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Diabetes self-care activities among patients with type 2 diabetes: A systematic review and meta-analysis

Objectives The important role of prevention in controlling chronic diseases such as diabetes, the major impact of self-care behaviors as preventive behaviors, and the lower cost of self-care measures should be considered. Therefore, this study was conducted to systematically review and meta-analyze...

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Published in:International journal of diabetes in developing countries 2024-03, Vol.44 (1), p.10-19
Main Authors: Khosravizadeh, Omid, Ahadinezhad, Bahman, Maleki, Aisa, Yousefy, Sama, Momeni, Zeinab
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container_title International journal of diabetes in developing countries
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creator Khosravizadeh, Omid
Ahadinezhad, Bahman
Maleki, Aisa
Yousefy, Sama
Momeni, Zeinab
description Objectives The important role of prevention in controlling chronic diseases such as diabetes, the major impact of self-care behaviors as preventive behaviors, and the lower cost of self-care measures should be considered. Therefore, this study was conducted to systematically review and meta-analyze the status of diabetes self-care activities status in type 2 diabetic patients worldwide. Methods As far as we know, our study is the first systematic based meta-analysis estimating the pooled score of diabetes self-care activities (SDSCA) and its dimensions among type 2 diabetic patients. Keywords were searched in Scopus, Web of Science, Google Scholar, PubMed, Cochrane, Ovid, and ProQuest databases from 2012 to 2022. The self-care pooled score estimates through a fixed-effects meta-analysis using STATA 15. Also, I 2 statistic was used to determine heterogeneity across the articles. Results Seventeen studies on the diabetes self-care activities were included in the meta-analysis. Variation in pooled mean attributable to heterogeneity for exercise and self-care is zero, while the variation for foot cares, general diet, and blood testing were estimated to be 53, 20.6, and 81.4%, respectively ( p  
doi_str_mv 10.1007/s13410-023-01214-3
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Therefore, this study was conducted to systematically review and meta-analyze the status of diabetes self-care activities status in type 2 diabetic patients worldwide. Methods As far as we know, our study is the first systematic based meta-analysis estimating the pooled score of diabetes self-care activities (SDSCA) and its dimensions among type 2 diabetic patients. Keywords were searched in Scopus, Web of Science, Google Scholar, PubMed, Cochrane, Ovid, and ProQuest databases from 2012 to 2022. The self-care pooled score estimates through a fixed-effects meta-analysis using STATA 15. Also, I 2 statistic was used to determine heterogeneity across the articles. Results Seventeen studies on the diabetes self-care activities were included in the meta-analysis. Variation in pooled mean attributable to heterogeneity for exercise and self-care is zero, while the variation for foot cares, general diet, and blood testing were estimated to be 53, 20.6, and 81.4%, respectively ( p  &lt; 0.01). The random effects based pooled mean was estimated as follows: foot care (FC) 2.02 (95% CI: 1.05, 2.98), general diet (GD) 3.91 (95% CI: 3.21, 4.60), and blood testing (BT) 1.82 (95% CI: 0.64, 3.01). As well as based on the fixed effects, the pooled mean of exercise (E) and the total score of self-care (TSC) were obtained 2.12 (95% CI: 1.77, 2.47) and 3.35 (95% CI: 2.96, 3.74), respectively. Conclusion The overall level of self-care was moderate and far from ideal. Dimensions of foot care, exercise, and blood glucose testing were also below average. Based on this evidence, policies to prevent diabetes should be directed toward educating patients on preventive activities. On the other hand, it is necessary to ensure that patients’ interpretations are in line with doctors’ recommendations.</description><identifier>ISSN: 0973-3930</identifier><identifier>EISSN: 1998-3832</identifier><identifier>DOI: 10.1007/s13410-023-01214-3</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Blood ; Blood tests ; Chronic illnesses ; Diabetes ; Diabetes mellitus (non-insulin dependent) ; Diet ; Family Medicine ; Feet ; General Practice ; Health Administration ; Medicine ; Medicine &amp; Public Health ; Meta-analysis ; Review Article</subject><ispartof>International journal of diabetes in developing countries, 2024-03, Vol.44 (1), p.10-19</ispartof><rights>This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2023</rights><rights>This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2023.