESM1_ESM.doc (124 kb)
Supplementary Information

References

  1. 1.
    P.Z. Zimmet, D.J. Magliano, W.H. Herman, J.E. Shaw, Diabetes: a 21st century challenge. Lancet Diabetes Endocrinol. 2(1), 56–64 (2014). doi:10.1016/S2213-8587(13)70112-8 CrossRefPubMedGoogle Scholar
  2. 2.
    L.S. Geiss, J. Wang, Y.J. Cheng, T.J. Thompson, L. Barker, Y. Li, A.L. Albright, E.W. Gregg, Prevalence and incidence trends for diagnosed diabetes among adults aged 20 to 79 years, United States, 1980-2012. JAMA. 312(12), 1218–1226 (2014). doi:10.1001/jama.2014.11494 CrossRefPubMedGoogle Scholar
  3. 3.
    A. Menke, S. Casagrande, L. Geiss, C.C. Cowie, Prevalence of and trends in diabetes among adults in the United States, 1988-2012. JAMA. 314(10), 1021–1029 (2015). doi:10.1001/jama.2015.10029 CrossRefPubMedGoogle Scholar
  4. 4.
    D.M. Nathan, Diabetes: advances in diagnosis and treatment. JAMA. 314(10), 1052–1062 (2015). doi:10.1001/jama.2015.9536 CrossRefPubMedGoogle Scholar
  5. 5.
    A. Dinesh Shah, C. Langenberg, E. Rapsomaniki, S. Denaxas, M. Pujades-Rodriguez, C.P. Gale, J. Deanfield, L. Smeeth, A. Timmis, H. Hemingway, Type 2 diabetes and incidence of a wide range of cardiovascular diseases: a cohort study in 1.9 million people. Lancet. 385(Suppl 1), S86 (2015). doi:10.1016/S0140-6736(15)60401-9 CrossRefPubMedGoogle Scholar
  6. 6.
    S.E. Kahn, M.E. Cooper, S. Del Prato, Pathophysiology and treatment of type 2 diabetes: perspectives on the past, present, and future. Lancet. 383(9922), 1068–1083 (2014). doi:10.1016/S0140-6736(13)62154-6 CrossRefPubMedGoogle Scholar
  7. 7.
    M. Tancredi, A. Rosengren, A.M. Svensson, M. Kosiborod, A. Pivodic, S. Gudbjornsdottir, H. Wedel, M. Clements, S. Dahlqvist, M. Lind, Excess mortality among persons with type 2 diabetes. N. Engl. J. Med. 373(18), 1720–1732 (2015). doi:10.1056/NEJMoa1504347 CrossRefPubMedGoogle Scholar
  8. 8.
    J.R. Brownrigg, C.O. Hughes, D. Burleigh, A. Karthikesalingam, B.O. Patterson, P.J. Holt, M.M. Thompson, S. de Lusignan, K.K. Ray, R.J. Hinchliffe, Microvascular disease and risk of cardiovascular events among individuals with type 2 diabetes: a population-level cohort study. Lancet Diabetes Endocrinol. 4(7), 588–597 (2016). doi:10.1016/S2213-8587(16)30057-2 CrossRefPubMedGoogle Scholar
  9. 9.
    S.H. Ley, O. Hamdy, V. Mohan, F.B. Hu, Prevention and management of type 2 diabetes: dietary components and nutritional strategies. Lancet. 383(9933), 1999–2007 (2014). doi:10.1016/S0140-6736(14)60613-9 CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    A.A. Tahrani, C.J. Bailey, S. Del Prato, A.H. Barnett, Management of type 2 diabetes: new and future developments in treatment. Lancet. 378(9786), 182–197 (2011). doi:10.1016/S0140-6736(11)60207-9 CrossRefPubMedGoogle Scholar
  11. 11.
    A.D. Association, 3. Foundations of care and comprehensive medical evaluation. Diabetes Care 39(Suppl 1), S23–S35 (2016). doi:10.2337/dc16-S006 Google Scholar
  12. 12.
    L. Haas, M. Maryniuk, J. Beck, C.E. Cox, P. Duker, L. Edwards, E.B. Fisher, L. Hanson, D. Kent, L. Kolb, S. McLaughlin, E. Orzeck, J.D. Piette, A.S. Rhinehart, R. Rothman, S. Sklaroff, D. Tomky, G. Youssef, National standards for diabetes self-management education and support. Diabetes. Care. 37(Suppl 1), S144–S153 (2014). doi:10.2337/dc14-S144 CrossRefPubMedGoogle Scholar
  13. 13.
    M.A. Powers, J. Bardsley, M. Cypress, P. Duker, M.M. Funnell, A. Hess Fischl, M.D. Maryniuk, L. Siminerio, E. Vivian, Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American diabetes association, the American association of diabetes educators, and the academy of nutrition and dietetics. Diabetes Care 38(7), 1372–1382 (2015). doi:10.2337/dc15-0730 CrossRefPubMedGoogle Scholar
  14. 14.
