Effectiveness and safety of patient activation interventions for adults with type 2 diabetes: Systematic review, meta-analysis, and meta-regression

Journal of General Internal Medicine

Volumn 29, Issue 8, 2014, Pages 1166-1176

  Bolen, Shari D ^a,b   Chandar, Apoorva ^b   Falck Ytter, Corinna ^a   Tyler, Carl ^c   Perzynski, Adam T ^a   Gertz, Alida M ^b,d   Sage, Paulette ^e   Lewis, Steven ^a   Cobabe, Maurine ^e   Ye, Ying ^e   Menegay, Michelle ^b,f   Windish, Donna M ^g  

^a METROHEALTH MEDICAL CENTER   (United States)

^b CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c LERNER RESEARCH INSTITUTE   (United States)

^d JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e CASE WESTERN RESERVE UNIVERSITY   (United States)

^f Ohio Research Association for Public Health Improvement   (United States)

^g YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

interventions; patient activation; type 2 diabetes

Indexed keywords

BODY WEIGHT; COMPARATIVE STUDY; FOLLOW UP; GLYCEMIC CONTROL; HUMAN; HYPOGLYCEMIA; INFORMATION PROCESSING; META ANALYSIS; MORTALITY; NON INSULIN DEPENDENT DIABETES MELLITUS; OUTCOME ASSESSMENT; PATIENT SAFETY; REVIEW; RISK; SYSTEMATIC REVIEW; TOTAL QUALITY MANAGEMENT; ADULT; DIABETES MELLITUS, TYPE 2; EARLY INTERVENTION; PATIENT PARTICIPATION; PROCEDURES; RANDOMIZED CONTROLLED TRIAL (TOPIC); SELF CARE; TREATMENT OUTCOME;

ADULT; DIABETES MELLITUS, TYPE 2; EARLY MEDICAL INTERVENTION; HUMANS; PATIENT PARTICIPATION; PATIENT SAFETY; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SELF CARE; TREATMENT OUTCOME;

EID: 84904409621     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-014-2855-4     Document Type: Review

References (89)