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c319t-d1cbe57f2b5f99ab53e0c3f6b3eb5e7f81f01faec26d20734b7e14928ea29f753</citedby><cites>FETCH-LOGICAL-c319t-d1cbe57f2b5f99ab53e0c3f6b3eb5e7f81f01faec26d20734b7e14928ea29f753</cites><orcidid>0000-0001-5706-0993 ; 0000-0001-6893-3489 ; 0000-0001-6940-3498 ; 0000-0002-0926-3515 ; 0000-0001-5451-3459</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids></links><search><creatorcontrib>Khosravizadeh, Omid</creatorcontrib><creatorcontrib>Ahadinezhad, Bahman</creatorcontrib><creatorcontrib>Maleki, Aisa</creatorcontrib><creatorcontrib>Yousefy, Sama</creatorcontrib><creatorcontrib>Momeni, Zeinab</creatorcontrib><title>Diabetes self-care activities among patients with type 2 diabetes: A systematic review and meta-analysis</title><title>International journal of diabetes in developing countries</title><addtitle>Int J Diabetes Dev Ctries</addtitle><description>Objectives The important role of prevention in controlling chronic diseases such as diabetes, the major impact of self-care behaviors as preventive behaviors, and the lower cost of self-care measures should be considered. Therefore, this study was conducted to systematically review and meta-analyze the status of diabetes self-care activities status in type 2 diabetic patients worldwide. Methods As far as we know, our study is the first systematic based meta-analysis estimating the pooled score of diabetes self-care activities (SDSCA) and its dimensions among type 2 diabetic patients. Keywords were searched in Scopus, Web of Science, Google Scholar, PubMed, Cochrane, Ovid, and ProQuest databases from 2012 to 2022. The self-care pooled score estimates through a fixed-effects meta-analysis using STATA 15. Also, I 2 statistic was used to determine heterogeneity across the articles. Results Seventeen studies on the diabetes self-care activities were included in the meta-analysis. Variation in pooled mean attributable to heterogeneity for exercise and self-care is zero, while the variation for foot cares, general diet, and blood testing were estimated to be 53, 20.6, and 81.4%, respectively ( p  &lt; 0.01). The random effects based pooled mean was estimated as follows: foot care (FC) 2.02 (95% CI: 1.05, 2.98), general diet (GD) 3.91 (95% CI: 3.21, 4.60), and blood testing (BT) 1.82 (95% CI: 0.64, 3.01). As well as based on the fixed effects, the pooled mean of exercise (E) and the total score of self-care (TSC) were obtained 2.12 (95% CI: 1.77, 2.47) and 3.35 (95% CI: 2.96, 3.74), respectively. Conclusion The overall level of self-care was moderate and far from ideal. Dimensions of foot care, exercise, and blood glucose testing were also below average. Based on this evidence, policies to prevent diabetes should be directed toward educating patients on preventive activities. 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The random effects based pooled mean was estimated as follows: foot care (FC) 2.02 (95% CI: 1.05, 2.98), general diet (GD) 3.91 (95% CI: 3.21, 4.60), and blood testing (BT) 1.82 (95% CI: 0.64, 3.01). As well as based on the fixed effects, the pooled mean of exercise (E) and the total score of self-care (TSC) were obtained 2.12 (95% CI: 1.77, 2.47) and 3.35 (95% CI: 2.96, 3.74), respectively. Conclusion The overall level of self-care was moderate and far from ideal. Dimensions of foot care, exercise, and blood glucose testing were also below average. Based on this evidence, policies to prevent diabetes should be directed toward educating patients on preventive activities. 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ispartof International journal of diabetes in developing countries, 2024-03, Vol.44 (1), p.10-19
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1998-3832
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subjects Blood
Blood tests
Chronic illnesses
Diabetes
Diabetes mellitus (non-insulin dependent)
Diet
Family Medicine
Feet
General Practice
Health Administration
Medicine
Medicine & Public Health
Meta-analysis
Review Article
title Diabetes self-care activities among patients with type 2 diabetes: A systematic review and meta-analysis
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