Community-based educational interventions for prevention of type II diabetes: a global systematic review and meta-analysis
Abstract Purpose Our objective was to estimate the change in community-based education interventions throughout the world that may effectuate in risk parameters of type II diabetes (T2D), including the diabetes incidence rate, fasting blood glucose, hemoglobin A1C, body mass index, waist circumferen...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2021-03-01
|
Series: | Systematic Reviews |
Subjects: | |
Online Access: | https://doi.org/10.1186/s13643-021-01619-3 |
id |
doaj-fd4fe0b41103419f8eecf4ea8c7103e0 |
---|---|
record_format |
Article |
spelling |
doaj-fd4fe0b41103419f8eecf4ea8c7103e02021-03-21T12:10:44ZengBMCSystematic Reviews2046-40532021-03-0110111210.1186/s13643-021-01619-3Community-based educational interventions for prevention of type II diabetes: a global systematic review and meta-analysisTayebeh Shirvani0Zeinab Javadivala1Somayeh Azimi2Abdolreza Shaghaghi3Zahra Fathifar4H. D. R. Devender Bhalla5Mohammadhiwa Abdekhoda6Haidar Nadrian7Department of Health Education and Promotion, Faculty of Health, Tabriz University of Medical SciencesDepartment of Health Education and Promotion, Faculty of Health, Tabriz University of Medical SciencesDepartment of Health Education and Promotion, Faculty of Health, Tabriz University of Medical SciencesDepartment of Health Education and Promotion, Faculty of Health, Tabriz University of Medical SciencesFaculty of Health, Tabriz University of Medical SciencesIranian Epilepsy AssociationDepartment of Health Informatics, Faculty of Health Informatics and Management, Tabriz University of Medical SciencesSocial Determinants of Health Research Center, Tabriz University of Medical SciencesAbstract Purpose Our objective was to estimate the change in community-based education interventions throughout the world that may effectuate in risk parameters of type II diabetes (T2D), including the diabetes incidence rate, fasting blood glucose, hemoglobin A1C, body mass index, waist circumference, and systolic and diastolic blood pressure. Methods A comprehensive search for globally eligible studies was conducted on PubMed, Embase, ProQuest, CINAHL nursing & allied health source, Cochrane Library, Google Scholar, conference proceedings, and reference lists. Data were extracted using JBI standardized data extraction tool. The primary outcome variables were diabetes incidence rate, fasting blood sugar (FBS), hemoglobin A1c (HbAlc), body mass index (BMI), waist circumference (WC), systolic/diastolic blood pressure (s/d BP). Random-effects meta-analysis and sub-group analyses were conducted. Results Nineteen interventional studies were included in the review, and ten studies were pooled in the meta-analysis (n = 16,106, mean age = 41.5 years). The incidence rate of T2D was reported in three trials, within which the risk of developing T2D was reduced by 54.0% in favor of community-based educational interventions, (RR = 0.54, 95% CI = 0.38–0.75; p < 0.001). In eleven (n = 11,587) and six (n = 6416) studies, the pooled mean differences were − 0.33 (95% CI: − 0.45 to − 0.20, p < 0.0001) and − 0.15 (95% CI: − 0.28 to − 0.03, p < 0.0001) for FBS and HbA1c levels, respectively. Positive significant effects were observed on reducing BMI [pooled mean difference = − 0.47 (95% CI: − 0.66 to − 0.28), I 2 = 95.7%, p < 0.0001] and WC [pooled mean difference = − 0.66 (95% CI: − 0.89 to − 0.43), I 2 = 97.3%, p < 0.0001]. The use of theoretical frameworks was found to provide a 48.0% change in fasting blood sugar. Conclusions Based on a comprehensive data collection of about 16,106 participants and reasonable analyses, we conclude that educational interventions may reduce diabetes incidence by 54.0%, particularly through reductions in fasting blood glucose, body mass index, and waist circumference. The diabetes risk parameters may favorably improve irrespective of the duration of intervention, at as low as 6 months. The application of theoretical frameworks while designing educational interventions is also encouraged. Systematic review registration PROSPERO CRD42018115877https://doi.org/10.1186/s13643-021-01619-3Educational interventionCommunity-basedBehavior changeDiabetesPreventionEpidemiology |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tayebeh Shirvani Zeinab Javadivala Somayeh Azimi Abdolreza Shaghaghi Zahra Fathifar H. D. R. Devender Bhalla Mohammadhiwa Abdekhoda Haidar Nadrian |
spellingShingle |
Tayebeh Shirvani Zeinab Javadivala Somayeh Azimi Abdolreza Shaghaghi Zahra Fathifar H. D. R. Devender Bhalla Mohammadhiwa Abdekhoda Haidar Nadrian Community-based educational interventions for prevention of type II diabetes: a global systematic review and meta-analysis Systematic Reviews Educational intervention Community-based Behavior change Diabetes Prevention Epidemiology |
