Self management interventions for type 2 diabetes in adult people with severe mental illness
Información
- DOI:
- https://doi.org/10.1002/14651858.CD011361.pub2Copiar DOI
- Base de datos:
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- Cochrane Database of Systematic Reviews
- Versión publicada:
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- 27 abril 2016see what's new
- Tipo:
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- Intervention
- Etapa:
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- Review
- Grupo Editorial Cochrane:
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Grupo Cochrane de Trastornos metabólicos y endocrinos
- Copyright:
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- Copyright © 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Cifras del artículo
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Autores
Contributions of authors
Hayley McBain (HM): protocol draft, search strategy development, acquisition of trial reports, trial selection, data extraction, data analysis, data interpretation, review of drafts and future review updates.
Kathleen Mulligan (KM): protocol draft, search strategy development, data extraction, data analysis, data interpretation, review of draft and future review updates.
Mark Haddad (MH): protocol draft, trial selection, data analysis, data interpretation, review of draft and future review updates.
Chris Flood (CF): protocol draft, trial selection, data analysis, data interpretation, review of draft and future review updates.
Julia Jones (JJ): protocol draft, data analysis, data interpretation, review of draft and future review updates.
Alan Simpson (AS): protocol draft, data extraction, data analysis, data interpretation, review of draft and future review updates
Declarations of interest
HM: none known.
KM: none known.
MH: none known.
CF: none known.
JJ: none known.
AS: none known.
Acknowledgements
We thank Karla Bergerhoff and Maria‐Inti Metzendorf, former and current Trials Search Co‐ordinators for the Cochrane Metabolic and Endocrine Disorders Group, for designing and implementing the search strategy. We also would like to thank the Cochrane Metabolic and Endocrine Disorders Group for help and guidance provided during the review process.
Version history
| Published | Title | Stage | Authors | Version |
| 2016 Apr 27 | Self management interventions for type 2 diabetes in adult people with severe mental illness | Review | Hayley McBain, Kathleen Mulligan, Mark Haddad, Chris Flood, Julia Jones, Alan Simpson | |
| 2014 Nov 06 | Self‐management interventions for type 2 diabetes in adult people with severe mental illness | Protocol | Hayley McBain, Kathleen Mulligan, Mark Haddad, Chris Flood, Julia Jones, Alan Simpson | |
Differences between protocol and review
The protocol specified that review authors would search the Allied and Complementary Medicine Database (AMED) for articles; however, on advice from the Trials Search Co‐ordinator in the Cochrane Metabolic and Endocrine Disorders Group, we removed this database from the search strategy.
Notes
Portions of the background and methods sections, the appendices, additional tables and Figures 1 to 3 of this review are based on a standard template established by the Cochrane Metabolic and Enocrine Disorders Group.
We have based parts of the background and methods sections, the appendices, additional tables and Figures 1 to 3 of this review on a standard template established by the Cochrane Metabolic and Enocrine Disorders Group.
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
Medical Subject Headings Check Words
Adult; Humans;
PICO
Schematic representation of diabetes self management.
Study flow diagram.
Risk of bias summary: review authors' judgements about each risk of bias item for each included trial.
| Self management interventions for type 2 diabetes in adult people with severe mental illness | ||||||
| Population: adults with type 2 diabetes and severe mental illness Setting: community Intervention: diabetes self management Comparison: usual care + information | ||||||
| Outcomes | Usual care + information | Diabetes self management | Relative effect | Number of participants | Quality of the evidence | Comments |
| Diabetes‐related complications | See comment | See comment | See comment | See comment | See comment | Not reported |
| All‐cause mortality | See comment | See comment | See comment | See comment | See comment | Not reported |
| Adverse events | See comment | See comment | See comment | See comment | See comment | Not reported |
| Health‐related quality of life | See comment | See comment | See comment | See comment | See comment | Not reported |
| Self care behaviours: physical activity (measured by total energy expenditure in kcal) Follow‐up: 6 months (6 months after the end of the intervention) | Mean energy expenditure was 2148 kcal | Mean energy expenditure was 652 kcal higher | ‐ | 52 (1) | ⊕⊝⊝⊝ | Trial authors stated that this difference reflected no improvement |
| HbA1c [%] Follow‐up: 6 months (6 months after the end of the intervention) | Mean HbA1c was 7.9% | Mean HbA1c was 1% lower | ‐ | 52 (1) | ⊕⊝⊝⊝ | Trial authors stated that this difference reflected no improvement |
| Socioeconomic effects | See comment | See comment | See comment | See comment | See comment | Not reported |
| CI: confidence interval; HbA1c: glycosylated haemoglobin A1c; kcal: kilocalories | ||||||
| GRADE Working Group grades of evidence | ||||||
| aDowngraded by three levels because of selective reporting bias, indirectness and imprecision | ||||||
| Intervention and comparator | Sample sizea | Screened/eligible | Randomised | Analysed | Finishing trial | Randomised finishing trial | Follow‐upb | |
| McKibbin 2010 | I: Diabetes Awareness and Rehabilitation Training (DART) | ‐ | 77 | 32 | 26 | 26 | 81.3 | 24 weeks (6 months post intervention) |
| C: usual care plus information (UCI) | 32 | 26 | 26 | 81.3 | ||||
| Total: | 64 | 52 | 52 | 81.3 | ||||
| aAccording to power calculation in trial publication or report bDuration of intervention and/or follow‐up under randomised conditions until end of trial "‐" denotes not reported C: comparator; I: intervention | ||||||||
