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. 2017 Sep 27;2017(9):CD011469. doi: 10.1002/14651858.CD011469.pub2
Study Main component of psychological intervention
 (type of intervention) Duration of intervention
 (duration of follow‐up) Description of participants Trial period
 (year to year) Country Setting Ethnic groups
 (%) Duration of diabetes
(mean/range years (SD) or as reported)
Beverly 2013 I: cognition focused
(group education)
4 1‐hour sessions of unknown duration
 (12 months) Adults with type 2 diabetes who
 had at least 3 hours of prior diabetes education USA Joslin Clinic Non‐Hispanic white: 73 13.0 (6.1)
C: enhanced usual care
(educational classes not focusing on diabetes care)
Non‐Hispanic white: 70 13.6 (9.5)
Davies 2008 I: cognition focused
(group education)
1‐2 days
 (12 months postintervention) Adults with newly diagnosed type 2 diabetes 2004‐2006 UK General practices White European: 94
C: enhanced usual care
(additional contact time with healthcare professionals)
White European: 94
Dennick 2015 I: emotion focused
(writing about different aspects of life, thoughts and feelings)
1 week
 (3 months postintervention) Adults with type 2 diabetes UK General practices White British: 96 76.9 (54.4) months
C: cognition focused
(writing about previous days' activities)
White British: 100 93.7 (95.9) months
D'Eramo Melkus 2010 I: emotion‐cognition components
(cognitive behavioural self‐management training)
12 months
 (12 months postintervention) Black women USA Primary care and community‐based Black: 100
C: cognition focused
(group education)
Black: 100
Fisher 2011 I: cognition focused
(self‐monitoring of blood glucose)
1 session
 (12 months) Adults with type 2 diabetes who are able to read and write English 2008‐2010 USA Primary care White: 60 7.5 (6.1)
C: enhanced usual care
(additional quarterly diabetes‐focused physician visits)

(12 months)
White: 67 7.7 (6.1)
Fisher 2013 I1: cognition focused
(computer‐assisted self‐management)
48 weeks
 (12 months postintervention) Non‐clinically depressed adults with type 2 diabetes mellitus 2008‐2011 USA Community medical groups and diabetes education centres White, non‐Hispanic: 41 6.9 (6.0)
I2: emotion‐cognition components
(computer‐assisted self‐management + problem solving)
White, non‐Hispanic: 42 6.5 (5.5)
C: cognition focused
(general diabetes support and education)
White, non‐Hispanic: 35 7.6 (6.4)
Gabbay 2013 I: cognition focused
(motivational interviewing)
24 months
 (24 months) High‐risk type 2 diabetes participants 2006‐2008 USA Primary care clinics White: 46
Hispanic: 38
C: usual care
(standard diabetes care)
White: 47
Hispanic: 39
Glasgow 2005 I: cognition focused
(computer‐assisted self‐management)
6 months
 (6 months postintervention) Adults with type 2 diabetes and able to read English 2001‐2002 USA Primary care settings Non‐Hispanic white: 84
Black: 2
C: enhanced usual care
(computer information without self‐management)
12 months
 (12 months) Non‐Hispanic white: 78
Black: 3
Grillo 2016 I: cognition focused
(self‐management education)
1 + 8 months
 (11 months postintervention) Uncontrolled type 2 diabetes mellitus participants January 2009 to July 2010 Brazil Primary care unit White: 87 10.1 (8.3)
C: enhanced usual care
(group meetings without education)
8 months
 (12 months) White: 87 9.7 (7.3)
Hermanns 2012 I: emotion‐cognition components
(self‐management programme)
6 months
 (6 months postintervention) Adult with type 2 diabetes mellitus on oral antidiabetic treatment, able to read and understand the German language Germany Outpatient medical practices run by a diabetologist and a diabetes educator or diabetes nurse 13.8 (8.3)
C: cognition focused
(combination of 2 education programmes)
13.6 (6.8)
Hermanns 2015 I: emotion‐cognition components
(cognitive behaviour treatment)
2 weeks plus four intended phone visits of unknown duration
 (12 months) Diabetes mellitus with depression 2009‐2011 Germany Inpatient diabetes centre 14.2 (10.3)
C: cognition focused
(group education)
12 months