1. National Diabetes Fact Sheet, 2011. Available at http://www.cdc.gov/ diabetes/pubs/pdf/ndfs-2011.pdf. 2011. Accessed 3-5-2014.
2. American Diabetes Association. Economic costs of diabetes in the U.S. in 2007. Diabetes Care. 2008;31:596-615.
3. Gary TL, Genkinger JM, Guallar E, Peyrot M, Brancati FL. Meta-analysis of randomized educational and behavioral interventions in type 2 diabetes. Diabetes Educ. 2003;29:488-501. (Pubitemid 44858394)
4. Lorig K, Ritter PL, Villa F, Piette JD. Spanish diabetes self-management with and without automated telephone reinforcement: two randomized trials. Diabetes Care. 2008;31:408-414.
5. Cooper H, Booth K, Gill G. A trial of empowerment-based education in type 2 diabetes - global rather than glycaemic benefits. Diabetes Res Clin Pract. 2008;82:165-171.
6. Brown SA, Hanis CL. A community-based, culturally sensitive education and group-support intervention for Mexican Americans with NIDDM: a pilot study of efficacy. Diabetes Educ. 1995;21:203-210.
7. Hibbard JH, Collins PA, Mahoney E, Baker LH. The development and testing of a measure assessing clinician beliefs about patient self-management. Health Expect. 2010;13:65-72.
8. Remmers C, Hibbard J, Mosen DM, Wagenfield M, Hoye RE, Jones C. Is patient activation associated with future health outcomes and healthcare utilization among patients with diabetes? J Ambul Care Manag. 2009;32:320-327.
9. Stepleman L, Rutter MC, Hibbard J, Johns L, Wright D, Hughes M. Validation of the patient activation measure in a multiple sclerosis clinic sample and implications for care. Disabil Rehabil. 2010;32:1558-1567.
10. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health Aff (Millwood). 2001;20:64-78. (Pubitemid 33707442)
11. Crossing the quality chasm: a new health system for the 21st century. Committee on Quality Health Care in America, IOM. Available at: http://www.nap.edu/openbook.php?record-id=10027&page=13. Washington D.C.: National Academy Press, 2012. Accessed 03-05-2014.
12. Timbie JW, Schneider EC, Van BK, Fox DS. Five reasons that many comparative effectiveness studies fail to change patient care and clinical practice. Health Aff (Millwood). 2012;31:2168-2175.
13. Shojania KG, Ranji SR, McDonald KM, et al. Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis. JAMA. 2006;296:427-440. (Pubitemid 44127527)
14. US food and drug administration. Protecting and promoting your health. Available at: http://www.fda.gov/safety/medwatch/howtoreport/ucm053087.htm. 8-23-2014. Accessed 03-05-2014.
15. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17:1-12. (Pubitemid 26120810)
16. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177-188. (Pubitemid 17189972)
17. Yusuf S, Peto R, Lewis J, Collins R, Sleight P. Beta blockade during and after myocardial infarction: an overview of the randomized trials. Prog Cardiovasc Dis. 1985;27:335-371. (Pubitemid 15107153)
18. Gaede P, Lund-Andersen H, Parving HH, Pedersen O. Effect of a multifactorial intervention on mortality in type 2 diabetes. N Engl J Med. 2008;358:580-591. (Pubitemid 351214285)
19. Stratton IM, Adler AI, Neil HA, et al. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. BMJ. 2000;321:405-412. (Pubitemid 30609442)
20. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557-560. (Pubitemid 37088507)
21. Pedersen SD, Kang J, Kline GA. Portion control plate for weight loss in obese patients with type 2 diabetes mellitus: a controlled clinical trial. Arch Intern Med. 2007;167:1277-1283. (Pubitemid 46998499)
22. Ivers N, Jamtvedt G, Flottorp S et al. Audit and feedback: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev 2012;6:CD000259.
23. U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions: Community health worker national workforce study, March 2007. Available at http://bhpr.hrsa.gov/ healthworkforce/supplydemand/publichealth/communityhealthworkforcebibliography. pdf. 2007. Accessed 03-05-2014.
24. Miller RW, Rollnick S. Motivational interviewing: Preparing people to change addictive behavior. New York: The Guilford Press; 1991.
25. Public Health Interventions. Applications for public health nursing practice. Minnesota Department of Health. Available at: http://www.health.state. mn.us/divs/opi/cd/phn/docs/0301wheel-manual.pdf. 2001. Accessed 03-05-2014.
