Evidence mapPaperPMID 41978783Full record

ReviewJournal of multidisciplinary healthcare2026

Culturally Tailored Education Interventions to Enhance Diabetes Self-Management: A Systematic Review of Randomised Controlled Trials.

Linda Widiastuti, Tuti Pahria, Hartiah Haroen, Yulia Sofiatin

Abstract readReview
In one paragraph

Review in Journal of multidisciplinary healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Linda WidiastutiDoctoral Program in Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Tuti PahriaDepartment of Medical Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Hartiah HaroenDepartment of Community Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Yulia SofiatinDepartment of Epidemiology, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, Indonesia.ORCID 0000-0002-1409-6010

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cultural disparities in type 2 diabetes mellitus (T2DM) care contribute to suboptimal self-management and poor glycemic outcomes among ethnic minority populations. Culturally tailored diabetes self-management education and support (DSMES) interventions have emerged as a strategy to improve disease outcomes by aligning educational content with patients' beliefs, language, and traditional practices. This systematic review evaluates the effectiveness and core cultural components of culturally adapted DSMES interventions. Methods: A systematic search was conducted in PubMed, Scopus, EBSCOhost, and Taylor & Francis using PRISMA 2020 guidelines. Randomized controlled trials (RCTs) involving culturally tailored DSMES for adults with T2DM were included. Study quality was appraised using the Joanna Briggs Institute (JBI) checklist. Data were extracted and synthesized narratively. Results: A total of 14 high-quality RCTs met the inclusion criteria, representing diverse cultural groups including Latino, Black-British, Chinese, Pakistani immigrant, Iranian, and Korean American populations. Interventions incorporated culture through native-language delivery, traditional dietary guidance, family and community engagement, and culturally aligned behavioral support delivered via (I) traditional face-to-face or (II) technology-based interventions. Across the included studies, culturally tailored interventions were associated with statistically significant improvements in several diabetes self-management outcomes, including self-management behaviors, self-efficacy, diabetes knowledge, and psychosocial well-being, in many intervention groups compared with controls. Clinical outcomes also improved in several trials, most notably through significant reductions in HbA1c levels. Conclusion: Culturally tailored DSMES effectively enhances both behavioural and clinical outcomes in ethnically diverse populations with T2DM. Integrating cultural values, traditional diet, language, and community support strengthens patient engagement and optimizes the intervention's impact. Future studies should emphasise long-term follow-up, cost-effectiveness evaluation, and standardized reporting of cultural adaptation components to support wider implementation and scalability.

Indexed as

culturally tailored interventiondiabetes self-management educationhealth disparitiesrandomized controlled trialstype 2 diabetes mellitus

Identifiers

PMID41978783
PMCPMC13070404

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.