    G. Welch, J. Garb, S. Zagarins, I. Lendel, R.A. Gabbay, Nurse diabetes case management interventions and blood glucose control: results of a meta-analysis. Diabetes Res. Clin. Pract. 88(1), 1–6 (2010). doi:10.1016/j.diabres.2009.12.026 CrossRefPubMedGoogle Scholar
  15. 15.
    S.L. Norris, J. Lau, S.J. Smith, C.H. Schmid, M.M. Engelgau, Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care 25(7), 1159–1171 (2002)CrossRefPubMedGoogle Scholar
  16. 16.
    J. Pillay, M.J. Armstrong, S. Butalia, L.E. Donovan, R.J. Sigal, B. Vandermeer, P. Chordiya, S. Dhakal, L. Hartling, M. Nuspl, R. Featherstone, D.M. Dryden, Behavioral programs for type 2 diabetes mellitus: a systematic review and network meta-analysis. Ann Intern Med 163(11), 848–860 (2015). doi:10.7326/M15-1400 CrossRefPubMedGoogle Scholar
  17. 17.
    D. Sherifali, J.W. Bai, M. Kenny, R. Warren, M.U. Ali, Diabetes self-management programmes in older adults: a systematic review and meta-analysis. Diabetes Med 32(11), 1404–1414 (2015). doi:10.1111/dme.12780 CrossRefGoogle Scholar
  18. 18.
    C.A. Chrvala, D. Sherr, R.D. Lipman, Diabetes self-management education for adults with type 2 diabetes mellitus: a systematic review of the effect on glycemic control. Patient. Educ. Couns. 99(6), 926–943 (2016). doi:10.1016/j.pec.2015.11.003 CrossRefPubMedGoogle Scholar
  19. 19.
    T. Deakin, C.E. McShane, J.E. Cade, R.D. Williams, Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst. Rev. 2, CD003417 (2005). doi:10.1002/14651858.CD003417.pub2 Google Scholar
  20. 20.
    A. Coppola, L. Sasso, A. Bagnasco, A. Giustina, C. Gazzaruso, The role of patient education in the prevention and management of type 2 diabetes: an overview. Endocrine. 53(1), 18–27 (2016). doi:10.1007/s12020-015-0775-7 CrossRefPubMedGoogle Scholar
  21. 21.
    D. Moher, A. Liberati, J. Tetzlaff, D.G. Altman, Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann. Intern. Med. 151(4), 264–269 (2009). W264CrossRefPubMedGoogle Scholar
  22. 22.
    C. Gazzaruso, M. Fodaro, A. Coppola, Structured therapeutic education in diabetes: is it time to re-write the chapter on the prevention of diabetic complications? Endocrine 53(2), 347–349 (2016). doi:10.1007/s12020-016-0947-0 CrossRefPubMedGoogle Scholar
  23. 23.
    X. Zhang, S. Yang, K. Sun, E.B. Fisher, X. Sun, How to achieve better effect of peer support among adults with type 2 diabetes: a meta-analysis of randomized clinical trials. Patient Educ. Couns. 99(2), 186–197 (2016). doi:10.1016/j.pec.2015.09.006 CrossRefPubMedGoogle Scholar
  24. 24.
    X.L. Huang, J.H. Pan, D. Chen, J. Chen, F. Chen, T.T. Hu, Efficacy of lifestyle interventions in patients with type 2 diabetes: a systematic review and meta-analysis. Eur. J. Intern. Med. 27, 37–47 (2016). doi:10.1016/j.ejim.2015.11.016 CrossRefPubMedGoogle Scholar
  25. 25.
    W. Palmas, D. March, S. Darakjy, S.E. Findley, J. Teresi, O. Carrasquillo, J.A. Luchsinger, Community health worker interventions to improve glycemic control in people with diabetes: a systematic review and meta-analysis. J. Gen. Intern. Med. 30(7), 1004–1012 (2015). doi:10.1007/s11606-015-3247-0 CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    M. Attridge, J. Creamer, M. Ramsden, R. Cannings-John, K. Hawthorne, Culturally appropriate health education for people in ethnic minority groups with type 2 diabetes mellitus. Cochrane Database Syst. Rev. 9, CD006424 (2014). doi:10.1002/14651858.CD006424.pub3 Google Scholar
  27. 27.
    E.S. Schellenberg, D.M. Dryden, B. Vandermeer, C. Ha, C. Korownyk, Lifestyle interventions for patients with and at risk for type 2 diabetes: a systematic review and meta-analysis. Ann. Intern. Med. 159(8), 543–551 (2013). doi:10.7326/0003-4819-159-8-201310150-00007 CrossRefPubMedGoogle Scholar
  28. 28.