(12 months postintervention)
14.2 (10.7)
Lamers 2011 I: emotion‐cognition components
(cognitive behaviour therapy)
6 weeks
 (9 months postintervention) Type 2 diabetes aged 60 years and over with co‐occurring depression 2003‐2006 Netherlands Primary care practices 8.2 (8.8)
C: usual care
(standard diabetes care)
9 months
 (9 months) 9.8 (9.1)
Lerman 2009 I1: cognition focused
(telephone contacts)
6 months
 (12 months postintervention) After finishing a course on diabetes education Mexico Internal medicine and diabetes clinic 11.0 (8)
I2: cognition focused (group‐based education) 12.0 (8)
C: usual care
(standard diabetes care)
6 weeks
 (12 months postintervention) 14.0 (4)
Liu 2015 I: emotion‐cognition components
(peer education)
6 months
(6 months)
Type 2 diabetes ≥ 45 years with mental disorders (mild‐to‐moderate
 depression or anxiety) China Hospital‐based; diabetes education, community follow‐up by peer leaders All Chinese 9.8 (6.6)
C: cognition focused
(diabetes health education)
—
 (6 months postintervention) 10.5 (6.4)
Pibernik‐Okanovic 2015 I1: emotion‐cognition components (psycho‐educational intervention) 6 weeks
 (12 months postintervention) Type 2 diabetes participants who screened positively for depression and expressed a need for professional help with mood‐related issues 2010‐2012 Croatia University hospital's clinic for diabetes 11.4 (9.1)
I2: cognition focused
(physical activity intervention)
12.9 (2.8)
C1: emotion‐cognition components
(enhanced usual diabetes care)
1 session
 (12 months postintervention) 10.5 (6.9)
Quinn 2011 I1: cognition focused
(coach + mobile diabetes management software)
12 months
 (12 months) Adults with type 2 diabetes mellitus who would benefit from an intensive diabetes intervention USA Primary care practices Black: 44
Non‐Hispanic White: 52
7.7 (5.6)
I2: cognition focused (coach + mobile diabetes management software + Internet portal) Black 46
Non‐Hispanic white: 41
6.8 (4.9)
I3: cognition focused (coach + mobile diabetes management software + Internet portal + decision support) Black 27
Non‐Hispanic white: 63
8.2 (5.3)
C: usual care
(standard diabetes care)
Black 48
Non‐Hispanic white: 46
9.0 (7.0)
Rosenbek 2011 I: emotion‐cognition components
(motivational interviewing)
12 months
 (12 months postintervention) Adults with type 1 or type 2 diabetes mellitus who had participated in a group education programme before 2005‐2009 Denmark University hospital 57.1 (12.6) months
C: usual care
(standard diabetes care)
24 months
(12 months postintervention)
55.8 (11.6) months
Shibayama 2007 I: emotion‐cognition components
(behavioural counselling)
12 months
 (12 months) Participants with type 2 diabetes and HbA1c 6.5% to 8.5%, not using insulin Japan Outpatients of the University of Tokyo Hospital 10 (6 to 14)
C: usual care
(standard diabetes care)
13 (8 to 16)
Simmons 2015 I1: emotion‐cognition components (group peer support) 12 months
 (12 months) Participants with type 2 diabetes for at least 12 months 2011‐2013 UK Communities across Cambridgeshire and neighbouring areas of Essex and Hertfordshire, mainly general practices Ethnic minority: 7 7.0 (3 to 12)
I2: emotion‐cognition components (group and individual support) Ethnic minority: 7 6.0 (3 to 11)
I3: emotion focused
(individual peer support)
Ethnic minority: 8 7.0 (3 to 12)
C: usual care
(standard diabetes care)
Ethnic minority: 7 6.5 (3 to 12)
Skelly 2009 I1: cognition focused (symptom‐focused) 6 months
 (9 months postintervention) Older African American women with type 2 diabetes USA Healthcare centres, health department clinics, and primary care practices Black: 100 15 (7.3)
I2: cognition focused (symptom‐focused with telephone booster) 6 months
 (9 months) Black: 100 12 (6.2)
C: enhanced usual care
(weight and diet programme)
3 months
 (6 months postintervention) Black: 100 12 (5.2)
Spencer 2013 I: emotion‐cognition components
(community health worker intervention)
5.5 months
 (6 months postintervention) African American and Latino participants with type 2 diabetes USA Community health centre, a major local health system African American: 53
