Patient activation and Type 2 diabetes mellitus self-management: a systematic review and meta-analysis.

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  • Additional Information
    • Source:
      Publisher: Australian Journal of Public Health, Australian Institute for Primary Care, La Trobe University Country of Publication: Australia NLM ID: 101123037 Publication Model: Print Cited Medium: Internet ISSN: 1836-7399 (Electronic) Linking ISSN: 14487527 NLM ISO Abbreviation: Aust J Prim Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: Bundoora, Vic. : Australian Journal of Public Health, Australian Institute for Primary Care, La Trobe University, c2001-
    • Subject Terms:
      Health Knowledge, Attitudes, Practice*; Diabetes Mellitus, Type 2/*psychology ; Diabetes Mellitus, Type 2/*therapy ; Patient Participation/*methods ; Self-Management/*methods ; Self-Management/*statistics & numerical data; Diabetes Mellitus, Type 2/blood ; Diabetes Mellitus, Type 2/epidemiology ; Exercise ; Glycated Hemoglobin/analysis ; Humans ; Randomized Controlled Trials as Topic ; Risk Factors
    • Abstract:
      Patient activation has been recognised as a reliable driver of self-management decision-making. This systematic review and meta-analysis examines existing evidence on whether embedding patient activation within Type 2 diabetes mellitus (T2DM) self-management programs can improve patient outcomes. This review has included 10 randomised controlled trials (RCTs) conducted between 2004 and 2019 retrieved from well-known databases such as MEDLINE, PubMed, CINAHL Plus, Scopus, ProQuest and ScienceDirect. The eligible RCTs were excluded if they scored low according to Cochrane Collaboration's 'risk of bias' criteria. Random-effects meta-analyses showed that there were no significance changes in haemoglobin A1C (HbA1c), body mass index (BMI) and patient activation measure (PAM) between intervention and control groups after the intervention; however, the systematic review findings indicated that an improved patient activation level led to significant improvements in T2DM self-management and clinical outcomes including HbA1c level. Studies with a longer follow-up period conducted in community settings and delivered by peer coaches were more likely to lead to significant improvement in both patient activation levels and T2DM self-management and clinical outcomes. This review concludes that patient activation can be used as a reliable tool for improving T2DM self-management and clinical outcomes.
    • Accession Number:
      0 (Glycated Hemoglobin A)
      0 (hemoglobin A1c protein, human)
    • Publication Date:
      Date Created: 20201123 Date Completed: 20210930 Latest Revision: 20221207
    • Publication Date:
      20240628
    • Accession Number:
      10.1071/PY19204
    • Accession Number:
      33222755