SynthesisBMC public health2025
Effects of therapeutic patient education interventions on diabetes self-management outcomes in the Eastern Mediterranean Region: a systematic review.
Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- The role of outcome expectancies and social support in adherence to nutrition counseling: perspectives of Emirati adults with diabetes.Frontiers in public health · 2026Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTherapeutic patient education (TPE) is a structured, person-centered educational process designed to empower individuals living with non-communicable diseases, such as diabetes mellitus. Educational interventions addressing diabetes in the Eastern Mediterranean Region (EMR) are isolated , and their effectiveness is not well reported. Therefore, this systematic review evaluates the impact of TPE interventions on diabetes self-management outcomes in the EMR.
methodsWe searched six databases (MEDLINE OVID, PubMed, Web of Science, Scopus, CINAHL, and ScienceDirect) for relevant articles. Articles were included if they reflected on TPE initiatives addressing diabetes, conducted in the EMR, delivered by healthcare professionals or multidisciplinary healthcare teams, and utilized TPE components and/or constructs. Data extraction included self-management outcomes of diabetes mellitus and the country of intervention. Effect sizes were computed for all outcomes.
results24 articles, including TPE constructs (knowledge, skills, and confidence) or components (goal setting, action planning, shared decision-making), were included in the analysis. Most articles were randomized controlled trials (n = 14). Workshops and educational sessions in group settings were the most common modality of TPE interventions (n = 18). Results were reported based on self-management outcomes: [1] self-care [2], anthropometric and lifestyle, and [3] biological outcomes. The combination of knowledge and confidence (n = 8), and goal setting (n = 8) were the most reported combinations of the patient competency profile and TPE components, respectively. Most studies (n = 18) reported on self-care outcomes, such as general or specific diet adherence, blood glucose monitoring, foot care, and medication adherence, with effect sizes ranging from small to large. 16 articles also reported on biological measures (glycemic, lipid profile, and blood pressure measurements), 11 on anthropometric outcomes (body mass index-BMI, weight, and waist circumference), 4 on dietary outcomes, and 4 on physical activity outcomes. Mixed effect sizes were observed for anthropometric and biological outcomes, with most studies revealing small effect sizes for changes in BMI, weight, and blood lipids. In contrast, large and significant effect sizes for waist circumference, HbA1c, and fasting blood glucose were noted.
conclusionDespite varying effect sizes for most outcomes, TPE interventions in the EMR showed significant improvements in several diabetes self-management outcomes, including waist circumference, HbA1c, and fasting blood glucose. TPE components and constructs were more prevalent with significant improvements and considerable effect in self-care and biological outcomes, particularly when the TPE constructs were utilized in combinations of two or more. PROSPERO, registration number CRD42024601438.
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Registered trials
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.