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The effects of diabetes self‐management interventions on physiological outcomes in people living with diabetes in Africa: A systematic review and meta‐analysis
Author(s) -
Diriba Dereje Chala,
Leung Doris Y.P.,
Suen Lorna K.P.
Publication year - 2021
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/dme.14501
Subject(s) - medicine , cinahl , psychological intervention , meta analysis , diabetes mellitus , cochrane library , body mass index , diabetes management , gerontology , medline , waist , randomized controlled trial , systematic review , physical therapy , type 2 diabetes , psychiatry , endocrinology , political science , law
Aim To examine the effects of diabetes self‐management interventions on physiological outcomes among people living with diabetes in Africa compared with patients receiving usual care. Methods Relevant databases including PubMed, CINAHL Complete, Scopus, the Cochrane Library and Google Scholar were searched from inception to 28 September 2019, for randomised controlled trials (RCTs) involving adults living with diabetes in Africa. Nine RCTs were included in the review, and the quality of the studies was assessed using Cochrane's collaboration risk of bias tools. Results A meta‐analysis of the outcomes showed the significant effects of diabetes self‐management interventions on blood pressure, total cholesterol and body mass index, whereas non‐significant and inconclusive results were obtained for waist circumference and glycosylated haemoglobin, respectively. Conclusions The diabetes self‐management interventions (DSM) effectively improved many physiological outcomes, but their effectiveness in HbA 1c was inconclusive, suggesting a need for modifications in DSM interventions for African people living with diabetes.