TY - JOUR
T1 - Health education for patients with acute coronary syndrome and type 2 diabetes mellitus
T2 - An umbrella review of systematic reviews and meta-Analyses
AU - Liu, Xian Liang
AU - Shi, Yan
AU - Willis, Karen
AU - Wu, Chiung Jung Jo
AU - Johnson, Maree
N1 - Funding Information:
All participants were diagnosed with ACS or T2DM using valid, established diagnostic criteria. The diagnostic standards included those described by the American College of Cardiology or American Heart Association,3 National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand,19 WHO20 or other associations.
Funding Information:
1Tenth People's Hospital, Tongji University, Shanghai, China 2School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Brisbane, QLD, Australia 3School of Nursing, Jinggangshan University, Ji'An, China 4Melbourne Health, La Trobe University, Melbourne, Victoria, Australia 5School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Australia 6School of Nursing, Queensland University of Technology (QUT), Brisbane, Australia 7Royal Brisbane and Women’s Hospital (RBWH), Australia 8Mater Medical Research Institute-University of Queensland (MMRI-UQ), Australia 9Faculty of Health Sciences, Australian Catholic University, North Sydney, NSW, Australia 10Ingham Institute of Applied Medical Research, Sydney, NSW, Australia Acknowledgements We would like to thank the authors of the original articles who provided additional unpublished data.
Funding Information:
Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors. The lead author is a recipient of an Australian Catholic University Faculty of Health Sciences Tongji University Cotutelle PhD Scholarship.
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Objectives This umbrella review aimed to identify the current evidence on health education-related interventions for patients with acute coronary syndrome (ACS) or type two diabetes mellitus (T2DM); identify the educational content, delivery methods, intensity, duration and setting required. The purpose was to provide recommendations for educational interventions for high-risk patients with both ACS and T2DM. Design Umbrella review of systematic reviews and meta-Analyses. Setting Inpatient and postdischarge settings. Participants Patients with ACS and T2DM. Data sources CINAHL, Cochrane Library, Joanna Briggs Institute, Journals@Ovid, EMBase, Medline, PubMed and Web of Science databases from January 2000 through May 2016. Outcomes measures Clinical outcomes (such as glycated haemoglobin), behavioural outcomes (such as smoking), psychosocial outcomes (such as anxiety) and medical service use. Results Fifty-one eligible reviews (15 for ACS and 36 for T2DM) consisting of 1324 relevant studies involving 2 88 057 patients (15 papers did not provide the total sample); 30 (58.8%) reviews were rated as high quality. Nurses only and multidisciplinary teams were the most frequent professionals to provide education, and most educational interventions were delivered postdischarge. Face-To-face sessions were the most common delivery formats, and many education sessions were also delivered by telephone or via web contact. The frequency of educational sessions was weekly or monthly, and an average of 3.7 topics was covered per education session. Psychoeducational interventions were generally effective at reducing smoking and admissions for patients with ACS. Culturally appropriate health education, self-management educational interventions, group medical visits and psychoeducational interventions were generally effective for patients with T2DM. Conclusions Results indicate that there is a body of current evidence about the efficacy of health education, its content and delivery methods for patients with ACS or T2DM. These results provide recommendations about the content for, and approach to, health education intervention for these high-risk patients.
AB - Objectives This umbrella review aimed to identify the current evidence on health education-related interventions for patients with acute coronary syndrome (ACS) or type two diabetes mellitus (T2DM); identify the educational content, delivery methods, intensity, duration and setting required. The purpose was to provide recommendations for educational interventions for high-risk patients with both ACS and T2DM. Design Umbrella review of systematic reviews and meta-Analyses. Setting Inpatient and postdischarge settings. Participants Patients with ACS and T2DM. Data sources CINAHL, Cochrane Library, Joanna Briggs Institute, Journals@Ovid, EMBase, Medline, PubMed and Web of Science databases from January 2000 through May 2016. Outcomes measures Clinical outcomes (such as glycated haemoglobin), behavioural outcomes (such as smoking), psychosocial outcomes (such as anxiety) and medical service use. Results Fifty-one eligible reviews (15 for ACS and 36 for T2DM) consisting of 1324 relevant studies involving 2 88 057 patients (15 papers did not provide the total sample); 30 (58.8%) reviews were rated as high quality. Nurses only and multidisciplinary teams were the most frequent professionals to provide education, and most educational interventions were delivered postdischarge. Face-To-face sessions were the most common delivery formats, and many education sessions were also delivered by telephone or via web contact. The frequency of educational sessions was weekly or monthly, and an average of 3.7 topics was covered per education session. Psychoeducational interventions were generally effective at reducing smoking and admissions for patients with ACS. Culturally appropriate health education, self-management educational interventions, group medical visits and psychoeducational interventions were generally effective for patients with T2DM. Conclusions Results indicate that there is a body of current evidence about the efficacy of health education, its content and delivery methods for patients with ACS or T2DM. These results provide recommendations about the content for, and approach to, health education intervention for these high-risk patients.
KW - acute coronary syndrome
KW - health education
KW - type 2 diabetes mellitus
KW - umbrella review
UR - http://www.scopus.com/inward/record.url?scp=85031773024&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2017-016857
DO - 10.1136/bmjopen-2017-016857
M3 - Review article
C2 - 29042383
AN - SCOPUS:85031773024
VL - 7
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 10
M1 - e016857
ER -