    J.K. Tshiananga, S. Kocher, C. Weber, K. Erny-Albrecht, K. Berndt, K. Neeser, The effect of nurse-led diabetes self-management education on glycosylated hemoglobin and cardiovascular risk factors: a meta-analysis. Diabetes Educ. 38(1), 108–123 (2012). doi:10.1177/0145721711423978 CrossRefPubMedGoogle Scholar
  29. 29.
    A. Steinsbekk, L.O. Rygg, M. Lisulo, M.B. Rise, A. Fretheim, Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv. Res. 12, 213 (2012). doi:10.1186/1472-6963-12-213 CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    S.E. Ellis, T. Speroff, R.S. Dittus, A. Brown, J.W. Pichert, T.A. Elasy, Diabetes patient education: a meta-analysis and meta-regression. Patient Educ. Couns. 52(1), 97–105 (2004)CrossRefPubMedGoogle Scholar
  31. 31.
    T.L. Gary, J.M. Genkinger, E. Guallar, M. Peyrot, F.L. Brancati, Meta-analysis of randomized educational and behavioral interventions in type 2 diabetes. Diabetes Educ. 29(3), 488–501 (2003)CrossRefPubMedGoogle Scholar
  32. 32.
    J.P. Higgins, D.G. Altman, P.C. Gotzsche, P. Juni, D. Moher, A.D. Oxman, J. Savovic, K.F. Schulz, L. Weeks, J.A. Sterne, The cochrane collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 343, d5928 (2011). doi:10.1136/bmj.d5928 CrossRefPubMedPubMedCentralGoogle Scholar
  33. 33.
    J.P. Higgins, S.G. Thompson, J.J. Deeks, D.G. Altman, Measuring inconsistency in meta-analyses. BMJ. 327(7414), 557–560 (2003). doi:10.1136/bmj.327.7414.557 CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    W.G. Cochran, The combination of estimates from different experiments. Biometrics. 10(1), 101–129 (1954)CrossRefGoogle Scholar
  35. 35.
    R. DerSimonian, N. Laird, Meta-analysis in clinical trials. Control Clin. Trials 7(3), 177–188 (1986)CrossRefPubMedGoogle Scholar
  36. 36.
    N. Mantel, W. Haenszel, Statistical aspects of the analysis of data from retrospective studies of disease. J. Natl. Cancer Inst. 22(4), 719–748 (1959)PubMedGoogle Scholar
  37. 37.
    J.P. Higgins, S. Green (ed.), Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration (2011). Available from www.handbook.cochrane.org
  38. 38.
    C.B. Begg, M. Mazumdar, Operating characteristics of a rank correlation test for publication bias. Biometrics. 50(4), 1088–1101 (1994)CrossRefPubMedGoogle Scholar
  39. 39.
    M. Egger, G. Davey Smith, M. Schneider, C. Minder, Bias in meta-analysis detected by a simple, graphical test. BMJ. 315(7109), 629–634 (1997)CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    G.H. Guyatt, A.D. Oxman, G.E. Vist, R. Kunz, Y. Falck-Ytter, P. Alonso-Coello, H.J. Schunemann, GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 336(7650), 924–926 (2008). doi:10.1136/bmj.39489.470347.AD CrossRefPubMedPubMedCentralGoogle Scholar
  41. 41.
    W. Crasto, J. Jarvis, K. Khunti, T.C. Skinner, L.J. Gray, J. Brela, J. Troughton, H. Daly, I.G. Lawrence, P.G. McNally, M.E. Carey, M.J. Davies, Multifactorial intervention in individuals with type 2 diabetes and microalbuminuria: the microalbuminuria education and medication optimisation (MEMO) study. Diabetes Res. Clin. Pract. 93(3), 328–336 (2011). doi:10.1016/j.diabres.2011.05.008 CrossRefPubMedGoogle Scholar
  42. 42.
    M. Hanefeld, S. Fischer, H. Schmechel, G. Rothe, J. Schulze, H. Dude, U. Schwanebeck, U. Julius, Diabetes intervention study. Multi-intervention trial in newly diagnosed NIDDM. Diabetes Care. 14(4), 308–317 (1991)CrossRefPubMedGoogle Scholar
  43. 43.
    I. Odnoletkova, G. Goderis, F. Nobels, S. Fieuws, B. Aertgeerts, L. Annemans, D. Ramaekers, Optimizing diabetes control in people with type 2 diabetes through nurse-led telecoaching. Diabetes Med. 33(6), 777–785 (2016). doi:10.1111/dme.13092 CrossRefGoogle Scholar
  44. 44.
    T. Johansson, S. Keller, H. Winkler, T. Ostermann, R. Weitgasser, A.C. Sonnichsen, Effectiveness of a peer support programme versus usual care in disease management of diabetes mellitus type 2 regarding improvement of metabolic control: A cluster-randomised controlled trial. J. Diabetes Res. 2016, 3248547 (2016). doi:10.1155/2016/3248547 CrossRefPubMedGoogle Scholar
  45. 45.
