Behavioral Programs for Diabetes Mellitus

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45. (“self manag*” or selfmanag* or “self car*” or selfcar*):ti,ab,kw 46. #11 or #12 or #13 or 14 or #15 or #18 or #19 or #20 or #23 or #24 or #25 or #26 or #27 or #28 or #29 or #30 or #31 or #32 or #33 or #34 or #35 or #36 or #37 or #38 or #39 or #40 or #41 or #42 or #43 or #44 or #45 (175091) 47. #10 and #46 (9944) limit: Publication Date from 1993 to 2014, in Trials (8010) CINAHL Database: CINAHL Search Title: Behavioral Health Programs for Diabetes Date Searched: 30 May 2014 Results: 8881 1. (MH "Diabetes Mellitus+") 2. (MH "Hypoglycemia+") 3. diabet* 4. "noninsulin depend*" or "non insulin depend*" or "insulin depend*" 5. T1DM or T2DM or IDDM or NIDDM 6. S1 OR S2 OR S3 OR S4 OR S5 7. (MH "Diabetes Insipidus+") 8. diabet* N3 (insipidus not mellitus) 9. S7 OR S8 10. S6 not S9 (120,132) 11. (MH "Behavior Therapy") 12. (MH "Blood Glucose Self-Monitoring") 13. (MH "Cognitive Therapy") 14. (MH "Community Health Centers") 15. (MH "Diabetes Education") 16. (MH "Diet Therapy+") 17. (MH "Disease Management") 18. (MH "Exercise+") AND (counsel* or intervention* or program* or train*) 19. (MH "Health Behavior") AND (counsel* or intervention* or program* or train*) 20. (MH "Health Education") 21. (MH "Health Promotion") 22. (MH "Motivational Interviewing") 23. (MH "Multidisciplinary Care Team+") 24. (MH "Outcome Assessment") 25. (MH "Patient Compliance+") 26. (MH "Patient Education") 27. (MH "Program Evaluation") 28. (MH "Self Administration") 29. (MH "Self Medication") 30. (MH "Self Care") 31. (MH "Therapeutic Exercise+") 32. (MH "Weight Loss") 33. behavio#r N2 therap* B-4
35. “blood glucose” N2 monitor* 36. cognitive N2 therap* 36. communit* N2 (center* or centre*) 37. “disease management” 38. “directive counsel*” 39. (behavio* or exercis* or diet* or fitness or “life style*” or lifestyle* or nutrition or “physical activit*” or “problem solving” or relax*) N3 (counsel* or intervention* or program* or therap* or train* or treat*) 40. “motivation* interview*” 41. “self manag*” or selfmanag* or “self car*” or selfcar* 42. S7 OR S8 OR S9 OR S10 OR S11 OR S12 OR S13 OR S14 OR S15 OR S16 OR S17 OR S18 OR S19 OR S20 OR S21 OR S22 OR S23 OR S24 OR S25 OR S26 OR S27 OR S28 OR S29 OR S30 OR S31 OR S32 OR S33 OR S34 OR S35 OR S36 OR S37 OR S38 OR S39 OR S40 OR S41 (334531) 43. S10 AND S42 (27139) 44. (MH "Clinical Trials+") 45. PT Clinical trial 46. TX clinic* n1 trial* 47. TX ( (singl* n1 blind*) or (singl* n1 mask*) ) or TX ( (doubl* n1 blind*) or (doubl* n1 mask*) ) or TX ( (tripl* n1 blind*) or (tripl* n1 mask*) ) or TX ( (trebl* n1 blind*) or (trebl* n1 mask*) ) 48. TX randomi* control* trial* 49. (MH "Random Assignment") 50. TX random* allocat* 51. TX placebo* 52. (MH "Placebos") 53. (MH "Quantitative Studies") 54. TX allocat* random* 53. (MH "Quantitative Studies") 54. TX allocat* random* 55. S44 OR S45 OR S46 OR S47 OR S48 OR S49 OR S50 OR S51 OR S52 OR S53 OR S54 56. (MH "Animals+") NOT (MH "Human") 57. S55 NOT S56 58. S43 AND S57 (7921) 59. (MH “Concurrent Prospective Studies”) 60. (MH “Nonexperimental Studies”) 61. (MH “Prospective Studies”) 62. “cohort analy*” 63. cohort N1 (study or studies) 64. control* N5 (before N2 after) 65. control* N5 (pre* N2 post*) 66. “follow up” N1 (study or studies) 67. longitudinal 68. observational N1 (study or studies) 69. prospective 70. S59 OR S60 OR S61 OR S62 OR S63 OR S64 OR S65 OR S66 OR S67 OR S68 OR S69 B-5
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Evidence Report/Technology Assessme
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This report is based on research co
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Key Informants In designing the stu
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Peer Reviewers Prior to publication
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HbA 1c reduction were more often de
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KQ 6. Subgroups for Factors Moderat
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Figure 13. Behavioral programs for
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glycemia in reducing the incidence
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together with one or more additiona
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Figure A. Analytic framework for be
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Methods Literature Search Strategy
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With input from our Technical Exper
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participants had suboptimal baselin
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duration of diabetes ranged from 2.
