Table 2.
Number interventions a | SMD | 95% CI | Residual I 2 | ||||
---|---|---|---|---|---|---|---|
Country |
|
|
|
0.00% |
|||
|
US |
18 |
-0.28** |
-0.47; -0.09 |
|
||
|
Netherland |
1 |
-0.82 |
-1.85; 0.21 |
|
||
|
UK |
1 |
-0.06 |
-0.88; 0.77 |
|
||
Year |
|
|
|
1.74% |
|||
|
Prior 2001 |
2 |
-0.51 |
-1.29; 0.26 |
|
||
|
2001-2006 |
6 |
0.32 |
-0.52; 1.15 |
|
||
|
2007-2012 |
12 |
0.18 |
-0.60; 0.97 |
|
||
Setting |
|
|
|
0.00% |
|||
|
|
Primary Care |
9 |
-0.23 |
-0.58; 0.11 |
|
|
|
|
Community center |
6 |
-0.03 |
-0.48; 0.41 |
|
|
|
|
Other |
5 |
-0.24 |
-0.74; 0.26 |
|
|
Mean HbA1c at baseline in intervention group |
|
|
|
0.08% |
|||
|
|
HbA1c < 9% |
10 |
-0.39** |
-0.96; 0.17 |
|
|
|
|
HbA1c ≥ 9% |
10 |
0.06 |
-0.32; 0.43 |
|
|
Target population |
|
|
|
3.33% |
|||
|
Ethnic minority |
10 |
-0.30 |
-0.58; -0.04 |
|
||
|
Rural ethnic minority |
3 |
0.31 |
-0.41; 1.03 |
|
||
|
Women from ethnic minority group |
2 |
-0.23 |
-1.04; 0.58 |
|
||
|
Other (elderly or low income or low literacy) |
5 |
-0.05 |
-0.47; 0.36 |
|
||
Ethnic minority group |
|
|
|
0.00% |
|||
|
|
African-American |
7 |
-0.10 |
-0.48; 0.28 |
|
|
|
|
Latinos |
7 |
-0.31 |
-0.80; 0.17 |
|
|
|
|
Asiatic |
2 |
-0.54 |
-1.28; 0.20 |
|
|
|
|
Multi-ethnic |
4 |
-0.15 |
-0.66; 0.35 |
|
|
Individual Vs Group delivered |
|
|
|
0.00% |
|||
|
|
Individual |
7 |
-0.45 |
-0.75; -0.14 |
|
|
|
|
Group |
7 |
0.13 |
-0.29; 0.56 |
|
|
|
|
Both |
4 |
0.32 |
-0.14; 0.79 |
|
|
Patients accompanied by family |
|
|
|
0.00% |
|||
|
|
No |
5 |
-0.23** |
-0.44; -0.04 |
|
|
|
|
Yes |
15 |
-0.38 |
-0.84; 0.07 |
|
|
Face to face Vs. telecommunication |
|
|
|
0.00% |
|||
|
|
Exclusively face to face |
12 |
-0.37** |
-0.62; -0.12 |
|
|
|
|
Exclusively telecommunication |
3 |
-0.08 |
-0.53; 0.37 |
|
|
|
|
Combining face to face and telecommunication |
5 |
0.33 |
-0.11; 0.77 |
|
|
Teaching methods |
|
|
|
0.00% |
|||
|
|
Didactic |
|
|
|
0.39% |
|
|
|
|
Yes |
14 |
-0.30** |
-0.53; -0.07 |
|
|
|
|
No |
6 |
-0.03 |
-0.42; 0.35 |
|
|
|
Goal setting negotiated |
|
|
|
0.00% |
|
|
|
|
Yes |
8 |
-0.29** |
-0.57; -0.01 |
|
|
|
|
No |
12 |
-0.03 |
-0.41; 0.34 |
|
|
|
Goal setting dictated |
|
|
|
0.00% |
|
|
|
|
Yes |
7 |
-0.26 |
-0.55; 0.02 |
|
|
|
|
No |
13 |
-0.09 |
-0.48; 0.29 |
|
|
|
Situational problem solving |
|
|
|
0.00% |
|
|
|
|
Yes |
10 |
-0.28** |
-0.50; -0.06 |
|
|
|
|
No |
10 |
-0.08 |
-0.47; 0.30 |
|
|
|
Cognitive reframing |
|
|
|
0.00% |
|
|
|
|
Yes |
4 |
-0.47** |
-0.91; -0.03 |
|
|
|
|
No |
16 |
0.20 |
-0.29; 0.68 |
|
|
|
Number of teaching methods used |
|
|
|
0.00% |
|
|
|
|
1 |
4 |
-0.58** |
-1.04; -0.12 |
|
