Behavioral Programs for Diabetes Mellitus

Recommendations

Info

Author, Year & Country Comparison & Sample Size (Number randomized unless NR then # analyzed) Age, Male, Non-White, BMI/KG, HbA1c, Insulin Treatment Intervention Category & Description Total Duration Including all Phases (m); Intensity (# contacts, total contact time); Maintenance/Support Phase Duration Method of Communication (In-person, Mixed, Technology) Method of Delivery (Individual, Group, Mixed) & Presence of Supports Delivery Personnel (Non- HCP, Single HCP, Multidisciplinary) Degree of Tailoring Community Engagement Lorig, 2009 U.S. (CA) telephone) I= 186 UC= 159 I= 67.7±11.9y 37.6%, 36% 87.0±24.0kg 6.7±1.5%, 17.7% DSME; community-based, peer-led DSMP using self-efficacy approach 1.5m; 6, 15h; NA In-Person Group with supports Non-HCP (peers) Minimal – Content Yes Lorig, 2010 U.S. (CA) Lujan, 2007 U.S. (TX) I= 491 UC= 270 (Interventi on group includes IDSMP with+witho ut listserve reinforcem ent) I= 75 UC= 75 UC= 65.4±11.4y 33.8%, 29.4% 88.9±24.6kg 6.7±1.4%, 17% I= 54.2±9.9y 26.3%, 22% NR 6.5±1.2%, NR UC= 54.4±10.6y 28.9%, 28.9% NR 6.4±1.3%, NR I= 57.0±9.8y 19%, 100% NR 8.2±2.2%, 4% UC= 59.6±10.3y 22%, 100% NR 7.7±1.5%, 5% DSME; Internet DSMP with discussion boards and facilitator support DSME; culturally specific diabetes intervention delivered by promotores for Mexican Americans 1.5m; 6, NR; NA Technology Individual Non-HCP (peers) Moderate-to- High – Content & Delivery 6m; 12, 16h+biweekly telephone support duration; NA (Plus 8 mailed postcards) Mixed Mixed Non-HCP (Promotores) Moderate-to- High – Content & Delivery Lynch, 2014 I= 30 I= 53.4±11.4y I= DSME; Lifestyle I= 6m; 42, I= Mixed I= Mixed I= Non-HCP I= Moderate- I= Yes Yes Yes F-36
Author, Year & Country Comparison & Sample Size (Number randomized unless NR then # analyzed) Age, Male, Non-White, BMI/KG, HbA1c, Insulin Treatment Intervention Category & Description Total Duration Including all Phases (m); Intensity (# contacts, total contact time); Maintenance/Support Phase Duration Method of Communication (In-person, Mixed, Technology) Method of Delivery (Individual, Group, Mixed) & Presence of Supports Delivery Personnel (Non- HCP, Single HCP, Multidisciplinary) Degree of Tailoring Community Engagement U.S. (IL) AC= 31 40%, 100% 35.3±6.5kg/m 2 7.9±1.6%, 43.3% AC= 54.8±8.5y 25.8%, 100% 35.9±6.3kg/m 2 7.4±1.6%, 41.9% Improvement Through Food and Exercise (LIFE), CBT-based intervention for African Americans with comorbid diabetes and hypertension plus telephone support calls from peers 36+telephone support duration; NA AC= 6m; 2, 6h; NA AC= Inperson AC= Group (African American peers) & HCP (RD) AC= Non-HCP (CHW) to-High – Content & Delivery AC= Minimal - Content AC= None/NR Mandel, 2013 U.S. (OH) Mayer-Davis, 2004 U.S. (SC) I 1= 64 I 2= 67 I 1= 58 I 2= 67 UC= 64 I 1= 57.1±9.7y 23.4%, NR 36.8±8.2kg/m 2 7.7±1.8%, NR I 2= 58.0±11.3y 31.3%, NR 34.5±8.5kg/m 2 7.4±1.6%, NR I 1= 58.9±7.8y 15%, 89.4% 37.5±6.7kg/m 2 9.7±3.1%, 42.5% I 2= 59.7±8.6y 22%, 85.7% 37.6±6.5kg/m 2 AC= minimal education classes I 1= DSME I 2= DSME (Music Therapy) I 1= Lifestyle; reimbursable intensive lifestyle program tailored to medically underserved I 2= Lifestyle; reimbursable I 1= 1m; 4, 8h; NA I 2= 2m; 8, 14h; NA I 1= 12m; 4, 4h; NA I 2= 12m; 26, 26h; 8m I 1= In-person I 2= In-person I 1= In-person I 2= In-person I 1= Group I 2= Group I 1= Mixed I 2= Mixed I 1= HCP (CDE or RD) I 2= Multidisciplinary (CDE or RD, music therapist) I 1= HCP (RD) I 2= HCP (RD) I 1= Minimal – Content I 2= Moderateto-High – Content & Deivery I 1= Moderateto-High – Content & Delivery I 2= Moderateto-High – Content and Delivery I 1= None/NR I 2= None/NR I 1= None/NR I 2= None/NR F-37
Page 1 and 2:
Evidence Report/Technology Assessme
Page 3 and 4:
This report is based on research co
Page 5 and 6:
Key Informants In designing the stu
Page 7 and 8:
Peer Reviewers Prior to publication
Page 9 and 10:
HbA 1c reduction were more often de
Page 11 and 12:
KQ 6. Subgroups for Factors Moderat
Page 13 and 14:
Figure 13. Behavioral programs for
Page 15 and 16:
