論文

査読有り 国際誌
2019年7月31日

Effect of family-oriented diabetes programs on glycemic control: A meta-analysis.

Family practice
  • Satoru Kodama
  • ,
  • Sakiko Morikawa
  • ,
  • Chika Horikawa
  • ,
  • Dai Ishii
  • ,
  • Kazuya Fujihara
  • ,
  • Masahiko Yamamoto
  • ,
  • Taeko Osawa
  • ,
  • Masaru Kitazawa
  • ,
  • Takaho Yamada
  • ,
  • Kiminori Kato
  • ,
  • Shiro Tanaka
  • ,
  • Hirohito Sone

36
4
開始ページ
387
終了ページ
394
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1093/fampra/cmy112

BACKGROUND: Efficacy of programs for patients with diabetes mellitus (DM) that have promoted family members to help with patients' self-care activities has been largely inconsistent. This meta-analysis aims to assess the effect of family-oriented diabetes programs for glycemic control (GC). METHODS: Electronic literature searches were conducted for clinical trials with a parallel design wherein there were two groups according to whether family members were included (intervention group) or not included (control group) and changes in glycohemoglobin A1C (A1C) were assessed as a study outcome. Each effect size (i.e. difference in A1C change between the intervention and control group) was pooled with a random-effects model. RESULTS: There were 31 eligible trials consisting of 1466 and 1415 patients in the intervention and control groups, respectively. Pooled A1C change [95% confidence interval (CI)] was -0.45% (-0.64% to -0.26%). Limiting analyses to 21 trials targeted at patients with type 1 DM or 9 trials targeted at patients with type 2 DM, the pooled A1C changes (95% CI) were -0.35% (-0.55% to -0.14%) and -0.71% (-1.09% to -0.33%), respectively. CONCLUSION: This meta-analysis suggests that focusing on the family as well as the individual patient in self-management diabetes programs to improve the performance of self-care activities of patients with DM is effective in terms of proper GC.

リンク情報
DOI
https://doi.org/10.1093/fampra/cmy112
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30423118

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