Evidence map›Paper›PMID 18832286›Full record

SynthesisThe Diabetes educator

Meta-analysis of quality of life outcomes following diabetes self-management training.

Jane Cochran, Vicki S Conn

Abstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The Diabetes educator. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 17 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

102 citing papers in PubMed, 17 syntheses or guidelines pooled it.

  1. Pooled it
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  5. American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022
    Guideline
  6. Pooled it
  7. Educational Processes for Health and Disease Self-Management in Public Health: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
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  13. Guideline
  14. A meta-analysis of health state valuations for people with diabetes: explaining the variation across methods and implications for economic evaluation.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2011
    Pooled it
  15. Guideline
  16. Standards of medical care in diabetes--2010.Diabetes care · 2010 · on this map
    Guideline
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  20. The effect of a community-based health behaviour intervention on health-related quality of life in people with Type 2 diabetes in Nepal: a Cluster Randomized Controlled Trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Trial

42 more citing papers are in PubMed but not listed here.

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

2 authors.

Jane CochranThe Missouri University Sinclair School of Nursing, Columbia, Missouri
Vicki S ConnThe Missouri University Sinclair School of Nursing, Columbia, Missouri

Funding

Chronic Illness Exercise Interventions: A Meta-AnalysisR01NR007870 · NINR · UNIVERSITY OF MISSOURI-COLUMBIA · PI CONN, VICKI S · 2002 to 2004
$977k
An Emailed Exercise Intervention in Type 2 DiabetesF31NR008322 · NINR · UNIVERSITY OF MISSOURI-COLUMBIA · PI COCHRAN, JANE E · 2003 to 2004
$59k
NINR NIH HHS 1F31NR08322NINR NIH HHS F31 NR008322NINR NIH HHS R01 NR007870NINR NIH HHS R01NR07870
6 · The paper itself

Abstract

purposeThe purpose of this meta-analysis was to meet the need to quantify the influence of diabetes self-management training on quality of life (QOL) of adult diabetes patients.

methodsExtensive literature searching located published and unpublished diabetes self-management intervention studies that measured QOL outcomes among at least 5 subjects with type 1 or 2 diabetes. Data were extracted from primary study reports which included interventions designed to improve diabetes self-management and adequate data to calculate effect sizes. Random-effects meta-analytic procedures were used to estimate overall effects between treatment and control groups at outcome assessment and between baseline and outcome data for both treatment subjects and control subjects.

resultsExhaustive searching yielded 20 comparisons across 1892 subjects. The comparisons between treatment and control group outcomes following interventions yielded an effect size of 0.281. The comparisons between treatment group at baseline and outcome measurement yielded an effect size of 0.312 to 0.313. Each of these effect sizes were statistically significant, meaning that the hypothesis that interventions to improve diabetes self-management results in increased QOL was supported. Control subjects did not experience improved QOL while participating in studies.

conclusionsThese findings document that people with diabetes experience improved QOL from participation in diabetes self-management training programs. Future diabetes self-management intervention studies should include quality of life outcomes so that this important outcome can be further studied. After more primary studies are available, future meta-analyses can explore important moderator analyses.

Indexed as

Attitude to HealthPatient Education as TopicQuality of LifeSelf CareDiabetes MellitusDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Educational StatusFemaleGlycated HemoglobinHealth BehaviorHumansMaleMotivationPatient SelectionGlycated Hemoglobin

Identifiers

PMID18832286
PMCPMC2822439

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.