author_facet |
Tayebeh Shirvani Zeinab Javadivala Somayeh Azimi Abdolreza Shaghaghi Zahra Fathifar H. D. R. Devender Bhalla Mohammadhiwa Abdekhoda Haidar Nadrian |
author_sort |
Tayebeh Shirvani |
title |
Community-based educational interventions for prevention of type II diabetes: a global systematic review and meta-analysis |
title_short |
Community-based educational interventions for prevention of type II diabetes: a global systematic review and meta-analysis |
title_full |
Community-based educational interventions for prevention of type II diabetes: a global systematic review and meta-analysis |
title_fullStr |
Community-based educational interventions for prevention of type II diabetes: a global systematic review and meta-analysis |
title_full_unstemmed |
Community-based educational interventions for prevention of type II diabetes: a global systematic review and meta-analysis |
title_sort |
community-based educational interventions for prevention of type ii diabetes: a global systematic review and meta-analysis |
publisher |
BMC |
series |
Systematic Reviews |
issn |
2046-4053 |
publishDate |
2021-03-01 |
description |
Abstract Purpose Our objective was to estimate the change in community-based education interventions throughout the world that may effectuate in risk parameters of type II diabetes (T2D), including the diabetes incidence rate, fasting blood glucose, hemoglobin A1C, body mass index, waist circumference, and systolic and diastolic blood pressure. Methods A comprehensive search for globally eligible studies was conducted on PubMed, Embase, ProQuest, CINAHL nursing & allied health source, Cochrane Library, Google Scholar, conference proceedings, and reference lists. Data were extracted using JBI standardized data extraction tool. The primary outcome variables were diabetes incidence rate, fasting blood sugar (FBS), hemoglobin A1c (HbAlc), body mass index (BMI), waist circumference (WC), systolic/diastolic blood pressure (s/d BP). Random-effects meta-analysis and sub-group analyses were conducted. Results Nineteen interventional studies were included in the review, and ten studies were pooled in the meta-analysis (n = 16,106, mean age = 41.5 years). The incidence rate of T2D was reported in three trials, within which the risk of developing T2D was reduced by 54.0% in favor of community-based educational interventions, (RR = 0.54, 95% CI = 0.38–0.75; p < 0.001). In eleven (n = 11,587) and six (n = 6416) studies, the pooled mean differences were − 0.33 (95% CI: − 0.45 to − 0.20, p < 0.0001) and − 0.15 (95% CI: − 0.28 to − 0.03, p < 0.0001) for FBS and HbA1c levels, respectively. Positive significant effects were observed on reducing BMI [pooled mean difference = − 0.47 (95% CI: − 0.66 to − 0.28), I 2 = 95.7%, p < 0.0001] and WC [pooled mean difference = − 0.66 (95% CI: − 0.89 to − 0.43), I 2 = 97.3%, p < 0.0001]. The use of theoretical frameworks was found to provide a 48.0% change in fasting blood sugar. Conclusions Based on a comprehensive data collection of about 16,106 participants and reasonable analyses, we conclude that educational interventions may reduce diabetes incidence by 54.0%, particularly through reductions in fasting blood glucose, body mass index, and waist circumference. The diabetes risk parameters may favorably improve irrespective of the duration of intervention, at as low as 6 months. The application of theoretical frameworks while designing educational interventions is also encouraged. Systematic review registration PROSPERO CRD42018115877 |
topic |
Educational intervention Community-based Behavior change Diabetes Prevention Epidemiology |
url |
https://doi.org/10.1186/s13643-021-01619-3 |
work_keys_str_mv |
AT tayebehshirvani communitybasededucationalinterventionsforpreventionoftypeiidiabetesaglobalsystematicreviewandmetaanalysis AT zeinabjavadivala communitybasededucationalinterventionsforpreventionoftypeiidiabetesaglobalsystematicreviewandmetaanalysis AT somayehazimi communitybasededucationalinterventionsforpreventionoftypeiidiabetesaglobalsystematicreviewandmetaanalysis AT abdolrezashaghaghi communitybasededucationalinterventionsforpreventionoftypeiidiabetesaglobalsystematicreviewandmetaanalysis AT zahrafathifar communitybasededucationalinterventionsforpreventionoftypeiidiabetesaglobalsystematicreviewandmetaanalysis AT hdrdevenderbhalla communitybasededucationalinterventionsforpreventionoftypeiidiabetesaglobalsystematicreviewandmetaanalysis AT mohammadhiwaabdekhoda communitybasededucationalinterventionsforpreventionoftypeiidiabetesaglobalsystematicreviewandmetaanalysis AT haidarnadrian communitybasededucationalinterventionsforpreventionoftypeiidiabetesaglobalsystematicreviewandmetaanalysis |
_version_ |
1724210847764447232 |