Behavioral Programs for Diabetes Mellitus

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Toobert, 2011 M M H M H L H H L L H H Trief, 2011 M M NA M NA L NA H L L NA H Tucker, 2014 M M H M H L H H L M H H Utz, 2008 L M M M M L M M L L M M Vadstrup, 2011 L M M M M L M M L L M M Varney, 2014 L M H M H L H H L M H H Vazquez, 1998 M M H M H L M M L L H M Vincent, 2007 L M H M H L H H L L H H Walker, 2011 L M M M M L M M L L M M Weinger, 2011 L M M M M L M M L M M M Welch, 2011 M M NA M NA L NA H L L NA H Welschen, 2013 L L H M H L L L L H H H West, 2007 M M NA M NA L NA L L L NA M Wierenga, 1994 M M H M H L H H M L H H Wing, 2013 M M H M H L L L L L H M Wolever, 2010 M M H M H L H H L L H H Wolf, 2004 L L H M H L M M L L H M Yoo, 2007 L M NA M NA L NA H L L NA H Yuan, 2014 M M NA M NA L NA H L M NA H Zgibor, 2013 M M M M M L H H L L H H *These trials may have reported on subjective (i.e., patient reported) outcomes but they were either not of interest to the review or not included in the analysis because of lacking data. AC = allocation concealment; Blinding of OA = blinding of outcome assessors; Blinding of PP = blinding of participants and personnel; H = high risk of bias; IOD = incomplete outcome data; L = low risk of bias; M = medium or unclear risk of bias; NA = not applicable; Other = other sources of bias; Overall = overall risk of bias assessment; SG = sequence generation; SOR = selective outcome reporting E-8
Appendix F. Description of Studies and Interventions Table F1. Description of studies and interventions for T1DM in youth Table F2. Description of studies and interventions for T1DM in adults Table F3. Description of studies and interventions for T2DM F-1
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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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Figure 20. Plot of network meta-ana
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active comparator (20 trials, 7,709
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Discussion Key Findings and Discuss
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to be tempered by the findings of n
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compared with usual care. There was
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Our finding that single-topic, non-
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In their systematic review and meta
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For studies targeting adults, the m
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environmental contextual factors—
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assessors was also rarely reported,
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Tailoring programs to ethnic minori
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17. Centers for Disease Control and
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53. Medical Advisory Secretariat. B
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88. Ellis DA, Templin T, Naar-King
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122. Nansel TR, Iannotti RJ, Simons
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158. Cooper H, Booth K, Gill G. A t
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191. Koo BK, Han KA, Ahn HJ, et al.
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224. Sevick MA, Korytkowski M, Ston
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260. Yuan C, Lai CW, Chan LW, et al
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295. Ayling K, Brierley S, Johnson
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Appendix A. Operational Definitions
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the structured diet or physical act
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Appendix B. Literature Search Strat
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1. MeSH descriptor: [Diabetes Melli
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35. “blood glucose” N2 monitor*
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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
Page 211 and 212: Cramer, 2007 M M H M H L H H L M H
Page 213: Ridgeway, 1999 M M H M H L H H M L
Page 217 and 218: Author, Year & Country Comparison &
Page 225 and 226: Table F3. Description of studies an
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Author, Year & Country Comparison &
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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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