Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Effectiveness of Therapeutic Patient Education Interventions in Obesity and Diabetes: A Critical Systematic Review and Meta-Analysis of Randomized Controlled Trials

Jorge Correia
ORCID logo ,
Ahmed Waqas
,
Teoh Soo Huat
ORCID logo ,
Karim Gariani
ORCID logo ,
François Jornayvaz
ORCID logo ,
Alain Golay
,
Zoltan Pataky
* ORCID logo
Version 1 : Received: 12 July 2022 / Approved: 13 July 2022 / Online: 13 July 2022 (15:19:53 CEST)

A peer-reviewed article of this Preprint also exists.

Correia, J.C.; Waqas, A.; Huat, T.S.; Gariani, K.; Jornayvaz, F.R.; Golay, A.; Pataky, Z. Effectiveness of Therapeutic Patient Education Interventions in Obesity and Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients 2022, 14, 3807, doi:10.3390/nu14183807. Correia, J.C.; Waqas, A.; Huat, T.S.; Gariani, K.; Jornayvaz, F.R.; Golay, A.; Pataky, Z. Effectiveness of Therapeutic Patient Education Interventions in Obesity and Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients 2022, 14, 3807, doi:10.3390/nu14183807.

Abstract

Diabetes mellitus (DM) and obesity account for the highest burden of non-communicable diseases. There is increasing evidence showing therapeutic patient education (TPE) as a clinically and cost-effective solution to improve biomedical and psychosocial outcomes among people with DM and obesity. The present systematic review and meta-analysis presents a critical synthesis of development of TPE interventions for DM and obesity and the efficacy of these interventions across a range of biomedical, psychosocial and psychological outcomes. A total of 54 of these RCTs were identified among patients with obesity and diabetes and were thus, qualitatively synthesized. Out of these, 47 were included into quantitative synthesis. There was substantial heterogeneity in reporting of these outcomes (I2= 88.35%, Q= 317.64), with significant improvement (SMD=0.36, 95% CI: 0.23 to 0.49) noted in biomedical outcomes in the intervention group. The effect sizes were comparable across interventions delivered by different modes and delivery agents. These interventions can be delivered by allied health staff, doctors or electronically as self-help programs, with similar effectiveness (P < 0.001). These interventions should be implemented in healthcare and community settings to improve health of patients suffering from DM and obesity.

Keywords

diabetes mellitus; obesity; meta-analysis; patient education; self-management; disease management

Subject

Medicine and Pharmacology, Endocrinology and Metabolism

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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