|
|
|
2 |
10 |
0.37 |
-0.16; 0.92 |
|
|
|
|
3 or more |
4 |
0.27 |
-0.27; 0.80 |
|
Content |
|
|
|
|
|||
|
|
Diet |
|
|
|
0.00% |
|
|
|
|
Yes |
18 |
-0.35* |
-0.54; -0.15 |
|
|
|
|
No |
1 |
-0.74 |
-2.00; 0.50 |
|
|
|
Exercise |
|
|
|
0.00% |
|
|
|
|
Yes |
15 |
-0.33* |
-0.54; -0.12 |
|
|
|
|
No |
4 |
-0.20 |
-0.68; 0.28 |
|
|
|
Blood glucose self-monitoring |
|
|
|
0.00% |
|
|
|
|
Yes |
13 |
-0.26* |
-0.48; -0.03 |
|
|
|
|
No |
6 |
-0.39 |
-0.81; 0.04 |
|
|
|
Basic diabetes knowledge |
|
|
|
0.00% |
|
|
|
|
Yes |
8 |
-0.28* |
-0.53; -0.02 |
|
|
|
|
No |
11 |
-0.21 |
-0.60; 0.17 |
|
|
|
Medication adherence |
|
|
|
0.00% |
|
|
|
|
Yes |
9 |
-0.25* |
-0.49; -0.05 |
|
|
|
|
No |
10 |
-0.19 |
-0.58; 0.20 |
|
|
|
Psycho-social |
|
|
|
0.00% |
|
|
|
|
Yes |
11 |
-0.18* |
-0.40; 0.03 |
|
|
|
|
No |
9 |
-0.38 |
-0.76; 0.01 |
|
|
Number of contents |
|
|
|
5.17% |
||
|
|
1 or 2 |
4 |
-0.36 |
-0.84; 0.12 |
|
|
|
|
3 or 4 |
9 |
0.02 |
-0.55; 0.58 |
|
|
|
|
5 or more |
7 |
0.84 |
-0.48; 0.65 |
|
|
Educators |
|
|
|
|
|||
|
|
Nurse |
|
|
|
2.59% |
|
|
|
|
Yes |
5 |
-0.02 |
-0.43; 0.39 |
|
|
|
|
No |
14 |
-0.29* |
-0.52; -0.06 |
|
|
|
Dietician |
|
|
|
0.77% |
|
|
|
|
Yes |
11 |
-0.10 |
-0.27; 0.47 |
|
|
|
|
No |
8 |
-0.35* |
-0.62; -0.08 |
|
|
|
Psychologist |
|
|
|
2.47% |
|
|
|
|
Yes |
1 |
0.05 |
-0.65; 0.76 |
|
|
|
|
No |
18 |
-0.30* |
-0.50; -0.11 |
|
|
|
Physician |
|
|
|
0.00% |
|
|
|
|
Yes |
2 |
0.21 |
-0.29; 0.72 |
|
|
|
|
No |
17 |
-0.33* |
-0.54; -0.13 |
|
|
|
Research team |
|
|
|
2.13% |
|
|
|
|
Yes |
2 |
-0.10 |
-0.77; 0.58 |
|
|
|
|
No |
17 |
-0.29* |
-0.49; -0.09 |
|
Number of types of educators |
|
|
|
0.00% |
|||
|
|
One |
11 |
-0.30* |
-0.55; -0.04 |
|
|
|
|
Two |
6 |
-0.41 |
-0.90; 0.07 |
|
|
|
|
Three or more |
2 |
0.17 |
-0.34; 0.70 |
|
|
Peer provider |
|
|
|
0.00% |
|||
|
|
Yes |
7 |
-0.54 |
-0.93; -0.15* |
|
|
|
|
No |
13 |
0.29 |
-0.15; 0.74 |
|
|
Duration of the intervention (months) |
8.4 (1.4)† |
-0.02 |
-0.05; 0.02 |
|
|||
Number of sessions |
12.1 (2.1)† |
-0.01 |
-0.02; 0.01 |
0.00% |
|||
Average duration of each session (hours) |
1.5 (0.2)† |
-0.01 |
-0.25; 0.23 |
0.00% |
|||
Total hours of intervention |
21.9 (7.0)† |
-0.01 |
-0.01; 0.01 |
0.00% |
|||
Intensity (number of hours/month) | 4.6 (1.3)† | -0.01 | -0.09; 0.07 | 1.60% |
SMD = standardized mean difference; I2 = Variation in standardized mean difference attributable to heterogeneity; 95% CI = 95% confidence interval; HbA1c = glycated hemoglobin.
aN is not equal to 20 for all variables, as some characteristics were not reported for all the interventions.
*p < 0.05; **p < 0.001, † = mean (SE).