Weinan Dong, Qingyu Zhang, Chunsheng Yan, Wanling Fu, Linlin Xu
Residents' satisfaction with primary medical and health services in Western China
BMC health services research
selfmanagement interventions smis may promising treatment diabetes mellitus type 2 t2dm however accurate comparisons relative effectiveness challenging partly due lack clarity detail regarding intervention content evaluated study summarizes intervention components characteristics randomized controlled trials rcts related t2dm using taxonomy smis framework identifies components insufficiently incorporated design intervention insufficiently reported following evidence mapping methodology searched medline cinahl embase cochrane psycinfo 2010 2018 randomized controlled trials rcts smis t2dm used terms selfmanagement adult t2dm content data extraction used online platform based taxonomy smis two independent reviewers assessed eligible references one reviewer extracted data second checked accuracy identified 665 rcts smis 34 us 21 europe including 164437 median 123 range 1014559 adults t2dm smis highly differed design content characteristics mode delivery intensity location providers involved poorly described majority interventions aimed improve clinical outcomes like hba1c 83 weight 53 lipid profile 45 blood pressure 42 27 also targeted quality life improved knowledge health literacy patient activation satisfaction care hardly used outcomes 16 smis often used education 98 selfmonitoring 56 goalsetting 48 skills training 42 improve outcomes management emotions 17 shared decisionmaking 5 almost never mentioned although diabetes highly prevalent minority groups 13 smis groups included findings highlight large heterogeneity exists design smis t2dm way studies reported making accurate comparisons relative effectiveness challenging addition smis pay limited attention outcomes clinical despite importance attached outcomes patients standardized streamlined research needed better understand effectiveness costeffectiveness smis t2dm benefit patient care