glycemia in reducing the incidence
Page 17 and 18:
together with one or more additiona
Page 19 and 20:
Figure A. Analytic framework for be
Page 21 and 22:
Methods Literature Search Strategy
Page 23 and 24:
With input from our Technical Exper
Page 25 and 26:
participants had suboptimal baselin
Page 27 and 28:
duration of diabetes ranged from 2.
Page 29 and 30:
Table B. Type 1 diabetes: summary o
Page 31 and 32:
T2DM: Description and Risk of Bias
Page 33 and 34:
Figure D. Plot of network meta-anal
Page 35 and 36:
The positive findings for behaviora
Page 37 and 38:
elated to the Human Development Ind
Page 39 and 40:
Table D. Potential research needs b
Page 41 and 42:
References 1. Renders CM, Valk GD,
Page 43 and 44:
37. Chodosh J, Morton SC, Mojica W,
Page 45 and 46:
Introduction Background The high bu
Page 47 and 48:
Factors other than blood glucose co
Page 49 and 50:
may include interventions related t
Page 51 and 52:
programs. The overarching boxes (co
Page 53 and 54:
Figure 2. Analytic framework for be
Page 55 and 56:
American Diabetes Association, Amer
Page 57 and 58:
Table 1. Inclusion criteria for typ
Page 59 and 60:
S1 in the Supplementary File). The
Page 61 and 62:
clinically significant); we refer t
Page 63 and 64:
Synthesis for T1DM (KQs 1-4) KQ 1:
Page 65 and 66:
conducted for HbA 1c and body mass
Page 67 and 68:
Applicability We followed the Metho
Page 69 and 70:
Type 1 Diabetes Mellitus This secti
Page 71 and 72:
therapy, 90,99,108 motivational enh
Page 73 and 74:
and a peer (with diabetes and train
Page 75 and 76:
followup (low SOE for both); there
Page 77 and 78:
Figure 6. Behavioral programs for t
Page 79 and 80:
similar results were found for yout
Page 81 and 82:
HbA 1c : Comparative Effectiveness
Page 83 and 84:
Two trials reported on adherence to
Page 85 and 86:
Table 4. Other clinical and behavio
Page 87 and 88:
Figure 14. Behavioral programs for
Page 89 and 90:
Health-Related Quality of Life: Beh
Page 91 and 92:
estimated effects were imprecise an
Page 93 and 94:
Table 8. Type 1 diabetes: summary o
Page 95 and 96:
Summary of Key Findings and Strengt
Page 97 and 98:
studies 82,94,95,105,109,112 were n
Page 99 and 100:
studied a DSME program in patients
Page 101 and 102:
I 2 =74%), 135,137,139,141,142,145,
Page 103 and 104:
Aerobic Fitness Test which estimate
Page 105 and 106:
Key Points: Body Mass Index • Lif
Page 107 and 108:
Table 12. Network meta-analysis for
Page 109 and 110:
Page 111 and 112:
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
Page 129 and 130:
environmental contextual factors—
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 and 160:
1. MeSH descriptor: [Diabetes Melli
Page 161 and 162:
35. “blood glucose” N2 monitor*
Page 163 and 164:
35. (behavio?r adj2 therap*).mp. 36
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 and 214: Ridgeway, 1999 M M H M H L H H M L
Page 215 and 216: Appendix F. Description of Studies
Page 217 and 218: Author, Year & Country Comparison &
Page 225 and 226: Table F3. Description of studies an
Page 249: Author, Year & Country Comparison &
Page 277 and 278: Appendix H. Strength of Evidence Ta
Page 279 and 280: Outcome # Trials (# Subjects); Tool
Page 281 and 282: Table H3. Behavioral programs compa
Page 283 and 284: 16. Mayer-Davis EJ, Seid M, Crandel
Page 285 and 286: Table I1. Effectiveness of behavior
Page 287 and 288: Category Health Outcomes Outcomes A
Page 289 and 290: Table I2. Effectiveness of behavior
Page 291 and 292: Category Outcomes Timepoint Health
Page 293 and 294: Outcome Change in Body Composition
Page 295 and 296: Outcome Change in Physical Activity
Page 297 and 298: References for Appendix I 1. Adachi
Page 299 and 300: 32. Rock CL, Flatt SW, Pakiz B, et
Page 301 and 302:
follow-up study. Diabetes Res Clin
Page 303 and 304:
98. Johnson ST, Bell GJ, Mccargar L
Page 305 and 306:
Appendix J. Network Meta-Analysis R
Page 307 and 308:
5 11-26h In person Group only NA -0
Page 309 and 310:
9 11-26h In person Group only NA -0
show all

Behavioral Programs for Diabetes Mellitus

Create successful ePaper yourself

Delete template?

Save as template?