26. Begg CB, Mazumdar M. Operating characteristics of a rank correlation test for publication bias. Biometrics. 1994;50:1088-1101.
27. Egger M, Davey SG, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629-634. (Pubitemid 27387172)
28. Duval S, Tweedie R. Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics. 2000;56:455-463. (Pubitemid 30422636)
29. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336:924-926. (Pubitemid 351632017)
30. Hanefeld M, Fischer S, Schmechel H, et al. Diabetes Intervention Study. Multi-intervention trial in newly diagnosed NIDDM. Diabetes Care. 1991;14:308-317.
31. Rachmani R, Slavacheski I, Berla M, Frommer-Shapira R, Ravid M. Treatment of high-risk patients with diabetes: motivation and teaching intervention: a randomized, prospective 8-year follow-up study. J Am Soc Nephrol. 2005;16(Suppl 1):S22-S26. (Pubitemid 41725077)
32. Trento M, Passera P, Borgo E, et al. A 5-year randomized controlled study of learning, problem solving ability, and quality of life modifications in people with type 2 diabetes managed by group care. Diabetes Care. 2004;27:670-675. (Pubitemid 38280531)
33. Trento M, Gamba S, Gentile L, et al. Rethink Organization to iMprove Education and Outcomes (ROMEO): a multicenter randomized trial of lifestyle intervention by group care to manage type 2 diabetes. Diabetes Care. 2010;33:745-747.
34. Piatt GA, Anderson RM, Brooks MM, et al. 3-year follow-up of clinical and behavioral improvements following a multifaceted diabetes care intervention: results of a randomized controlled trial. Diabetes Educ. 2010;36:301-309.
35. Khunti K, Gray LJ, Skinner T, et al. Effectiveness of a diabetes education and self management programme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: three year follow-up of a cluster randomised controlled trial in primary care. BMJ. 2012;344:e2333.
36. Pettitt DJ, Wollitzer AO, Jovanovic L, He G, Ipp E. Decreasing the risk ofdiabeticretinopathy in a study ofcasemanagement: The California medi-caltype 2diabetesstudy. Diabetes Care. 2005;28:2819-2822. (Pubitemid 43942909)
37. Andrews RC, Cooper AR, Montgomery AA, et al. Diet or diet plus physical activity versus usual care in patients with newly diagnosed type 2 diabetes: the Early ACTID randomised controlled trial. Lancet. 2011;378:129-139.
38. Dejesus RS, Chaudhry R, Leutink DJ, Hinton MA, Cha SS, Stroebel RJ. Effects of efforts to intensify management on blood pressure control among patients with type 2 diabetes mellitus and hypertension: a pilot study. Vasc Health Risk Manag. 2009;5:705-711.
39. Keogh KM, Smith SM, White P, et al. Psychological family intervention for poorly controlled type 2 diabetes. Am J Manage Care. 2011;17:105-113.
40. Keyserling TC, Samuel-Hodge CD, Ammerman AS, et al. A randomized trial of an intervention to improve self-care behaviors of African-American women with type 2 diabetes: impact on physical activity. Diabetes Care. 2002;25:1576-1583. (Pubitemid 41071114)
41. Cavanaugh K, Wallston KA, Gebretsadik T, et al. Addressing Literacy and Numeracy to Improve Diabetes Care: two randomized controlled trials. Diabetes Care. 2009;32:2149-2155.
42. Walker EA, Shmukler C, Ullman R, Blanco E, Scollan KM, Cohen HW. Results of a successful telephonic intervention to improve diabetes control in urban adults: a randomized trial. Diabetes Care. 2011;34:2-7.
43. Hiss RG, Armbruster BA, Gillard ML, McClure LA. Nurse care manager collaboration with community-based physicians providing diabetes care: a randomized controlled trial. Diabetes Educ. 2007;33:493-502.
44. Groeneveld Y, Petri H, Hermans J, Springer M. An assessment of structured care assistance in the management of patients with type 2 diabetes in general practice. Scand J Prim Health Care. 2001;19:25-30. (Pubitemid 32230099)
45. Wakefield BJ, Holman JE, Ray A, et al. Effectiveness of home telehealth in comorbid diabetes and hypertension: a randomized, controlled trial. Telemed J E Health. 2011;17:254-261.
46. Heller SR, Clarke P, Daly H, et al. Group education for obese patients with type 2 diabetes: greater success at less cost. Diabet Med. 1988;5:552-556.
47. Thoolen BJ, de Ridder D, Bensing J, Gorter K, Rutten G. Beyond good intentions: the role of proactive coping in achieving sustained behavioural change in the context of diabetes management. Psychol Health. 2009;24:237-254.
