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The effect of diabetes self-management education on HbA1c and quality of life in African-Americans: a systematic review and meta-analysis

Overview of attention for article published in BMC Health Services Research, May 2018
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (77th percentile)
  • Good Attention Score compared to outputs of the same age and source (70th percentile)

Mentioned by

twitter
10 tweeters

Citations

dimensions_citation
61 Dimensions

Readers on

mendeley
275 Mendeley
Summary Twitter Dimensions citations
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Title
The effect of diabetes self-management education on HbA1c and quality of life in African-Americans: a systematic review and meta-analysis
Published in
BMC Health Services Research, May 2018
DOI 10.1186/s12913-018-3186-7
Pubmed ID
29769078
Authors

Amy T. Cunningham, Denine R. Crittendon, Neva White, Geoffrey D. Mills, Victor Diaz, Marianna D. LaNoue

Abstract

Type 2 diabetes presents a major morbidity and mortality burden in the United States. Diabetes self-management education (DSME) is an intervention associated with improved hemoglobin A1c(HbA1c) and quality of life(QOL), and is recommended for all individuals with type 2 diabetes. African-Americans have disproportionate type 2 diabetes morbidity and mortality, yet no prior meta-analyses have examined DSME outcomes exclusively in this population. This systematic review and meta-analysis examined the impact of DSME on HbA1c and QOL in African-Americans compared to usual care. Randomized controlled trials, cluster-randomized trials, and quasi-experimental interventions were included. 352 citations were retrieved; 279 abstracts were reviewed, and 44 full-text articles were reviewed. Fourteen studies were eligible for systematic review and 8 for HbA1c meta-analysis; QOL measures were too heterogeneous to pool. Heterogeneity of HbA1c findings was assessed with Cochran's Q and I2. HbA1c weighted mean difference between intervention and usual care participants was not significant: - 0.08%[- 0.40-0.23];χ2 = 84.79 (p < .001), I2 = 92%, (n = 1630). Four of five studies measuring QOL reported significant improvements for intervention participants. Meta-analysis results showed non-significant effect of DSME on HbA1c in African-Americans. QOL did show improvement and is an important DSME outcome to measure in future trials. Further research is needed to understand effectiveness of DSME on HbA1c in this population. PROSPERO registration: CRD42017057282 .

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Twitter Demographics

The data shown below were collected from the profiles of 10 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 275 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 275 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 35 13%
Lecturer 23 8%
Student > Bachelor 21 8%
Student > Ph. D. Student 19 7%
Student > Doctoral Student 15 5%
Other 56 20%
Unknown 106 39%
Readers by discipline Count As %
Nursing and Health Professions 63 23%
Medicine and Dentistry 50 18%
Biochemistry, Genetics and Molecular Biology 10 4%
Social Sciences 8 3%
Pharmacology, Toxicology and Pharmaceutical Science 7 3%
Other 29 11%
Unknown 108 39%

Attention Score in Context

This research output has an Altmetric Attention Score of 9. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 April 2019.
All research outputs
#3,722,840
of 23,225,652 outputs
Outputs from BMC Health Services Research
#1,652
of 7,782 outputs
Outputs of similar age
#72,860
of 328,026 outputs
Outputs of similar age from BMC Health Services Research
#66
of 220 outputs
Altmetric has tracked 23,225,652 research outputs across all sources so far. Compared to these this one has done well and is in the 83rd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,782 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.9. This one has done well, scoring higher than 78% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 328,026 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 77% of its contemporaries.
We're also able to compare this research output to 220 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 70% of its contemporaries.

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