AI Article Synopsis
- This systematic review evaluated educational interventions for managing type 2 diabetes in older adults living in the community, following PRISMA guidelines from studies published between 2010 and 2021.
- A total of twelve studies were analyzed, revealing that while there were improvements in health markers like HbA1c and increased knowledge, none of the programs fully met recommended self-management standards.
- The findings suggest that enhancing these programs by incorporating comprehensive assessments and continuous support could further improve their effectiveness for older adults with diabetes.
Article Abstract
Aims: This systematic review aimed to assess the effectiveness of educational interventions in type 2 diabetes specifically designed for community-dwelling older adults.
Methods: In accordance with PRISMA guidelines, a systematic search of studies published between 2010 and 2021 was conducted across five electronic databases and manual sources. The study protocol was previously registered in PROSPERO (CRD42021288236).
Results: Twelve papers matched the inclusion criteria and were appraised using MERSQI. The features of the educational programs were heterogeneous, and none complied with the ten suggested standards for diabetes self-management education and support. Comprehensive gerontological assessment was not considered. Outcomes included biomedical, psychosocial, behavioral, and knowledge measures. HbA1c and knowledge showed improvements with a high certainty level according to GRADE.
Conclusions: Structured DSME programs aimed at older adults have great potential, however there is still room to improve. Applying the principles of a comprehensive gerontological approach and the standards for DSME as continuous monitoring and support could increase their benefits.
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| http://dx.doi.org/10.1016/j.gerinurse.2022.05.008 | DOI Listing |
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