Subgroup analysis | ||||
1. Results of main meta‐analysis | Number of studiesa | HbA1c [MD (95% CI)] (number of participants) [trials] | Knowledge [SMD (95% CI)] (number of participants) [trials] | Total cholesterol [MD (95% CI)] (number of participants) [trials] |
14 (3 mo) | ‐0.36 [‐0.53, ‐0.18] (n = 1442) [14] | 0.35 [0.10, 0.59] (n = 936) [10] | NSS (n = 888) [6] | |
22 (6 mo) | ‐0.53 [‐0.72, ‐0.35] (n = 1972) [14] | 0.50 [0.33, 0.68] (n = 994) [9] | NSS (n = 802) [7] | |
12 (1 year) | ‐0.19 [‐0.34, ‐0.04] (n = 1966) [9] | 0.35 [0.13, 0.57] (n = 328) [2] | NSS (n = 1019) [5] | |
4 (2 years) | ‐0.33 [‐0.61, ‐0.06] (n = 2268) | no data | no data | |
2. Type of intervention | Number of studies | HbA1c | Knowledge | Total cholesterol |
a. Group education | 6 (3 mo) | ‐0.14 [‐0.46, 0.18] (n = 703) [5] | 0.56 [0.34, 0.77] (n = 557) [4] | NSS (n = 577) [3] |
11 (6 mo) | ‐0.46 [‐0.74, ‐0.19] (n = 1075) [5] | NSS (n = 211) [2] | 8.92 [7.03, 10.81] (n = 334) [2] | |
6 (1 year) | ‐0.68 [‐1.19, ‐0.17] (n = 354) [2] | Only 1 study | NSS (n = 356) [2] | |
1 (2 years) | One study | No data | No data | |
b. One‐to‐one education | 3 (3 mo) | NSS (n = 204) [3] | NSS (n = 74) [2] | No data |
4 (6 mo) | ‐0.41 [‐0.71, ‐0.10] (n = 305) [2] | Only 1 study | One study | |
3 (1 year) | NSS (n = 496) [2] | No data | One study | |
3 (2 years) | ‐0.29 [‐0.57, ‐0.01] (n = 2159) | No data | No data | |
c. Combined approach | 4 (3 mo) | ‐0.62 [‐0.99, ‐0.25] (n = 535) | NSS (n = 305) | NSS (n = 390) |
7 (6 mo) | ‐0.56 [‐0.76, ‐0.36] (n = 705) | 0.47 [0.29, 0.65] (n = 591) [6] | NSS (n = 276) [4] | |
3 (1 year) | NSS (n = 511) | Only 1 study | NSS (n = 338) [2] | |
0 (2 years) | No data | No data | No data | |
3. Type of educator | Number of studies | HbA1c | Knowledge | Total cholesterol |
a. Link worker/community worker | 7 (3 mo) | ‐0.36 [‐0.59, ‐0.13] (n = 876) | 0.29 [0.04, 0.53] (n = 533) [5] | NSS (n = 399) [3] |
9 (6 mo) | ‐0.58 [‐0.89, ‐0.27] (n = 1271) | 0.55 [0.29, 0.80] (n = 607) [5] | NSS (n = 668) [5] | |
6 (1 year) | ‐0.33 [‐0.59, ‐0.07] (n = 1164) | 0.35 [0.13, 0.57] (n = 328) [2] | ‐0.39 [‐0.64, ‐0.14] (n = 1019) [5] | |
4 (2 years) | ‐0.33 [‐0.61, ‐0.06] (n = 2268) | No data | No data | |
b. Diabetes nurse | 6 (3 mo) | ‐0.49 [‐0.96, ‐0.03] (n = 684) | 0.54 [0.24, 0.84] (n = 513) [4] | NSS (n = 536) [4] |
4 (6 mo) | ‐0.78 [‐1.18, ‐0.39] (n = 443) | NSS (n = 104) [2] | NSS (n = 334) [3] | |
3 (1 year) | NSS (n = 901) | One study | ‐0.39 [‐0.64, ‐0.14] (n = 550) [2] | |
3 (2 years) | ‐0.18 [‐0.34, ‐0.02] (n = 2124) | No data | No data | |
c. Dietician | 4 (3 mo) | NSS (n = 515) | 0.53 [0.22, 0.84] (n = 492) [4] | NSS (n = 514) [4] |
7 (6 mo) | ‐0.57 [‐0.85, ‐0.29] (n = 815) | 0.31 [0.12, 0.50] (n = 451) [5] | NSS (n = 531) [5] | |
