Evidence map›Paper›PMID 40842272›Full record

SynthesisDiabetic medicine : a journal of the British Diabetic Association2025

Effectiveness of self-management interventions on Type 2 diabetes among young adults (18-45 years): A systematic review and meta-analysis.

Sonia Khavere, Michelle Hadjiconstantinou, Joanne Miksza, Jenny Hagan, Shukrat Salisu-Olatunji, Sara Naderpour, Sarah Nalir Hassen, Zahra Karimi, Clare L Gillies

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Diabetic medicine : a journal of the British Diabetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sonia KhavereDepartment of Population Health Sciences, University of Leicester, Leicester, UK.
Michelle HadjiconstantinouDiabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
Joanne MikszaDiabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
Jenny HaganDiabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
Shukrat Salisu-OlatunjiDepartment of Population Health Sciences, University of Leicester, Leicester, UK.
Sara NaderpourDepartment of Population Health Sciences, University of Leicester, Leicester, UK.
Sarah Nalir HassenDepartment of Population Health Sciences, University of Leicester, Leicester, UK.
Zahra KarimiDiabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
Clare L GilliesLeicester Real World Evidence Unit, Leicester Diabetes Centre, Leicester, UK.

Funding

University of Leicester
6 · The paper itself

Abstract

aimsSelf-management interventions effectively improve health outcomes in adults with Type 2 diabetes. Young adults living with Type 2 diabetes are at a higher risk of diabetes-related complications, hospitalisation and reduced quality of life. While self-management is key in diabetes care, its effectiveness in young adults with Type 2 diabetes remains unclear. This review assessed self-management interventions' impact on health outcomes in young adults (18-45 years) with Type 2 diabetes.

methodsFive electronic databases were searched from inception to May 2024. Trials evaluating self-management interventions versus usual care in young adults were included. Outcomes of interest were clinical, self-care behaviour and psychological health. Meta-analysis used a random effects model; study quality was assessed using the Cochrane risk of bias tool (RoB2) and the JBI checklist for quasi-experimental studies. The review followed PRISMA guidelines and was registered on PROSPERO (CRD42024522979).

resultsTen studies were included, nine in the meta-analysis, which reported no significant differences between the intervention and control groups in HbA1c, body mass index, weight, waist circumference, blood pressure, lipids, depression or self-efficacy outcomes. Nevertheless, these findings are imprecise due to few studies, missing data and small sample sizes. Commonly used behaviour change techniques were goals and planning, shaping knowledge and feedback/monitoring.

conclusionsExisting self-management interventions did not improve clinical and psychological outcomes among young adults (18-45 years) living with Type 2 diabetes. More effective strategies are needed for this priority population.

Indexed as

Diabetes Mellitus, Type 2Self CareSelf-ManagementAdolescentAdultHumansMiddle AgedQuality of LifeYoung Adultdiabetes mellitus, Type 2meta‐analysisself careself‐managementsystematic reviewyoung adult

Identifiers

PMID40842272
PMCPMC12434426

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.