Evaluation of self-efficacy educational interventions in patients with diabetes: A systematic review

<p>Xinjun Jiang</p>

Evaluation of self-efficacy educational interventions in patients with diabetes: A systematic review

Xinjun Jiang

Peking University, China

: Endocrinol Diabetes Res

Abstract

The purpose of this study is to evaluate the effectiveness of diabetes self-efficacy educational interventions in patients with diabetes and to determine the effective components of the interventions. 6 databases were systematically searched for studies on the metabolic controls, diabetes self-efficacy, behavior, knowledge, psychological indicators and quality of life of diabetes self-efficacy educational interventions for patients with diabetes. 16 studies published between 2006 and 2017 met the inclusion criteria. Glycosylated hemoglobin A1C, fasting blood glucose, diabetes self-efficacy, behavior and knowledge were identified as positive results in most studies. Only five studies used the complete four sources of information and eight studies assessed both the self-efficacy and behavior of participants based on self-efficacy theory. Performance accomplishments, vicarious experience and verbal persuasion were predominantly employed. Such strategies as goal setting, practicing selfmanagement skills, participants’ return-demonstration, behavior recording, peer modeling, verbal persuasion by nurses and face to face delivery were preferred in the included studies. Individuals with diabetes are likely to benefit from diabetes selfefficacy educational interventions. The four sources of information and outcome assessments based on self-efficacy theory were insufficient in most studies. Future work is required to develop an effective diabetes self-efficacy educational intervention and further determine the effects.