    M.K. Ali, K. Singh, D. Kondal, R. Devarajan, S.A. Patel, R. Shivashankar, V.S. Ajay, A.G. Unnikrishnan, V.U. Menon, P.K. Varthakavi, V. Viswanathan, M. Dharmalingam, G. Bantwal, R.K. Sahay, M.Q. Masood, R. Khadgawat, A. Desai, B. Sethi, D. Prabhakaran, K.M. Narayan, N. Tandon, Effectiveness of a multicomponent quality improvement strategy to improve achievement of diabetes care goals: a randomized, controlled trial. Ann. Intern. Med. (2016). doi:10.7326/M15-2807
  46. 46.
    R. Perez-Escamilla, G. Damio, J. Chhabra, M.L. Fernandez, S. Segura-Perez, S. Vega-Lopez, G. Kollannor-Samuel, M. Calle, F.M. Shebl, D. D’Agostino, Impact of a community health workers-led structured program on blood glucose control among latinos with type 2 diabetes: the DIALBEST trial. Diabetes Care. 38(2), 197–205 (2015). doi:10.2337/dc14-0327 CrossRefPubMedGoogle Scholar
  47. 47.
    P. McGowan, The relative effectiveness of self-management programs for type 2 diabetes. Can. J. Diabetes 39(5), 411–419 (2015). doi:10.1016/j.jcjd.2015.04.005 CrossRefPubMedGoogle Scholar
  48. 48.
    D. Edelman, R.J. Dolor, C.J. Coffman, K.C. Pereira, B.B. Granger, J.H. Lindquist, A.M. Neary, A.J. Harris, H.B. Bosworth, Nurse-led behavioral management of diabetes and hypertension in community practices: a randomized trial. J. Gen. Intern. Med. 30(5), 626–633 (2015). doi:10.1007/s11606-014-3154-9 CrossRefPubMedPubMedCentralGoogle Scholar
  49. 49.
    S. Hamid, S. Dunsiger, A. Seiden, O. Nu’usolia, J. Tuitele, J.D. DePue, S.T. McGarvey, Impact of a diabetes control and management intervention on health care utilization in American Samoa. Chronic. Illn. 10(2), 122–134 (2014). doi:10.1177/1742395313502367 CrossRefPubMedGoogle Scholar
  50. 50.
    E.G. Eakin, E.A. Winkler, D.W. Dunstan, G.N. Healy, N. Owen, A.M. Marshall, N. Graves, M.M. Reeves, Living well with diabetes: 24-month outcomes from a randomized trial of telephone-delivered weight loss and physical activity intervention to improve glycemic control. Diabetes Care 37(8), 2177–2185 (2014). doi:10.2337/dc13-2427 CrossRefPubMedGoogle Scholar
  51. 51.
    L.M. Welschen, P. van Oppen, S.D. Bot, P.J. Kostense, J.M. Dekker, G. Nijpels, Effects of a cognitive behavioural treatment in patients with type 2 diabetes when added to managed care; a randomised controlled trial. J. Behav. Med. 36(6), 556–566 (2013). doi:10.1007/s10865-012-9451-z CrossRefPubMedGoogle Scholar
  52. 52.
    J. Sperl-Hillen, S. Beaton, O. Fernandes, A. Von Worley, G. Vazquez-Benitez, A. Hanson, J. Lavin-Tompkins, W. Parsons, K. Adams, C.V. Spain, Are benefits from diabetes self-management education sustained? Am. J. Manag. Care. 19(2), 104–112 (2013)PubMedGoogle Scholar
  53. 53.
    U. Mons, E. Raum, H.U. Kramer, G. Ruter, D. Rothenbacher, T. Rosemann, J. Szecsenyi, H. Brenner, Effectiveness of a supportive telephone counseling intervention in type 2 diabetes patients: randomized controlled study. PLoS ONE. 8(10), e77954 (2013). doi:10.1371/journal.pone.0077954 CrossRefPubMedPubMedCentralGoogle Scholar
  54. 54.
    J.J. Gagliardino, S. Lapertosa, G. Pfirter, M. Villagra, J.E. Caporale, C.D. Gonzalez, J. Elgart, L. Gonzalez, C. Cernadas, E. Rucci, C. Clark Jr., Clinical, metabolic and psychological outcomes and treatment costs of a prospective randomized trial based on different educational strategies to improve diabetes care (PRODIACOR). Diabetes Med. 30(9), 1102–1111 (2013). doi:10.1111/dme.12230 CrossRefGoogle Scholar
  55. 55.
