Cargando…
A systematic review and meta-analysis of trials of social network interventions in type 2 diabetes
OBJECTIVES: In the care of patients with type 2 diabetes, self-management is emphasised and studied while theory and observations suggest that patients also benefit from social support. We sought to assess the effect of social network interventions on social support, glycaemic control and quality of...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5629689/ https://www.ncbi.nlm.nih.gov/pubmed/28827256 http://dx.doi.org/10.1136/bmjopen-2017-016506 |
_version_ | 1783269094517112832 |
---|---|
author | Spencer-Bonilla, Gabriela Ponce, Oscar J Rodriguez-Gutierrez, Rene Alvarez-Villalobos, Neri Erwin, Patricia J Larrea-Mantilla, Laura Rogers, Anne Montori, Victor M |
author_facet | Spencer-Bonilla, Gabriela Ponce, Oscar J Rodriguez-Gutierrez, Rene Alvarez-Villalobos, Neri Erwin, Patricia J Larrea-Mantilla, Laura Rogers, Anne Montori, Victor M |
author_sort | Spencer-Bonilla, Gabriela |
collection | PubMed |
description | OBJECTIVES: In the care of patients with type 2 diabetes, self-management is emphasised and studied while theory and observations suggest that patients also benefit from social support. We sought to assess the effect of social network interventions on social support, glycaemic control and quality of life in patients with type 2 diabetes. RESEARCH DESIGN AND METHODS: We searched Ovid MEDLINE, Ovid EBM Reviews, Cochrane Central Register of Controlled Trials, EMBASE, PsycINFO and CINAHL through April 2017 for randomised clinical trials (RCTs) of social network interventions in patients with type 2 diabetes. Reviewers working independently and in duplicate assessed eligibility and risk of bias, and extracted data from eligible RCTs. We pooled estimates using inverse variance random effects meta-analysis. RESULTS: We found 19 eligible RCTs enrolling 2319 participants. Social network interventions were commonly based on individual behaviour change rather than social or interpersonal theories of self-management, were educational, and sought to engage social network members for their knowledge and experience. Interventions improved social support (0.74 SD (95% CI 0.32 to 1.15), I(2)=89%, 8 RCTs) and haemoglobin A1c at 3 months (−0.25 percentage points (95% CI −0.40 to -0.11), I(2)=12%, 9 RCTs), but not quality of life. CONCLUSIONS: Despite a compelling theoretical base, researchers have only minimally studied the value of interventions targeting patients’ social networks on diabetes care. Although the body of evidence to date is limited, and based on individual behaviour change theories, the results are promising. This review challenges the scientific community to design and test theory-based interventions that go beyond self-management approaches to focus on the largely untapped potential of social networks to improve diabetes care. PROSPERO REGISTRATION: CRD42016036117. |
format | Online Article Text |
id | pubmed-5629689 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-56296892017-10-11 A systematic review and meta-analysis of trials of social network interventions in type 2 diabetes Spencer-Bonilla, Gabriela Ponce, Oscar J Rodriguez-Gutierrez, Rene Alvarez-Villalobos, Neri Erwin, Patricia J Larrea-Mantilla, Laura Rogers, Anne Montori, Victor M BMJ Open Diabetes and Endocrinology OBJECTIVES: In the care of patients with type 2 diabetes, self-management is emphasised and studied while theory and observations suggest that patients also benefit from social support. We sought to assess the effect of social network interventions on social support, glycaemic control and quality of life in patients with type 2 diabetes. RESEARCH DESIGN AND METHODS: We searched Ovid MEDLINE, Ovid EBM Reviews, Cochrane Central Register of Controlled Trials, EMBASE, PsycINFO and CINAHL through April 2017 for randomised clinical trials (RCTs) of social network interventions in patients with type 2 diabetes. Reviewers working independently and in duplicate assessed eligibility and risk of bias, and extracted data from eligible RCTs. We pooled estimates using inverse variance random effects meta-analysis. RESULTS: We found 19 eligible RCTs enrolling 2319 participants. Social network interventions were commonly based on individual behaviour change rather than social or interpersonal theories of self-management, were educational, and sought to engage social network members for their knowledge and experience. Interventions improved social support (0.74 SD (95% CI 0.32 to 1.15), I(2)=89%, 8 RCTs) and haemoglobin A1c at 3 months (−0.25 percentage points (95% CI −0.40 to -0.11), I(2)=12%, 9 RCTs), but not quality of life. CONCLUSIONS: Despite a compelling theoretical base, researchers have only minimally studied the value of interventions targeting patients’ social networks on diabetes care. Although the body of evidence to date is limited, and based on individual behaviour change theories, the results are promising. This review challenges the scientific community to design and test theory-based interventions that go beyond self-management approaches to focus on the largely untapped potential of social networks to improve diabetes care. PROSPERO REGISTRATION: CRD42016036117. BMJ Publishing Group 2017-08-21 /pmc/articles/PMC5629689/ /pubmed/28827256 http://dx.doi.org/10.1136/bmjopen-2017-016506 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Diabetes and Endocrinology Spencer-Bonilla, Gabriela Ponce, Oscar J Rodriguez-Gutierrez, Rene Alvarez-Villalobos, Neri Erwin, Patricia J Larrea-Mantilla, Laura Rogers, Anne Montori, Victor M A systematic review and meta-analysis of trials of social network interventions in type 2 diabetes |
title | A systematic review and meta-analysis of trials of social network interventions in type 2 diabetes |
title_full | A systematic review and meta-analysis of trials of social network interventions in type 2 diabetes |
title_fullStr | A systematic review and meta-analysis of trials of social network interventions in type 2 diabetes |
title_full_unstemmed | A systematic review and meta-analysis of trials of social network interventions in type 2 diabetes |
title_short | A systematic review and meta-analysis of trials of social network interventions in type 2 diabetes |
title_sort | systematic review and meta-analysis of trials of social network interventions in type 2 diabetes |
topic | Diabetes and Endocrinology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5629689/ https://www.ncbi.nlm.nih.gov/pubmed/28827256 http://dx.doi.org/10.1136/bmjopen-2017-016506 |
work_keys_str_mv | AT spencerbonillagabriela asystematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT ponceoscarj asystematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT rodriguezgutierrezrene asystematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT alvarezvillalobosneri asystematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT erwinpatriciaj asystematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT larreamantillalaura asystematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT rogersanne asystematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT montorivictorm asystematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT spencerbonillagabriela systematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT ponceoscarj systematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT rodriguezgutierrezrene systematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT alvarezvillalobosneri systematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT erwinpatriciaj systematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT larreamantillalaura systematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT rogersanne systematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes AT montorivictorm systematicreviewandmetaanalysisoftrialsofsocialnetworkinterventionsintype2diabetes |