Sally?Anne Duke|Stephen Colagiuri|Ruth Colagiuri
Individual patient education for people with type 2 diabetes mellitus
University of Sydney|University of Sydney|University of Sydney
type 2 diabetes common costly chronic disease associated significant premature mortality morbidity although patient education integral component diabetes care remain uncertainties regarding effectiveness different methods modes educationto evaluate effectiveness individual patient education metabolic control diabetes knowledge psychosocial outcomesmultiple electronic bibliographic databases searched including cochrane library medline premedline eric biosis amed psychinfo embase cinahl apaishealth australian medical index web science dissertation abstracts biomed centralrandomized controlled controlled clinical trials evaluated individual education adults type 2 diabetes intervention individual facetoface patient education control individuals received usual care routine treatment group education studies assessed outcome measures least six months baseline includedinformation extracted two reviewers summarized study characteristics outcome statistics metaanalysis using fixedeffect model performed adequate studies specified outcome sufficient homogeneity outcomes studies assessment measurements standardized variable results summarised qualitativelynine studies involving 1359 participants met inclusion criteria six studies compared individual education usual care three compared individual education group education 361 participants longterm studies overall quality studies high six studies comparing individual facetoface education usual care individual education significantly improve glycaemic control weighted mean difference wmd hba1c 01 95 confidence interval ci 03 01 p 033 12 18 month period however appear significant benefit individual education glycaemic control subgroup analysis three studies involving participants higher mean baseline hba1c greater 8 wmd 03 95 ci 05 01 p 0007 two studies comparing individual group education significant difference glycaemic control individual group education 12 18 months wmd hba1c 003 95 ci 002 01 p 022 significant difference impact individual versus usual care group education body mass index systolic diastolic blood pressure studies perform metaanalysis effect individual education dietary self management diabetes knowledge psychosocial outcomes smoking habits data available main outcome measures diabetes complications health service utilization cost analysis studiesthis systematic review suggests benefit individual education glycaemic control compared usual care subgroup baseline hba1c greater 8 however overall appear significant difference individual education usual care small number studies comparing group individual education equal impact hba1c 12 18 months additional studies needed delineate findings