    M.J. Crowley, B.J. Powers, M.K. Olsen, J.M. Grubber, C. Koropchak, C.M. Rose, P. Gentry, L. Bowlby, G. Trujillo, M.L. Maciejewski, H.B. Bosworth, The cholesterol, hypertension, and glucose education (CHANGE) study: results from a randomized controlled trial in African Americans with diabetes. Am. Heart J. 166(1), 179–186 (2013). doi:10.1016/j.ahj.2013.04.004 CrossRefPubMedGoogle Scholar
  56. 56.
    I.D. Blackberry, J.S. Furler, J.D. Best, P. Chondros, M. Vale, C. Walker, T. Dunning, L. Segal, J. Dunbar, R. Audehm, D. Liew, D. Young, Effectiveness of general practice based, practice nurse led telephone coaching on glycaemic control of type 2 diabetes: the patient engagement and coaching for health (PEACH) pragmatic cluster randomised controlled trial. BMJ. 347, f5272 (2013). doi:10.1136/bmj.f5272 CrossRefPubMedPubMedCentralGoogle Scholar
  57. 57.
    L.O. Rygg, M.B. Rise, K. Gronning, A. Steinsbekk, Efficacy of ongoing group based diabetes self-management education for patients with type 2 diabetes mellitus. A randomised controlled trial. Patient Educ. Couns. 86(1), 98–105 (2012). doi:10.1016/j.pec.2011.04.008 CrossRefPubMedGoogle Scholar
  58. 58.
    K. Khunti, L.J. Gray, T. Skinner, M.E. Carey, K. Realf, H. Dallosso, H. Fisher, M. Campbell, S. Heller, M.J. Davies, Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: three year follow-up of a cluster randomised controlled trial in primary care. BMJ. 344, e2333 (2012). doi:10.1136/bmj.e2333 CrossRefPubMedPubMedCentralGoogle Scholar
  59. 59.
    B.J. Wakefield, J.E. Holman, A. Ray, M. Scherubel, M.R. Adams, S.L. Hillis, G.E. Rosenthal, Effectiveness of home telehealth in comorbid diabetes and hypertension: a randomized, controlled trial. Telemed. J. E-Health. 17(4), 254–261 (2011). doi:10.1089/tmj.2010.0176 CrossRefPubMedGoogle Scholar
  60. 60.
    R.C. Andrews, A.R. Cooper, A.A. Montgomery, A.J. Norcross, T.J. Peters, D.J. Sharp, N. Jackson, K. Fitzsimons, J. Bright, K. Coulman, C.Y. England, J. Gorton, A. McLenaghan, E. Paxton, A. Polet, C. Thompson, C.M. Dayan, Diet or diet plus physical activity versus usual care in patients with newly diagnosed type 2 diabetes: the Early ACTID randomised controlled trial. Lancet. 378(9786), 129–139 (2011). doi:10.1016/S0140-6736(11)60442-X CrossRefPubMedGoogle Scholar
  61. 61.
    G.A. Piatt, R.M. Anderson, M.M. Brooks, T. Songer, L.M. Siminerio, M.M. Korytkowski, J.C. Zgibor, 3-year follow-up of clinical and behavioral improvements following a multifaceted diabetes care intervention: results of a randomized controlled trial. Diabetes Educ. 36(2), 301–309 (2010). doi:10.1177/0145721710361388 CrossRefPubMedGoogle Scholar
  62. 62.
    D. Edelman, S.K. Fredrickson, S.D. Melnyk, C.J. Coffman, A.S. Jeffreys, S. Datta, G.L. Jackson, A.C. Harris, N.S. Hamilton, H. Stewart, J. Stein, M. Weinberger, Medical clinics versus usual care for patients with both diabetes and hypertension: a randomized trial. Ann. Intern. Med. 152(11), 689–696 (2010). doi:10.7326/0003-4819-152-11-201006010-00001 CrossRefPubMedGoogle Scholar
  63. 63.
    B.J. Thoolen, D. de Ridder, J. Bensing, K. Gorter, G. Rutten, Beyond good intentions: the role of proactive coping in achieving sustained behavioural change in the context of diabetes management. Psychol. Health 24(3), 237–254 (2009). doi:10.1080/08870440701864504 CrossRefPubMedGoogle Scholar
  64. 64.
    H. Cooper, K. Booth, G. Gill, A trial of empowerment-based education in type 2 diabetes--global rather than glycaemic benefits. Diabetes Res. Clin. Pract. 82(2), 165–171 (2008). doi:10.1016/j.diabres.2008.07.013 CrossRefPubMedGoogle Scholar
  65. 65.
    B. Thoolen, D. De Ridder, J. Bensing, C. Maas, S. Griffin, K. Gorter, G. Rutten, Effectiveness of a self-management intervention in patients with screen-detected type 2 diabetes. Diabetes Care 30(11), 2832–2837 (2007). doi:10.2337/dc07-0777 CrossRefPubMedGoogle Scholar
  66. 66.
