Publication: The effects of diabetes self-management education and support program in Thailand: A systematic review and meta-analysis
Issued Date
2021-06-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-85109456825
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.104, No.6 (2021), 1050-1058
Suggested Citation
Ratanaporn Jerawatana, Apinya Siripitayakunkit, Thunyarat Anothaisintawee, Oraluck Pattanaprateep, Sirimon Reutrakul The effects of diabetes self-management education and support program in Thailand: A systematic review and meta-analysis. Journal of the Medical Association of Thailand. Vol.104, No.6 (2021), 1050-1058. doi:10.35755/JMEDASSOCTHAI.2021.06.12169 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78134
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
The effects of diabetes self-management education and support program in Thailand: A systematic review and meta-analysis
Abstract
Background: Diabetes is a growing health problem worldwide. Diabetes self-management education and support (DSMES) program is a crucial component in promoting self-care in all people with diabetes. However, the practice in certain countries, including Thailand, is not yet standardized, thus the effectiveness of such program is unknown. Objective: To evaluate the effectiveness of DSMES in Thailand. The outcomes were glycemic control, lipid levels, body mass index (BMI), quality of life (QoL), and diabetes knowledge. Materials and Methods: The authors searched PubMed, Scopus, and ProQuest databases since their inception until March 2019 for randomized controlled trials conducted in Thailand that evaluated outcomes of DSMES programs. Meta-analyses were performed to pool mean differences (MD) of the outcomes. Results: Seven studies, with 1,523 participants, were included. DSMES programs were conducted in different healthcare settings by health professionals from multiple disciplines. The results revealed that participants receiving DSMES had significantly lower hemoglobin A1c, MD –0.66% (95% CI –0.90 to –0.42), and FBG levels, MD –15.88 mg/dL (95% CI –20.95 to –10.79), than those who did not. Lipid levels, BMI, QoL, and diabetes knowledge, however, did not significantly differ. Conclusion: Meta-analysis results showed that DSEMS is effective in improving glycemic control and should be promoted to combat the burden of this important health problem in Thailand.