C: waiting list or usual care
(information on community activities)
6 months
 (6 months postintervention) African American: 61
Sperl‐Hillen 2013 I1: cognition focused
(individual education)
3 months
 (10 months postintervention) Type 2 diabetes participants with HbA1c > 7% 2008‐2009 USA Health partners in Albuquerque, New Mexico, and Clinics in Minneapolis, Minnesota White: 65
 Black: 5
 Hispanic: 22 11.7
I2: cognition focused
(group education)
1 month
 (10 months postintervention)
C: usual care
(standard diabetes care)
13 months
 (13 months)
Sturt 2008 I: emotion‐cognition components
(diabetes manual structured education)
3 months
 (3 months postintervention) Adults with type 2 diabetes, not taking insulin and able to read and write English and a most recent HbA1c > 8.0%. 2004‐2005 UK General practices White: 81 1‐15 years: 76%
C: waiting list or usual care
(standard diabetes care)
6 months
 (6 months) White: 79 1‐15 years: 80%
Taylor 2006 I1: emotion‐cognition components
(cognitive‐behavioural therapy)
5 weeks
 (5 weeks) Adults with type 2 diabetes for at least 6 months 2000 USA Diabetes support group, American Diabetes Association's referrals, and physician referrals from the Sutter Health Medical Group and Placer County's health agencies White: 95
Hispanic: 3
 African American: 1
 Asian: 1
I2: emotion‐cognition components
(expressive writing)
C: waiting list or usual care
(standard diabetes care)
Trief 2016 I1: emotion‐cognition components
(behaviour change intervention, couples)
4 months
 (12 months postintervention) A willing partner able to speak and read English; in a self‐defined committed relationship for ≥ 1 year 2009‐2014 USA Community White: 74
Hispanic or Latino: 5
Asian: 4
Black or African American: 18
12.8 (8.5)
I2: emotion‐cognition components
(behaviour change intervention, individuals)
Type 2 diabetes for > 1 year; baseline HbA1c ≥ 7.5% (58 mmol/mol); ≥ 21 years
 of age; able to speak and read English White: 64 Hispanic or Latino: 7
Asian: 12
Black or African American: 20
11.9 (6.9)
C: cognition focused
(individual diabetes education)
2 weeks
 (12 months postintervention) White: 70 Hispanic or Latino: 10
Asian: 12
Black or African American: 14
12.6 (8.3)
Van der Wulp 2012 I: cognition focused
(peer‐led self‐management coaching programme)
3 months
 (6 months postintervention) Recently diagnosed participants with type 2 diabetes 2008‐2010 Netherlands General practices Dutch: 88
C: usual care
(standard diabetes care)
9 months
 (6 months postintervention) Dutch: 85
Van Dijk‐de Vries 2015 I: emotion‐cognition components
(self‐management support in routine care)
12 months
 (12 months postintervention) Type 2 diabetes participants with impaired daily functioning and emotional distress 2011‐2012 Netherlands General practices Non‐Western: 2 9 (8)
C: usual care
(standard diabetes care)
Non‐Western: 0 8 (6)
Weinger 2011 I1: emotion‐cognition components (behavioural strategies) 6 weeks
 (12 months postintervention) Type 2 diabetes participants with diabetes ≥ 2 years taking insulin and/or oral medication ≥1 year, and HbA1c > 7.5% 2003‐2008 USA Joslin Clinic Non‐Hispanic white: 80 (subgroup with T2DM) 10.7 (1.3 to 41.1) months
(subgroup with T2DM)
C1: cognition focused
(group attention)
C2: cognition focused
(individual attention)
Welch 2015 I: emotion‐cognition components
(one‐to‐one diabetes education)
6 months
 (6 months) Self‐identified Hispanic ethnicity, HbA1c > 7.5% 2010‐2012 USA Federally qualified health centres White: 98
C: usual care
(standard diabetes care)
White: 99
Whittemore 2004 I: emotion‐cognition components
(nurse coaching)
6 months
 (6 months) Women with type 2 diabetes, who had previously participated in diabetes education USA Outpatient diabetes education centre White: 89
 Hispanic 11 2.7 (3.0)
C: usual care
(standard diabetes care)
—: not reported; 
 C: comparator; HbA1c: glycosylated haemoglobin A1c; I: intervention; T2DM: type 2 diabetes mellitus