    T. Shibayama, K. Kobayashi, A. Takano, T. Kadowaki, K. Kazuma, Effectiveness of lifestyle counseling by certified expert nurse of Japan for non-insulin-treated diabetic outpatients: a 1-year randomized controlled trial. Diabetes Res. Clin. Pract. 76(2), 265–268 (2007). doi:10.1016/j.diabres.2006.09.017 CrossRefPubMedGoogle Scholar
  67. 67.
    E.T. Adolfsson, M.L. Walker-Engstrom, B. Smide, K. Wikblad, Patient education in type 2 diabetes: a randomized controlled 1-year follow-up study. Diabetes Res. Clin. Pract. 76(3), 341–350 (2007). doi:10.1016/j.diabres.2006.09.018 CrossRefPubMedGoogle Scholar
  68. 68.
    J.A. Fornos, N.F. Andres, J.C. Andres, M.M. Guerra, B. Egea, A pharmacotherapy follow-up program in patients with type-2 diabetes in community pharmacies in Spain. Pharm. World Sci. 28(2), 65–72 (2006). doi:10.1007/s11096-006-9003-0 CrossRefPubMedGoogle Scholar
  69. 69.
    R.L. Rothman, R. Malone, B. Bryant, A.K. Shintani, B. Crigler, D.A. Dewalt, R.S. Dittus, M. Weinberger, M.P. Pignone, A randomized trial of a primary care-based disease management program to improve cardiovascular risk factors and glycated hemoglobin levels in patients with diabetes. Am. J. Med. 118(3), 276–284 (2005). doi:10.1016/j.amjmed.2004.09.017 CrossRefPubMedGoogle Scholar
  70. 70.
    A. Sarkadi, U. Rosenqvist, Experience-based group education in Type 2 diabetes: a randomised controlled trial. Patient Educ. Couns. 53(3), 291–298 (2004). doi:10.1016/j.pec.2003.10.009 CrossRefPubMedGoogle Scholar
  71. 71.
    S.L. Krein, M.L. Klamerus, S. Vijan, J.L. Lee, J.T. Fitzgerald, A. Pawlow, P. Reeves, R.A. Hayward, Case management for patients with poorly controlled diabetes: a randomized trial. Am. J. Med. 116(11), 732–739 (2004). doi:10.1016/j.amjmed.2003.11.028 CrossRefPubMedGoogle Scholar
  72. 72.
    A.N. Goudswaard, R.P. Stolk, N.P. Zuithoff, H.W. de Valk, G.E. Rutten, Long-term effects of self-management education for patients with Type 2 diabetes taking maximal oral hypoglycaemic therapy: a randomized trial in primary care. Diabetes Med. 21(5), 491–496 (2004). doi:10.1111/j.1464-5491.2004.01153.x CrossRefGoogle Scholar
  73. 73.
    M. Clark, S.E. Hampson, L. Avery, R. Simpson, Effects of a tailored lifestyle self-management intervention in patients with type 2 diabetes. Br. J. Health Psychol. 9(Pt 3), 365–379 (2004). doi:10.1348/1359107041557066 CrossRefPubMedGoogle Scholar
  74. 74.
    C.B. Taylor, N.H. Miller, K.R. Reilly, G. Greenwald, D. Cunning, A. Deeter, L. Abascal, Evaluation of a nurse-care management system to improve outcomes in patients with complicated diabetes. Diabetes Care 26(4), 1058–1063 (2003)CrossRefPubMedGoogle Scholar
  75. 75.
    J.P. New, J.M. Mason, N. Freemantle, S. Teasdale, L.M. Wong, N.J. Bruce, J.A. Burns, J.M. Gibson, Specialist nurse-led intervention to treat and control hypertension and hyperlipidemia in diabetes (SPLINT): a randomized controlled trial. Diabetes Care 26(8), 2250–2255 (2003)CrossRefPubMedGoogle Scholar
  76. 76.
    T.L. Gary, L.R. Bone, M.N. Hill, D.M. Levine, M. McGuire, C. Saudek, F.L. Brancati, Randomized controlled trial of the effects of nurse case manager and community health worker interventions on risk factors for diabetes-related complications in urban African Americans. Prev. Med. 37(1), 23–32 (2003)CrossRefPubMedGoogle Scholar
  77. 77.
    J.D. Piette, M. Weinberger, F.B. Kraemer, S.J. McPhee, Impact of automated calls with nurse follow-up on diabetes treatment outcomes in a Department of Veterans Affairs Health Care System: a randomized controlled trial. Diabetes Care 24(2), 202–208 (2001)CrossRefPubMedGoogle Scholar
  78. 78.
    Y. Groeneveld, H. Petri, J. Hermans, M. Springer, An assessment of structured care assistance in the management of patients with type 2 diabetes in general practice. Scand. J. Prim. Health Care 19(1), 25–30 (2001)CrossRefPubMedGoogle Scholar
  79. 79.
