Effectiveness of self-management training in type 2 diabetes: A systematic review of randomized controlled trials

Susan L. Norris, Michael M. Engelgau, K. M Venkat Narayan

Research output: Contribution to journalArticle

1268 Citations (Scopus)

Abstract

OBJECTIVE - To systematically review the effectiveness of self-management training in type 2 diabetes. RESEARCH DESIGN AND METHODS - MEDLINE, Educational Resources Information Center (ERIC), and Nursing and Allied Health databases were searched for English-language articles published between 1980 and 1999. Studies were original articles reporting the results of randomized controlled trials of the effectiveness of self-management training in people with type 2 diabetes. Relevant data on study design, population demographics, interventions, outcomes, methodological quality, and external validity were tabulated. Interventions were categorized based on educational focus (information, lifestyle behaviors, mechanical skills, and coping skills), and outcomes were classified as knowledge, attitudes, and self-care skills; lifestyle behaviors, psychological outcomes, and quality of life; glycemic control; cardiovascular disease risk factors; and economic measures and health service utilization. RESULTS - A total of 72 studies described in 84 articles were identified for this review. Positive effects of self-management training on knowledge, frequency and accuracy of self-monitoring of blood glucose, self-reported dietary habits, and glycemic control were demonstrated in studies with short follow-up (

Original languageEnglish (US)
Pages (from-to)561-587
Number of pages27
JournalDiabetes Care
Volume24
Issue number3
StatePublished - 2001
Externally publishedYes

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Self Care
Type 2 Diabetes Mellitus
Randomized Controlled Trials
Life Style
Blood Glucose Self-Monitoring
Information Centers
Psychological Adaptation
Feeding Behavior
MEDLINE
Health Services
Nursing
Research Design
Cardiovascular Diseases
Language
Economics
Quality of Life
Demography
Databases
Psychology
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ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Effectiveness of self-management training in type 2 diabetes : A systematic review of randomized controlled trials. / Norris, Susan L.; Engelgau, Michael M.; Narayan, K. M Venkat.

In: Diabetes Care, Vol. 24, No. 3, 2001, p. 561-587.

Research output: Contribution to journalArticle

Norris, Susan L. ; Engelgau, Michael M. ; Narayan, K. M Venkat. / Effectiveness of self-management training in type 2 diabetes : A systematic review of randomized controlled trials. In: Diabetes Care. 2001 ; Vol. 24, No. 3. pp. 561-587.
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