Ulster University Logo

“An evaluation of the effectiveness of self-management interventions for people with type 2 diabetes after an acute coronary syndrome: a systematic review”

Tanash, Mu'ath, Coates, Vivien, Fitzsimons, Donna and Deaton, Christi (2016) “An evaluation of the effectiveness of self-management interventions for people with type 2 diabetes after an acute coronary syndrome: a systematic review”. Journal of Clinical Nursing, early . [Journal article]

[img] Text - Accepted Version
814kB
[img] Text - Supplemental Material
Restricted to Repository staff only

14kB

URL: http://onlinelibrary.wiley.com/doi/10.1111/jocn.13487/full

DOI: 10.1111/jocn.13487

Abstract

Background: Type 2 diabetes is highly prevalent in patients with acute coronary syndrome and impacts negatively on health outcomes and self-management. Both conditions share similar risk factors. However, there is insufficient evidence on the effectiveness of combined interventions to promote self-management behaviour for people who with diabetes and cardiac problems. Identifying critical features of successful interventions will inform future integrated self-management programmes for patients with both conditions.Objectives: To assess the evidence on the effectiveness of existing interventions to promote self-management behaviour for patients presenting with acute coronary syndrome and type 2 diabetes in secondary care settings and post discharge.Design: We searched Medline, PubMed, CINAHL Plus, PsycInfo, Cochrane Library and AMED for randomised controlled trials published between January 2005 and December 2014. The search was performed using the following search terms of “acute coronary syndrome”, “type 2 diabetes” and “self-management intervention” and their substitutes combined.Results: Out of 4275 articles that were retrieved, only 4 trials met all the inclusion criteria (population, intervention, comparison and outcome) and were analysed. Overall, the results show that providing combined interventions for patients with both conditions including educational sessions supported by multimedia or telecommunication technologies were partially successful in promoting self-management behaviours. Implementation of these combined interventions during patient’s hospitalisation and post discharge was feasible. Intervention group subjects, reported a significant improvement in self-efficacy, level of knowledge, glycated haemoglobin, blood pressure and fasting glucose test. However, there are many threats have been noticed around internal validity of included studies that could compromise the conclusions drawn.Conclusion: With limited research in this area there was no final evidence to support effectiveness of combined interventions to promote self-management behaviour for patients with type 2 diabetes and acute coronary syndrome. Sufficiently powered, good quality, well conducted and reported randomised controlled trials are required.

Item Type:Journal article
Keywords:type 2 diabetes; coronary heart disease; heart disease; self-care; self-management; caring intervention; intervention; randomised controlled trials
Faculties and Schools:Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research
Institute of Nursing and Health Research > Managing Chronic Illness Research Centre
ID Code:35695
Deposited By: Professor Vivien Coates
Deposited On:23 Aug 2016 09:00
Last Modified:06 Aug 2018 10:27

Repository Staff Only: item control page