48. Sperl-Hillen JM, Solberg LI, Hroscikoski MC, Crain AL, Engebretson KI, O'Connor PJ. The effect of advanced access implementation on quality of diabetes care. Prev Chron Dis. 2008;5:A16.
49. Rothman RL, Malone R, Bryant B, et al. A randomized trial of a primary care-based disease management program to improve cardiovascular risk factors and glycated hemoglobin levels in patients with diabetes. Am J Med. 2005;118:276-284. (Pubitemid 40312639)
50. Clark M, Hampson SE, Avery L, Simpson R. Effects of a tailored lifestyle self-management intervention in patients with type 2 diabetes. Br J Health Psychol. 2004;9:365-379. (Pubitemid 39277408)
51. Samuel-Hodge CD, Keyserling TC, Park S, Johnston LF, Gizlice Z, Bangdiwala SI. A randomized trial of a church-based diabetes self-management program for African Americans with type 2 diabetes. Diabetes Educ. 2009;35:439-454.
52. Sarkadi A, Rosenqvist U. Experience-based group education in Type 2 diabetes: a randomised controlled trial. Patient Educ Couns. 2004;53:291-298. (Pubitemid 38759154)
53. Adolfsson ET, Starrin B, Smide B, Wikblad K. Type 2 diabetic patients' experiences of two different educational approaches-a qualitative study. Int J Nurs Stud. 2008;45:986-994.
54. Sturt J. One-to-one structured education using the Diabetes Manual: evidence of effectiveness. J Diabetes Nurs. 2008;12:368.
55. Gary TL, Batts TM, Yeh HC, et al. The effects of a nurse case manager and a community health worker team on diabetic control, emergency department visits, and hospitalizations among urban African Americans with type 2 diabetes mellitus: a randomized controlled trial. Arch Intern Med. 2009;169:1788-1794.
56. Gary TL, Bone LR, Hill MN, et al. Randomized controlled trial of the effects of nurse case manager and community health worker interventions on risk factors for diabetes-related complications in urban African Americans. Prev Med. 2003;37:23-32. (Pubitemid 36687862)
57. Lincoln NB, Radford KA, Game FL, Jeffcoate WJ. Education for secondary prevention of foot ulcers in people with diabetes: a randomised controlled trial. Diabetologia. 2008;51:1954-1961.
58. Smith SM, Paul G, Kelly A, Whitford DL, O'Shea E, O'Dowd T. Peer support for patients with type 2 diabetes: cluster randomised controlled trial. BMJ. 2011;342:d715.
59. Taylor CB, Miller NH, Reilly KR, et al. Evaluation of a nurse-care management system to improve outcomes in patients with complicated diabetes. Diabetes Care. 2003;26:1058-1063. (Pubitemid 36929248)
60. Anderson DR, Christison LJ, Villagra V, Liu H, Dziura J. Managing the space between visits: a randomized trial of disease management for diabetes in a community health center. J Gen Intern Med. 2010;25:1116-1122.
61. Edelman D, Fredrickson SK, Melnyk SD, et al. Medical clinics versus usual care for patients with both diabetes and hypertension: a randomized trial. Ann Intern Med. 2010;152:689-696.
62. Farmer AJ, Wade AN, French DP, et al. Blood glucose self-monitoring in type 2 diabetes: a randomised controlled trial. Health Technol Assess. 2009;13:iii-xi. 1.
63. Di LC, Fanelli C, Lucidi P, et al. Validation of a counseling strategy to promote the adoption and the maintenance of physical activity by type 2 diabetic subjects. Diabetes Care. 2003;26:404-408. (Pubitemid 36929063)
64. Fornos JA, Andres NF, Andres JC, Guerra MM, Egea B. A pharmacotherapy follow-up program in patients with type-2 diabetes in community pharmacies in Spain. Pharm World Sci. 2006;28:65-72. (Pubitemid 44510949)
65. Shibayama T, Kobayashi K, Takano A, Kadowaki T, Kazuma K. Effectiveness of lifestyle counseling by certified expert nurse of Japan for non-insulin-treated diabetic outpatients: a 1-year randomized controlled trial. Diabetes Res Clin Pract. 2007;76:265-268. (Pubitemid 46400136)
66. Anderson RM, Funnell MM, Aikens JE, et al. Evaluating the efficacy of an empowerment-based self-management consultant intervention: results of a two-year randomized controlled trial. Ther Patient Educ. 2009;1:3-11.
67. Cohen LB, Taveira TH, Khatana SA, Dooley AG, Pirraglia PA, Wu WC. Pharmacist-led shared medical appointments for multiple cardiovascular risk reduction in patients with type 2 diabetes. Diabetes Educ. 2011;37:801-812.
