Diabetes Education Impact on Hypoglycemia Outcomes: A Systematic Review of Evidence and Gaps in the Literature

被引:34
作者
LaManna, Jacqueline [1 ,2 ]
Litchman, Michelle L. [1 ,3 ]
Dickinson, Jane K. [1 ,4 ]
Todd, Andrew [2 ]
Julius, Mary M. [1 ,5 ]
Whitehouse, Christina R. [1 ,6 ]
Hyer, Suzanne [2 ]
Kavookjian, Jan [1 ,7 ]
机构
[1] Amer Assoc Diabet Educators, Res Comm, Chicago, IL USA
[2] Univ Cent Florida, Coll Nursing, Orlando, FL 32816 USA
[3] Univ Utah, Coll Nursing, Salt Lake City, UT 84112 USA
[4] Columbia Univ Teachers Coll, Dept Hlth & Behav Studies, New York, NY 10027 USA
[5] Northeast Ohio Vet Adm VA, Cleveland, OH USA
[6] Villanova Univ, M Louise Fitzpatrick Coll Nursing, Villanova, PA 19085 USA
[7] Auburn Univ, Harrison Sch Pharm, Auburn, AL 36849 USA
关键词
SELF-MANAGEMENT EDUCATION; JOINT POSITION STATEMENT; STRUCTURED TRANSITION PROGRAM; LONG-TERM-CARE; AMERICAN ASSOCIATION; CLINICAL ENDOCRINOLOGISTS; MEDICARE BENEFICIARIES; CARDIOVASCULAR-DISEASE; EMERGENCY-DEPARTMENT; HOSPITAL-ADMISSIONS;
D O I
10.1177/0145721719855931
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose The primary purpose of this study is to report a systematic review of evidence and gaps in the literature among well-conducted studies assessing the impact of diabetes education on hypoglycemia outcomes and secondarily reporting the impact on other included target outcomes. Methods The authors used a modified Cochrane method to systematically search and review English-language titles, abstracts, and full-text articles published in the United States between January 2001 and December 2017, with diabetes education specified as an intervention and a directly measurable outcome for hypoglycemia risk or events included. Results Fourteen quasi-experimental, experimental, and case-control studies met the inclusion criteria, with 8 articles reporting a positive impact of diabetes self-management education and support (DSMES) on hypoglycemia outcomes; 2 of the 8 reported decreased hypoglycemia events, and 1 reported decreased events in both the intervention and control groups. In addition, 5 studies targeted change in reported hypoglycemia symptoms, with all 5 reporting a significant decrease. DSMES also demonstrated an impact on intermediate (knowledge gain, behavior change) and long-term (humanistic and economic/utilization) outcomes. An absence of common hypoglycemia measures and terminology and suboptimal descriptions of DSMES programs for content, delivery, duration, practitioner types, and participants were identified as gaps in the literature. Conclusions Most retained studies reported that diabetes education positively affected varied measures of hypoglycemia outcomes (number of events, reported symptoms) as well as other targeted outcomes. Diabetes education is an important intervention for reducing hypoglycemia events and/or symptoms and should be included as a component of future hypoglycemia risk mitigation studies.
引用
收藏
页码:349 / 369
页数:21
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