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 |