Abstract
Objetivo
Evaluar el efecto de las intervenciones educativas grupales en pacientes diabéticos tipo 2. Analizar qué tipo de intervención grupal produce mayores efectos a largo plazo.
Diseño
Revisión sistemática.
Fuente de datos
Revisión de bases electrónicas: CENTRAL, MEDLINE, EMBASE, CINAHL y PASCAL, así como de las citas bibliográficas de los estudios seleccionados. Contactos con expertos para localizar artículos no publicados.
Selección de los estudios
Ensayos clínicos aleatorizados, controlados y estudios cuasiexperimentales que evalúen intervenciones educativas grupales dirigidas a pacientes diabéticos tipo 2, mayores de 18 años, de cualquier duración, realizada en cualquier ámbito, cuya meta sea mejorar la calidad de vida, el autocontrol o el control metabólico. El grupo de comparación incluye intervenciones educativas individuales y no intervenciones.
Variables resultado
Calidad de vida, autocontrol y control diabético (HbA1c, colesterol, triglicéridos, presión arterial y consumo de tabaco).
Métodos de revisión
Selección de los ensayos realizada por 3 grupos, con 3 investigadores cada uno, que de forma independiente revisan los títulos, abstracts y palabras clave de todos los ensayos identificados para decidir sobre su elegibilidad. La calidad de los ensayos se evalúa usando los criterios definidos por el Cochrane Metabolic and Endocrine Disorders Group. Los investigadores evalúan de forma independiente los artículos y las discrepancias se resuelven por discusión y consenso.
Palabras clave: Diabetes mellitus, Educación grupal, Revisión sistemática
Abstract
Objectives
To evaluate the effect of group educational interventions in type-2 diabetes patients.To analyse what kind of group intervention has the best long-term effects.
Design
Systematic review.
Data sources
Review of electronic data bases: CENTRAL,MEDLINE, EMBASE, CINAHL, and PASCAL, and of the bibliographic references of the studies selected. Contacts with experts to locate non-published articles.
Selection of studies
Randomised clinical studies with controls and quasi-experimental studies that evaluate group education interventions aimed at type-2 diabetes patients over 18 years old. These interventions were of any length and in any context, and their target was to improve quality of life, selfcontrol, or metabolic control. The comparison group included individual educational interventions and non-interventions.
Variables result
Quality of life, self-control, and diabetes control (HbA1c, cholesterol, triglycerides, blood pressure, and smoking).
Review methods
Trial selection by 3 groups with 3 researchers in each, who independently reviewed headings, abstracts and key words of all the identified trials to decide on their eligibility. The quality of trials was evaluated by the criteria defined by the Cochrane Metabolic and Endocrine Disorders Group. Researchers assessed the articles independently; and discrepancies were resolved by discussion and consensus.
Key words: Diabetes mellitus, Group education, Systematic review
Footnotes
Fuente de financiación: Ayuda para estudios e investigaciones sobre evaluación de tecnología sanitaria. Instituto de Salud Carlos III. Expediente 03/10027.
Información relevante: El proyecto ha sido presentado en formato póster en el XXIV Congreso Nacional de Medicina de Familia y Comunitaria en la sección «Proyectos de investigación».
Bibliografía
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