    J.D. Piette, M. Weinberger, S.J. McPhee, C.A. Mah, F.B. Kraemer, L.M. Crapo, Do automated calls with nurse follow-up improve self-care and glycemic control among vulnerable patients with diabetes? Am. J. Med. 108(1), 20–27 (2000)CrossRefPubMedGoogle Scholar
  80. 80.
    M. Weinberger, M.S. Kirkman, G.P. Samsa, E.A. Shortliffe, P.B. Landsman, P.A. Cowper, D.L. Simel, J.R. Feussner, A nurse-coordinated intervention for primary care patients with non-insulin-dependent diabetes mellitus: impact on glycemic control and health-related quality of life. J. Gen. Intern. Med. 10(2), 59–66 (1995)CrossRefPubMedGoogle Scholar
  81. 81.
    S.R. Heller, P. Clarke, H. Daly, I. Davis, D.K. McCulloch, S.P. Allison, R.B. Tattersall, Group education for obese patients with type 2 diabetes: greater success at less cost. Diabetes Med. 5(6), 552–556 (1988)CrossRefGoogle Scholar
  82. 82.
    Z.T. Bloomgarden, W. Karmally, M.J. Metzger, M. Brothers, C. Nechemias, J. Bookman, D. Faierman, F. Ginsberg-Fellner, E. Rayfield, W.V. Brown, Randomized, controlled trial of diabetic patient education: improved knowledge without improved metabolic status. Diabetes Care. 10(3), 263–272 (1987)CrossRefPubMedGoogle Scholar
  83. 83.
    R. Li, S.S. Shrestha, R. Lipman, N.R. Burrows, L.E. Kolb, S. Rutledge, Diabetes self-management education and training among privately insured persons with newly diagnosed diabetes--United States, 2011-2012. MMWR Morb. Mortal. Wkly. Rep. 63(46), 1045–1049 (2014)PubMedGoogle Scholar
  84. 84.
    M. Peyrot, K.K. Burns, M. Davies, A. Forbes, N. Hermanns, R. Holt, S. Kalra, A. Nicolucci, F. Pouwer, J. Wens, I. Willaing, S.E. Skovlund, Diabetes attitudes wishes and needs 2 (DAWN2): a multinational, multi-stakeholder study of psychosocial issues in diabetes and person-centred diabetes care. Diabetes Res. Clin. Pract. 99(2), 174–184 (2013). doi:10.1016/j.diabres.2012.11.016 CrossRefPubMedGoogle Scholar
  85. 85.
    M.E. Chomko, P.S. Odegard, A.B. Evert, Enhancing access to diabetes self-management education in primary care. Diabetes Educ. (2016). doi:10.1177/0145721716659147
  86. 86.
    A.C. Tricco, N.M. Ivers, J.M. Grimshaw, D. Moher, L. Turner, J. Galipeau, I. Halperin, B. Vachon, T. Ramsay, B. Manns, M. Tonelli, K. Shojania, Effectiveness of quality improvement strategies on the management of diabetes: a systematic review and meta-analysis. Lancet. 379(9833), 2252–2261 (2012). doi:10.1016/S0140-6736(12)60480-2 CrossRefPubMedGoogle Scholar
  87. 87.
    C.K. Wong, W.C. Wong, Y.F. Wan, A.K. Chan, K.L. Chung, F.W. Chan, C.L. Lam, Patient empowerment programme in primary care reduced all-cause mortality and cardiovascular diseases in patients with type 2 diabetes mellitus: a population-based propensity-matched cohort study. Diabetes Obes. Metab. 17(2), 128–135 (2015). doi:10.1111/dom.12397 CrossRefPubMedGoogle Scholar
  88. 88.
    E. Kornelius, J.Y. Chiou, Y.S. Yang, Y.L. Lu, C.H. Peng, C.N. Huang, The diabetes shared care program and risks of cardiovascular events in type 2 diabetes. Am. J. Med. 128(9), 977–985 e973 (2015). doi:10.1016/j.amjmed.2015.03.025 CrossRefPubMedGoogle Scholar
  89. 89.
    B.R. Shah, J. Hwee, K. Cauch-Dudek, R. Ng, J.C. Victor, Diabetes self-management education is not associated with a reduction in long-term diabetes complications: an effectiveness study in an elderly population. J. Eval. Clin. Pract. 21(4), 656–661 (2015). doi:10.1111/jep.12360 CrossRefPubMedGoogle Scholar
  90. 90.
    G. Perman, A. Beratarrechea, V. Aliperti, L. Litwak, S. Figar, A. Alvarez, E. Langlois, Mortality in an elderly type 2 diabetic patients’ cohort who attended a self-management educational workshop. Prim. Care Diabetes. 5(3), 175–184 (2011). doi:10.1016/j.pcd.2011.03.002 CrossRefPubMedGoogle Scholar
  91. 91.
