Kamila Hawthorne|Yvonne Robles|Rebecca Cannings?John|Adrian Edwards
Culturally appropriate health education for Type 2 diabetes in ethnic minority groups: a systematic and narrative review of randomized controlled trials
Cardiff University|Cardiff University|Cardiff University|Cardiff University
determine culturally appropriate health education effective usual health education people diabetes ethnic minority groups living high uppermiddleincome countries systematic review metaanalysis following methodology cochrane collaboration electronic literature searches nine databases made hand searching three journals 16 author contacts criteria inclusion analysis randomized controlled trials specified diabetes health education intervention named ethnic minority group type 2 diabetes data collected hba1c blood pressure qualityoflife measures narrative review also performed studies fitted selection criteria heterogeneous methodologies outcome measures making metaanalysis difficult hba1c showed improvement 3 months weighted mean difference wmd 032 95 confidence interval ci 063 001 6 months post intervention wmd 060 95 ci 085 035 knowledge scores also improved intervention groups 6 months standardized mean difference 046 95 ci 027 065 one longerterm followup study one formal costeffectiveness analysis culturally appropriate health education effective usual health education improving hba1c knowledge short medium term due poor standardization studies data allow determination key elements interventions across countries ethnic groups health systems broad view costeffectiveness narrative review identifies learning points direct future research