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Table B. Type 1 diabetes: summary o
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T2DM: Description and Risk of Bias
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Figure D. Plot of network meta-anal
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The positive findings for behaviora
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elated to the Human Development Ind
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Table D. Potential research needs b
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References 1. Renders CM, Valk GD,
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37. Chodosh J, Morton SC, Mojica W,
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Introduction Background The high bu
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Factors other than blood glucose co
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may include interventions related t
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programs. The overarching boxes (co
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Figure 2. Analytic framework for be
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American Diabetes Association, Amer
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Table 1. Inclusion criteria for typ
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S1 in the Supplementary File). The
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clinically significant); we refer t
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Synthesis for T1DM (KQs 1-4) KQ 1:
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conducted for HbA 1c and body mass
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Applicability We followed the Metho
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Type 1 Diabetes Mellitus This secti
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therapy, 90,99,108 motivational enh
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and a peer (with diabetes and train
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followup (low SOE for both); there
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Figure 6. Behavioral programs for t
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similar results were found for yout
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HbA 1c : Comparative Effectiveness
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Two trials reported on adherence to
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Table 4. Other clinical and behavio
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Figure 14. Behavioral programs for
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Health-Related Quality of Life: Beh
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estimated effects were imprecise an
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Table 8. Type 1 diabetes: summary o
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Summary of Key Findings and Strengt
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studies 82,94,95,105,109,112 were n
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studied a DSME program in patients
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I 2 =74%), 135,137,139,141,142,145,
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Aerobic Fitness Test which estimate
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Key Points: Body Mass Index • Lif
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Table 12. Network meta-analysis for
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Page 111 and 112: Table 13. Network meta-analysis for
Page 113 and 114: Figure 20. Plot of network meta-ana
Page 115 and 116: active comparator (20 trials, 7,709
Page 117 and 118: Discussion Key Findings and Discuss
Page 119 and 120: to be tempered by the findings of n
Page 121 and 122: compared with usual care. There was
Page 123 and 124: Our finding that single-topic, non-
Page 125 and 126: In their systematic review and meta
Page 127 and 128: For studies targeting adults, the m
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Page 131 and 132: assessors was also rarely reported,
Page 133 and 134: Tailoring programs to ethnic minori
Page 135 and 136: 17. Centers for Disease Control and
Page 137 and 138: 53. Medical Advisory Secretariat. B
Page 139 and 140: 88. Ellis DA, Templin T, Naar-King
Page 141 and 142: 122. Nansel TR, Iannotti RJ, Simons
Page 143 and 144: 158. Cooper H, Booth K, Gill G. A t
Page 145 and 146: 191. Koo BK, Han KA, Ahn HJ, et al.
Page 147 and 148: 224. Sevick MA, Korytkowski M, Ston
Page 149 and 150: 260. Yuan C, Lai CW, Chan LW, et al
Page 151 and 152: 295. Ayling K, Brierley S, Johnson
Page 153 and 154: Appendix A. Operational Definitions
Page 155 and 156: the structured diet or physical act
Page 157 and 158: Appendix B. Literature Search Strat
Page 159: 1. MeSH descriptor: [Diabetes Melli
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Page 165 and 166: 52. exp animals/ not humans.sh. 53.
Page 167 and 168: 57. "Follow-Up Studies"[Mesh] 58. "
Page 169 and 170: URL provided by Michelle Crain, AAD
Page 171 and 172: WHO ICTRP Trial Registry: WHO ICTRP
Page 173 and 174: Appendix D. Studies Excluded After
Page 175 and 176: Health. 2006;6:134. PMID: 16709243.
Page 177 and 178: November/December;24(9):450-6. PMID
Page 179 and 180: 89. Dinneen SF, O'hara MC, Byrne M,
Page 181 and 182: 119. Fitzpatrick SL, Jeffery R, Joh
Page 183 and 184: Aug;19(8):835-42. PMID: 8842601. Ex
Page 185 and 186: adherence and metabolic control. Di
Page 187 and 188: May;36(5):1297-303. PMID: 23223405.
Page 189 and 190: 244. Korytkowski MT, Koerbel GL, Ko
Page 191 and 192: 275. Maljanian R, Grey N, Staff I,
Page 193 and 194: 306. Naccashian Z. The impact of di
Page 195 and 196: led structured program on blood glu
Page 197 and 198: Engineering. 2014;75(1-B E). PMID:
Page 199 and 200: 395. Skoro-Kondza L, Tai SS, Gadelr
Page 201 and 202: 426. Torbjornsen A, Jenum AK, Smast
Page 203 and 204: Americans with type 2 diabetes. J A
Page 205 and 206: patients. Diabetes Res Clin Pract.
Page 207 and 208: Table E1. Risk of bias for studies
Page 209 and 210: Weinger, 2011 L M NA M NA L NA L L
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Cramer, 2007 M M H M H L H H L M H
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Ridgeway, 1999 M M H M H L H H M L
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Appendix F. Description of Studies
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Author, Year & Country Comparison &
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Table F3. Description of studies an
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Appendix H. Strength of Evidence Ta
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Outcome # Trials (# Subjects); Tool
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Table H3. Behavioral programs compa
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16. Mayer-Davis EJ, Seid M, Crandel
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Table I1. Effectiveness of behavior
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Category Health Outcomes Outcomes A
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Table I2. Effectiveness of behavior
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Category Outcomes Timepoint Health
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Outcome Change in Body Composition
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Outcome Change in Physical Activity
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References for Appendix I 1. Adachi
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32. Rock CL, Flatt SW, Pakiz B, et
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follow-up study. Diabetes Res Clin
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98. Johnson ST, Bell GJ, Mccargar L
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Appendix J. Network Meta-Analysis R
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5 11-26h In person Group only NA -0
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9 11-26h In person Group only NA -0
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Behavioral Programs for Diabetes Mellitus

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