Ignacio Ricci?Cabello|Isabel Ruiz?Pérez|Antonio Rojas?García|Guadalupe Pastor|Miguel Rodríguez?Barranco|Daniela C. Gonçalves
Characteristics and effectiveness of diabetes self-management educational programs targeted to racial/ethnic minority groups: a systematic review, meta-analysis and meta-regression
University of Oxford|Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública|Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública|Andalusian School of Public Health|Andalusian School of Public Health|University of Oxford
clear extent educational programs aimed promoting diabetes selfmanagement ethnic minority groups effective aim work systematically review effectiveness educational programs promote selfmanagement racialethnic minority groups type 2 diabetes identify programs characteristics associated greater successwe undertook systematic literature review specific searches designed implemented medline embase cinahl isi web knowledge scirus current contents nine additional sources inception october 2012 included experimental quasiexperimental studies assessing impact educational programs targeted racialethnic minority groups type 2 diabetes included interventions conducted countries members oecd two reviewers independently screened citations structured forms used extract information intervention characteristics effectiveness costeffectiveness possible conducted randomeffects metaanalyses using standardized mean differences obtain aggregate estimates effect size 95 confidence intervals two reviewers independently extracted information critically appraised studieswe identified thirtyseven studies reporting thirtynine educational programs conducted us african american latino participants programs obtained benefits standard care improving diabetes knowledge selfmanagement behaviors clinical outcomes metaanalysis 20 randomized controlled trials 3094 patients indicated programs produced reduction glycated hemoglobin 031 95 ci 048 014 diabetes knowledge selfmanagement measures heterogeneous pool metaregressions showed larger reduction glycated hemoglobin individual face face delivered interventions well involving peer educators including cognitive reframing techniques lower number teaching methods longterm effects remain unknown costeffectiveness rarely estimateddiabetes selfmanagement educational programs targeted racialethnic minority groups produce positive effect diabetes knowledge selfmanagement behavior ultimately improving glycemic control future programs take account key characteristics identified review