Diabetes self-management education interventions in the WHO African Region: A scoping review

Kumah, E; Otchere, G; Ankomah, SE; Fusheini, A; Kokuro, C; Aduo-Adjei, K; Amankwah, JA

Diabetes self-management education interventions in the WHO African Region: A scoping review

Kumah, E Otchere, G Ankomah, SE Fusheini, A Kokuro, C Aduo-Adjei, K Amankwah, JA

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Publisher:: Public Library of Science (PLoS)
Publication Type:: Journal Article
Citation:: PLOS ONE, 2021, 16, (8), pp. e0256123
Issue Date:: 2021-08-17

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Field	Value	Language
dc.contributor.author	Kumah, E
dc.contributor.author	Otchere, G
dc.contributor.author	Ankomah, SE
dc.contributor.author	Fusheini, A
dc.contributor.author	Kokuro, C
dc.contributor.author	Aduo-Adjei, K
dc.contributor.author	Amankwah, JA
dc.date.accessioned	2022-02-23T01:22:33Z
dc.date.available	2022-02-23T01:22:33Z
dc.date.issued	2021-08-17
dc.identifier.citation	PLOS ONE, 2021, 16, (8), pp. e0256123
dc.identifier.issn	1932-6203
dc.identifier.issn	1932-6203
dc.identifier.uri	http://hdl.handle.net/10453/154794
dc.description.abstract	<jats:sec id="sec001"> <jats:title>Introduction</jats:title> <jats:p>Diabetes mellitus (DM) is one of the commonest chronic diseases worldwide. Self-Management Education (SME) is regarded as a critical element of treatment for all people with diabetes, as well as those at risk of developing the condition. While a great variety of diabetes self-management education (DSME) interventions are available in high-income countries, limited information exists on educational programs for the prevention and management of diabetes complications in Africa. This study, therefore, aimed at synthesizing information in the literature to describe the state of the science of DSME interventions in the WHO African Region.</jats:p> </jats:sec> <jats:sec id="sec002"> <jats:title>Materials and methods</jats:title> <jats:p>The study is a scoping review, which followed the standard PRISMA guidelines for conducting and reporting scoping reviews. A systematic keyword and subject headings searches were conducted on six electronic databases (PubMed, Scopus, MEDLINE, EMBASE, PsychINFO and the Cochrane Central Register of Controlled Trials) to identify relevant English language publications on DSME from 2000 through 2020. Titles and abstracts of the search results were screened to select eligible papers for full text reading. All eligible papers were retrieved and full text screening was done by three independent reviewers to select studies for inclusion in the final analysis.</jats:p> </jats:sec> <jats:sec id="sec003"> <jats:title>Results</jats:title> <jats:p>Nineteen studies were included in the review. The interventions identified were individually oriented, group-based, individually oriented & group-based, and information technology-based DSME programs. Outcomes of the interventions were mixed. While the majority yielded significant positive results on HbA1c, diabetes knowledge, blood pressure, blood sugar and foot care practices; few demonstrated positive outcomes on self-efficacy, BMI, physical activity; self-monitoring of blood glucose, medication adherence, smoking and alcohol consumption.</jats:p> </jats:sec> <jats:sec id="sec004"> <jats:title>Conclusions</jats:title> <jats:p>The limited studies available indicate that DSME interventions in the WHO African Region have mixed effects on patient behaviors and health outcomes. That notwithstanding, the majority of the interventions demonstrated statistically significant positive effects on HbA1c, the main outcome measure in most DSME intervention studies.</jats:p> </jats:sec>
dc.language	en
dc.publisher	Public Library of Science (PLoS)
dc.relation.ispartof	PLOS ONE
dc.relation.isbasedon	10.1371/journal.pone.0256123
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	General Science & Technology
dc.title	Diabetes self-management education interventions in the WHO African Region: A scoping review
dc.type	Journal Article
utslib.citation.volume	16
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2022-02-23T01:22:32Z
pubs.issue	8
pubs.publication-status	Published online
pubs.volume	16
utslib.citation.issue	8

Abstract:

Introduction Diabetes mellitus (DM) is one of the commonest chronic diseases worldwide. Self-Management Education (SME) is regarded as a critical element of treatment for all people with diabetes, as well as those at risk of developing the condition. While a great variety of diabetes self-management education (DSME) interventions are available in high-income countries, limited information exists on educational programs for the prevention and management of diabetes complications in Africa. This study, therefore, aimed at synthesizing information in the literature to describe the state of the science of DSME interventions in the WHO African Region. Materials and methods The study is a scoping review, which followed the standard PRISMA guidelines for conducting and reporting scoping reviews. A systematic keyword and subject headings searches were conducted on six electronic databases (PubMed, Scopus, MEDLINE, EMBASE, PsychINFO and the Cochrane Central Register of Controlled Trials) to identify relevant English language publications on DSME from 2000 through 2020. Titles and abstracts of the search results were screened to select eligible papers for full text reading. All eligible papers were retrieved and full text screening was done by three independent reviewers to select studies for inclusion in the final analysis. Results Nineteen studies were included in the review. The interventions identified were individually oriented, group-based, individually oriented & group-based, and information technology-based DSME programs. Outcomes of the interventions were mixed. While the majority yielded significant positive results on HbA1c, diabetes knowledge, blood pressure, blood sugar and foot care practices; few demonstrated positive outcomes on self-efficacy, BMI, physical activity; self-monitoring of blood glucose, medication adherence, smoking and alcohol consumption. Conclusions The limited studies available indicate that DSME interventions in the WHO African Region have mixed effects on patient behaviors and health outcomes. That notwithstanding, the majority of the interventions demonstrated statistically significant positive effects on HbA1c, the main outcome measure in most DSME intervention studies.

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