3 (1 year) | NSS (n = 505) | 0.35 [0.13, 0.57] (n = 328) [2] | NSS (n = 336) [2] | |
0 (2 years) | No data | No data | No data | |
4. Duration of the intervention | Number of studies | HbA1c | Knowledge | Total cholesterol |
Less than 3 months | 9 (3 mo) | NSS (n = 638) | NSS (n = 497) [7] | NSS (n = 304) [3] |
5 (6 mo) | ‐0.43 [‐0.64, ‐0.23] (n = 737) | 0.43 [0.11, 0.76] (n = 483) | NSS (n = 80) [2] | |
0 | No data | No data | No data | |
1 (2 years) | One study | No data | No data | |
More than 3 months | 5 (3 mo) | ‐0.51 [‐0.92, ‐0.11] (n = 804) | 0.39 [0.05, 0.73] (n = 439) [3] | NSS (n = 663) [4] |
8 (6 mo) | ‐0.65 [‐1.00, ‐0.30] (n = 955) | 0.52 [0.34, 0.70] (n = 511) [4] | NSS (n = 530) [4] | |
8 (1 year) | ‐0.22 [‐0.38, ‐0.05] (n = 1686) | 0.35 [0.13, 0.57] (n = 328) [2] | ‐0.39 [‐0.64, ‐0.14] (n = 1019) [5] | |
3 (2 years) | ‐0.29 [‐0.57, ‐0.01] (n = 2159) | No data | No data | |
5. Health system | Number of studies | HbA1c | Knowledge | Total cholesterol |
United States of America and Canada | 14 (3 mo) | ‐0.47 [‐0.73, ‐0.20] (n = 1442) | 0.35 [0.10, 0.59] (n = 936) [10] | NSS (n = 967) [7] |
11 (6 mo) | ‐0.62 [‐0.88, ‐0.36] (n = 1387) | 0.49 [0.34, 0.65] (n = 722) [7] | NSS (n = 610) [6] | |
7 (1 year) | ‐0.26 [‐0.45, ‐0.07] (n = 1361) | 0.35 [0.13, 0.57] (n = 328) [2] | NSS (n = 694) [4] | |
3 (2 years) | NSS (n = 795) | No data | No data | |
Europe | 0 (3 mo) | No data | No data | No data |
2 (6 mo) | ‐0.41 [‐0.71, ‐0.10] (n = 305) | NSS (n = 272) [2] | One study | |
1 (1 year) | One study | No data | One study | |
1 (2 years) | One study | No data | No data | |
6. Ethnic group | Number of studies | HbA1c | Knowledge | Total cholesterol |
a. African American | 5 (3 mo) | NSS (n = 482) | NSS (n = 301) [3] | NSS (n = 279) [2] |
4 (6 mo) | ‐0.93 [‐1.66, ‐0.21] (n = 400) | 0.39 [0.17, 0.60] (n = 346) [3] | NSS (n = 172) [2] | |
3 (1 year) | NSS (n = 633) | One study | One study | |
2 (2 years) | NSS (n = 651) | No data | No data | |
b. Hispanic | 8 (3 mo) | ‐0.33 [‐0.56, ‐0.11] (n = 881) | 0.26 [0.03, 0.49] (n = 556) [6] | NSS (n = 609) [4] |
6 (6 mo) | ‐0.49 [‐0.77, ‐0.22] (n = 1084) | NSS (n = 297) [3] | NSS (n = 255) [2] | |
4 (1 year) | ‐0.50 [‐0.77, ‐0.24] (n = 728) | Only 1 study | NSS (n = 583) [3] | |
1 (2 years) | One study | No data | No data | |
c. South Asian | 0 (3 mo) | No data | No data | No data |
2 (6 mo) | ‐0.41 [‐0.71, ‐0.10] (n = 305) | NSS (n = 272) [2] | One study | |
1 (1 year) | One study | No data | One study | |
1 (2 years) | One study | No data | No data | |
aNumber of studies if different from initially stated. CI: confidence interval; HbA1c: glycosylated haemoglobin A1c; MD: mean difference; mo: month; NSS: not statistically significant; SMD: standardised mean difference |