Evidence Mapping for Self-help Interventions in Patients with Type 2 Diabetes Mellitus

Ying TANG; Guoyan WANG; Yongchao XU; Qiulan HU; Yanjiao WANG

doi:10.12259/j.issn.2095-610X.S20231115

Volume 44 Issue 11

Nov. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(11): 100-107

Ying TANG, Guoyan WANG, Yongchao XU, Qiulan HU, Yanjiao WANG. Evidence Mapping for Self-help Interventions in Patients with Type 2 Diabetes Mellitus[J]. Journal of Kunming Medical University, 2023, 44(11): 100-107. doi: 10.12259/j.issn.2095-610X.S20231115

Citation:

Ying TANG, Guoyan WANG, Yongchao XU, Qiulan HU, Yanjiao WANG. Evidence Mapping for Self-help Interventions in Patients with Type 2 Diabetes Mellitus[J]. Journal of Kunming Medical University, 2023, 44(11): 100-107. doi: 10.12259/j.issn.2095-610X.S20231115

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Evidence Mapping for Self-help Interventions in Patients with Type 2 Diabetes Mellitus

doi: 10.12259/j.issn.2095-610X.S20231115

1.
Psychiatry Department
2.
Gerontism ICU，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032，China

Received Date: 2022-08-23
Available Online: 2023-11-09
Publish Date: 2023-11-30

Abstract

Abstract

Objective To systematically describe and evaluate self-help intervention in patients with type 2 diabetes mellitus, to provide guidance for future self-help intervention research through evidence mapping method. Methods Related studies on self-help intervention for patients with type 2 diabetes mellitus were searched in CNKI, Wanfang Data, VIP, CBM, PubMed, Cochrane Library, Web of Science, and EMBASE from inception to November 2022. The quality of the studies was assessed using the risk of bias（RoB） tool and A Measurement Tool to Assess Systematic Review-2（AMSTAR-2）. Based on the Nursing Outcome Classification, the outcome indexes were classified. An evidence mapping framework was established, using Microsoft Excel tools for data extraction and coding, and using bubble charts to comprehensively present the research content. Results A total of 41 randomized controlled trials and 2 systematic reviews/Meta-analyses were included, which involved three intervention types with 10 self-help intervention methods. Including self-administered（3, 7%）, pure self-help（20, 47%）, and guided self-help（20, 47%）. The main intervention methods included a self-service manual, internet platform, dedicated management software, etc. The main outcome indicators included blood glucose level（34, 79%）, self-management ability（14, 33%）, and quality of life（9, 21%）.18（42%） of the research conclusions were classified as "beneficial", 24（56%） of the research conclusions were classified " probably beneficial". In addition, the intervention duration was mainly within 6 months, and the study sites were concentrated in hospitals and communities. Conclusion Self-help intervention may be effective for patients with type 2 diabetes mellitus. At the same time, it is easy to implement and promote. However, its effectiveness are different for different types、methods and approaches of interventions. In the further study, we can use data-driven and robotics to build self-help interventions, and we also need to focus on the durability of the intervention's effects.
- Evidence mapping,
- Randomized controlled trial,
- Systematic review/Meta- analysis,
- Type 2 diabetes mellitus,
- Self-help intervention

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