    L. Blonde, J. Dempster, J.M. Gallivan, E. Warren-Boulton, Reducing cardiovascular disease risk in patients with diabetes: a message from the national diabetes education program. J. Am. Acad. Nurse Pract. 18(11), 524–533 (2006). doi:10.1111/j.1745-7599.2006.00171.x CrossRefPubMedGoogle Scholar
  92. 92.
    C.K. Wong, W.C. Wong, E.Y. Wan, A.K. Chan, F.W. Chan, C.L. Lam, Macrovascular and microvascular disease in obese patients with type 2 diabetes attending structured diabetes education program: a population-based propensity-matched cohort analysis of patient empowerment programme (PEP). Endocrine 53(2), 412–422 (2016). doi:10.1007/s12020-015-0843-z CrossRefPubMedGoogle Scholar
  93. 93.
    H.M. Hsieh, T.H. Lin, I.C. Lee, C.J. Huang, S.J. Shin, H.C. Chiu, The association between participation in a pay-for-performance program and macrovascular complications in patients with type 2 diabetes in Taiwan: a nationwide population-based cohort study. Prev. Med. 85, 53–59 (2016). doi:10.1016/j.ypmed.2015.12.013 CrossRefPubMedGoogle Scholar
  94. 94.
    E. Monninkhof, P. van der Valk, J. van der Palen, C. van Herwaarden, M.R. Partridge, G. Zielhuis, Self-management education for patients with chronic obstructive pulmonary disease: a systematic review. Thorax. 58(5), 394–398 (2003)CrossRefPubMedPubMedCentralGoogle Scholar
  95. 95.
    J.M. Coffman, M.D. Cabana, H.A. Halpin, E.H. Yelin, Effects of asthma education on children’s use of acute care services: a meta-analysis. Pediatrics. 121(3), 575–586 (2008). doi:10.1542/peds.2007-0113 CrossRefPubMedPubMedCentralGoogle Scholar
  96. 96.
    A. Warsi, P.S. Wang, M.P. LaValley, J. Avorn, D.H. Solomon, Self-management education programs in chronic disease: a systematic review and methodological critique of the literature. Arch. Intern. Med. 164(15), 1641–1649 (2004). doi:10.1001/archinte.164.15.1641 CrossRefPubMedGoogle Scholar
  97. 97.
    J.P. Brown, A.M. Clark, H. Dalal, K. Welch, R.S. Taylor, Patient education in the management of coronary heart disease. Cochrane Database Syst. Rev. 12, CD008895 (2011). doi:10.1002/14651858.CD008895.pub2 Google Scholar
  98. 98.
    H.A. Shah, M. Abu-Amara, Education provides significant benefits to patients with hepatitis B virus or hepatitis C virus infection: a systematic review. Clin. Gastroenterol. Hepatol. 11(8), 922–933 (2013). doi:10.1016/j.cgh.2013.04.024 CrossRefPubMedGoogle Scholar
  99. 99.
    N.H. Jonkman, H. Westland, R.H. Groenwold, S. Agren, F. Atienza, L. Blue, P.W. Bruggink-Andre de la Porte, D.A. DeWalt, P.L. Hebert, M. Heisler, T. Jaarsma, G.I. Kempen, M.E. Leventhal, D.J. Lok, J. Martensson, J. Muniz, H. Otsu, F. Peters-Klimm, M.W. Rich, B. Riegel, A. Stromberg, R.T. Tsuyuki, D.J. van Veldhuisen, J.C. Trappenburg, M.J. Schuurmans, A.W. Hoes, Do self-management interventions work in patients with heart failure? An individual patient data meta-analysis. Circulation. 133(12), 1189–1198 (2016). doi:10.1161/CIRCULATIONAHA.115.018006 CrossRefPubMedGoogle Scholar
  100. 100.
    K. Ismail, K. Winkley, S. Rabe-Hesketh, Systematic review and meta-analysis of randomised controlled trials of psychological interventions to improve glycaemic control in patients with type 2 diabetes. Lancet. 363(9421), 1589–1597 (2004). doi:10.1016/S0140-6736(04)16202-8 CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Xiaoqin He
    • 1
    • 2
  • Jie Li
    • 3
  • Bin Wang
    • 1
  • Qiuming Yao
    • 1
  • Ling Li
    • 1
  • Ronghua Song
    • 1
  • Xiaohong Shi
    • 1
  • Jin-an Zhang
    • 1
  1. 1.Department of EndocrinologyJinshan Hospital of Fudan UniversityShanghaiChina
  2. 2.Shanghai Medical CollegeFudan UniversityShanghaiChina
  3. 3.Department of NephrologyXi’an Central HospitalXi’anChina

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