68. Rodriguez-Idigoras MI, Sepulveda-Munoz J, Sanchez-Garrido-Escudero R, et al. Telemedicine influence on the follow-up of type 2 diabetes patients. Diabetes Technol Ther. 2009;11:431-437.
69. Crasto W, Jarvis J, Khunti K, et al. Multifactorial intervention in individuals with type 2 diabetes and microalbuminuria: the Microalbuminuria Education and Medication Optimisation (MEMO) study. Diabetes Res Clin Pract. 2011;93:328-336.
70. Spencer MS, Rosland AM, Kieffer EC, et al. Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial. Am J Public Health. 2011;101:2253-2260.
71. Rygg LO, Rise MB, Gronning K, Steinsbekk A. Efficacy of ongoing group based diabetes self-management education for patients with type 2 diabetes mellitus. A randomised controlled trial. Patient Educ Couns. 2012;86:98-105.
72. Lorig K, Ritter PL, Villa FJ, Armas J. Community-based peer-led diabetes self-management: a randomized trial. Diabetes Educ. 2009;35:641-651.
73. Negri C, Bacchi E, Morgante S, et al. Supervised walking groups to increase physical activity in type 2 diabetic patients. Diabetes Care. 2010;33:2333-2335.
74. Lim S, Kang SM, Shin H, et al. Improved glycemic control without hypoglycemia in elderly diabetic patients using the ubiquitous healthcare service, a new medical information system. Diabetes Care. 2011;34:308-313.
75. Yoo HJ, Park MS, Kim TN, et al. A ubiquitous chronic disease care system using cellular phones and the internet. Diabet Med J Br Diabet Assoc. 2009;26:628-635.
76. Bujnowska-Fedak MM, Puchala E, Steciwko A. The impact of telehome care on health status and quality of life among patients with diabetes in a primary care setting in Poland. Telemed J E Health. 2011;17:153-163.
77. Duran A, Martin P, Runkle I, et al. Benefits of self-monitoring blood glucose in the management of new-onset Type 2 diabetes mellitus: the St Carlos Study, a prospective randomized clinic-based interventional study with parallel groups. J Diabetes. 2010;2:203-211.
78. Polonsky WH, Fisher L, Schikman CH, et al. Structured self-monitoring of blood glucose significantly reduces A1C levels in poorly controlled, noninsulin-treated type 2 diabetes: results from the Structured Testing Program study. Diabetes Care. 2011;34:262-267.
79. Franciosi M, Lucisano G, Pellegrini F, et al. ROSES: role of self-monitoring of blood glucose and intensive education in patients with Type 2 diabetes not receiving insulin. A pilot randomized clinical trial. Diabet Med. 2011;28:789-796.
80. Closing the gap: effect of diabetes case management on glycemic control among low-income ethnic minority populations: the California Medi-Cal type 2 diabetes study. Diabetes Care 2004;27:95-103.
81. Luley C, Blaik A, Reschke K, Klose S, Westphal S. Weight loss in obese patients with type 2 diabetes: effects of telemonitoring plus a diet combination - the Active Body Control (ABC) Program. Diabetes Res Clin Pract. 2011;91:286-292.
82. Lu J, Bu RF, Sun ZL, et al. Comparable efficacy of self-monitoring of quantitative urine glucose with self-monitoring of blood glucose on glycaemic control in non-insulin-treated type 2 diabetes. Diabetes Res Clin Pract. 2011;93:179-186.
83. Partapsingh VA, Maharaj RG, Rawlins JM. Applying the Stages of Change model to Type 2 diabetes care in Trinidad: a randomised trial. J Negat Results Biomed. 2011;10:13.
84. Sacco WP, Malone JI, Morrison AD, Friedman A, Wells K. Effect of a brief, regular telephone intervention by paraprofessionals for type 2 diabetes. J Behav Med. 2009;32:349-359.
85. Wing RR, Bolin P, Brancati FL, et al. Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. N Engl J Med. 2013;369:145-154.
86. Norris SL, Engelgau MM, Narayan KM. Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care. 2001;24:561-587. (Pubitemid 32198430)
87. Funnell MM, Brown TL, Childs BP, et al. National standards for diabetes self-management education. Diabetes Care. 2012;35(Suppl 1):S101-S108.
88. Carpenter DM, Fisher EB, Greene SB. Shortcomings in public and private insurance coverage of diabetes self-management education and support. Popul Health Manag. 2012;15:144-148.
89. Boutron I, Moher D, Altman DG, Schulz KF, Ravaud P. Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med. 2008;148:295-309. (Pubitemid 351665487)