A Systematic Literature Review On Effective Components of Diabetes Self-Management Education On Women of Colour

Objective:Our objective is to investigate effective intervention features of diabetes self-management education (DSME) for women of colour.

Methods:We conducted a literature search in six databases and included randomized controlled or controlled studies with African American/Caribbean and Latin American women with Type 2 Diabetes Mellitus in industrialized countries.

Results:With 14 included studies in our analysis, we identified 38 intervention features in relation to their success in glycemic control (HbA1c), anthropometrics, physical activity, and diet. For HbA1c, the positively associated intervention features included one-on-one format, didactic teaching, and short intervention duration. The positively associated intervention features for anthropometrics consisted of hospital-based setting, group format, situational problem solving, long duration and high intensity interventions, and incorporating dietitians as interveners. The positively associated intervention features for physical activity encompassed hospital-based setting, group format, negotiated goal setting, long duration and, high intensity interventions, and incorporating community peer workers or dietitians as interveners. For diet, the positively associated intervention features comprised of home-based setting, one-on-one format, negotiated goal-setting, situational problem-solving, short duration and low intensity interventions, and incorporating nurses as interveners.

Conclusion:The heterogeneity of success with different outcomes and intervention features suggests that future DSME educators should delineate specific outcomes and intervention features accordingly to optimize behaviour change.