ReviewAnnals of medicine and surgery (2012)2025
Effectiveness of diabetes self-management education interventions on glycemic control in persons with diabetes in Africa: a systematic review and meta-analysis.
Review in Annals of medicine and surgery (2012), 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
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.
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.
Who cites it
1 citing paper in PubMed.
- Evaluation of Diabetes Self-Care Activities and Glycemic Control Profiles in People With Type 2 Diabetes Mellitus.Health science reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Achieving effective glycemic control remains a major challenge in Africa, with over 50% of individuals with diabetes not meeting recommended targets. This systematic review aimed to evaluate the effectiveness of diabetes self-management education (DSME) interventions on glycemic control (HbA1c) in persons with diabetes in Africa. Methods: Studies were retrieved from searches conducted on PubMed, CINAHL, Scopus, Web of Science, and Cochrane Library, from their inception to 9 June 2024. The search strategy included keywords and database-specific indexed terms such as (i) diabetes, (ii) diabetes self-management education, (iii) glycemic control, and (iv) Africa. The DerSimonian-Laird random effect model was used to pool the mean difference in HbA1c levels. Heterogeneity across studies was assessed using the Results: Seventeen randomized controlled trials involving 3730 participants met the inclusion criteria. Most DSME interventions were delivered in person, with only two studies utilizing mobile health (mHealth) approaches. The meta-analysis showed a significant reduction in HbA1c levels in the DSME intervention compared to usual care, with a pooled mean difference of -1.02% (95% CI -1.46 to -0.58). Subgroup analyses revealed variations in effectiveness based on intervention characteristics; however, these were not statistically significant. Conclusion: DSME interventions significantly improve glycemic control compared to usual care among people with diabetes in Africa. Future research should investigate context-specific factors that may influence the effectiveness of these interventions.
Indexed as
Identifiers
What OpenQuestion holds
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 OpenQuestion graph.