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. 2021 Aug 17;16(8):e0256123. doi: 10.1371/journal.pone.0256123

Table 3. Characteristics of the DSME interventions.

Author, Year Intervention Setting Provider of Education Theoretical Underpinning Program Length
Assah et al. [25] A peer support intervention implemented through group meetings, personal encounters between peer supporters and group members and telephone calls Locations related to each group’s common affinity Peer Educators 6 months
Bett [26] A structured education once every week for three weeks and three months follow-ups Hospital Nurses, Dieticians and Doctors The Health Belief Model (HBM) 4.5 months
Debussche et al. [27] A 1-year culturally tailored structured patient education (3 courses of 4 sessions) Community Health Center Trained Peer Educators The ‘Learning Nests’ approach, derived from Socio-Constructivist Theory 12 months
Themes addressed were cardiovascular risk management, food intake, exercise, and blood glucose and insulin management
Gill et al. [28] A treatment algorithm and education system developed into primary health clinics Primary Care Clinic Nurses Bandura’s Social Cognitive Theory of Behavior 18 months
Hailu et al. [29] Six educational sessions supported with illustrative pictures, handbooks and fliers customized to local conditions University Medical Centre Nurses 9 months
Hailu et al. [30] Six interactive diabetes SME sessions supported by an illustrative handbook and fliers, experience-sharing, and take-home activities University Medical Centre Nurses 9 months
Mash et al. [31] Four 60-minute sessions of group education focusing on understanding diabetes, living a healthy lifestyle, understanding the medication, and avoiding complications Community Health Center Health Promoters Motivational Interviewing 4 months
Muchiri et al. [32] Eight weekly (2–2·5 hours) group nutrition education and follow-up sessions Community Health Center Dietitians The Social Cognitive Theory, the Health Belief Model and the Knowledge Attitude Behavior Model 12 months
Afemikhe & Chipps [33] A five-week multidisciplinary education program utilizing group discussions, individual counselling, multimedia teaching, motivational interviewing, telephone calls by nurses and goal-setting charts for feedback Hospital (one tertiary & one secondary) Nurses, Dietitians and Medical Social Workers Self-Determination Theory, Social Cognitive Theory and the Motivational Interviewing Framework 5 weeks
Essien et al. [34] Twelve structured teaching sessions lasting around two hours each, attended fortnightly over a six-month period. Tertiary Hospital Doctors and Nurses 6 months
Park et al. [35] A 6-month peer-led bimonthly group educational program on self-empowerment and problem-solving surrounding behavioral modification and self-management skills Peri-Urban and Rural Diabetes Mellitus Clinics Peer Educators 6 months
Asante et al. [36] A 12-week mobile phone call intervention (2 calls per week for the first 4 weeks, followed by a weekly call for the following 8 weeks, totaling 16 calls) Tertiary Hospital Nurses 12 weeks
Price et al. [37] A structured empowerment-based diabetes education delivered in groups and regularly reinforced Primary Health Clinics Nurses 48 months
Amendezo et al. [38] Group education sessions focusing on: setting balanced diabetic diet, regular physical activity, cessation of smoking and alcohol abuse, adherence to medications, diabetic complications screening and treatment, self-management of hypoglycemia and hyperglycemia, and stress management Tertiary Hospital Physicians, Nurses, Nutritionists 12 months
Muchiri et al. [39] Eight-weekly group education (2 to 2.5 hours each) with follow-up sessions (4 monthly meetings and 2 bi-monthly meetings each lasting 1.5 hours), and vegetable gardening (demonstration of sowing/transplantation of vegetables) Community Health Center Dietitians Knowledge Attitude Behaviour (KAB) model and the Health Belief Model (HBM) 12 months
MakkiAwouda et al. [40] A one–to—one educational intervention focusing on patho-physiological view, modalities of treatment, and identifications, prevention and treatment of acute complications Health Center Diabetes Health Educators 3 months
Baumann et al. [41] A 4-month peer support intervention in which participants were trained in diabetes self-care Diabetes Clinic Physicians and Nurses 4 months
van der Does & Mash [42] Four sessions of an hour each of group education; topics addressed: knowledge about diabetes, complications and treatment, healthy lifestyle and how to apply diabetes knowledge in day-to-day life Primary Care Clinic Dietitian, Health Promoter and Physician 4 weeks
Gathu et al. [43] An individualized structured DSME intervention using an empowerment and interactive teaching model, with a focus on behavioral assessment, goal-setting and problem-solving Primary Care Clinic Certified Diabetes Educators   6 months