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Table 2 Meta-regression of the effect of intervention´s characteristics on pooled glycated hemoglobin (N = 20)

From: Characteristics and effectiveness of diabetes self-management educational programs targeted to racial/ethnic minority groups: a systematic review, meta-analysis and meta-regression

 

Number interventionsa

SMD

95% CI

Residual I2

Country

   

0.00%

 

US

18

-0.28**

-0.47; -0.09

 
 

Netherland

1

-0.82

-1.85; 0.21

 
 

UK

1

-0.06

-0.88; 0.77

 

Year

   

1.74%

 

Prior 2001

2

-0.51

-1.29; 0.26

 
 

2001-2006

6

0.32

-0.52; 1.15

 
 

2007-2012

12

0.18

-0.60; 0.97

 

Setting

   

0.00%

  

Primary Care

9

-0.23

-0.58; 0.11

 
  

Community center

6

-0.03

-0.48; 0.41

 
  

Other

5

-0.24

-0.74; 0.26

 

Mean HbA1c at baseline in intervention group

   

0.08%

  

HbA1c < 9%

10

-0.39**

-0.96; 0.17

 
  

HbA1c ≥ 9%

10

0.06

-0.32; 0.43

 

Target population

   

3.33%

 

Ethnic minority

10

-0.30

-0.58; -0.04

 
 

Rural ethnic minority

3

0.31

-0.41; 1.03

 
 

Women from ethnic minority group

2

-0.23

-1.04; 0.58

 
 

Other (elderly or low income or low literacy)

5

-0.05

-0.47; 0.36

 

Ethnic minority group

   

0.00%

  

African-American

7

-0.10

-0.48; 0.28

 
  

Latinos

7

-0.31

-0.80; 0.17

 
  

Asiatic

2

-0.54

-1.28; 0.20

 
  

Multi-ethnic

4

-0.15

-0.66; 0.35

 

Individual Vs Group delivered

   

0.00%

  

Individual

7

-0.45

-0.75; -0.14

 
  

Group

7

0.13

-0.29; 0.56

 
  

Both

4

0.32

-0.14; 0.79

 

Patients accompanied by family

   

0.00%

  

No

5

-0.23**

-0.44; -0.04

 
  

Yes

15

-0.38

-0.84; 0.07

 

Face to face Vs. telecommunication

   

0.00%

  

Exclusively face to face

12

-0.37**

-0.62; -0.12

 
  

Exclusively telecommunication

3

-0.08

-0.53; 0.37

 
  

Combining face to face and telecommunication

5

0.33

-0.11; 0.77

 

Teaching methods

   

0.00%

  

Didactic

   

0.39%

   

Yes

14

-0.30**

-0.53; -0.07

 
   

No

6

-0.03

-0.42; 0.35

 
  

Goal setting negotiated

   

0.00%

   

Yes

8

-0.29**

-0.57; -0.01

 
   

No

12

-0.03

-0.41; 0.34

 
  

Goal setting dictated

   

0.00%

   

Yes

7

-0.26

-0.55; 0.02

 
   

No

13

-0.09

-0.48; 0.29

 
  

Situational problem solving

   

0.00%

   

Yes

10

-0.28**

-0.50; -0.06

 
   

No

10

-0.08

-0.47; 0.30

 
  

Cognitive reframing

   

0.00%

   

Yes

4

-0.47**

-0.91; -0.03

 
   

No

16

0.20

-0.29; 0.68

 
  

Number of teaching methods used

   

0.00%

   

1

4

-0.58**

-1.04; -0.12

 
   

2

10

0.37

-0.16; 0.92

 
   

3 or more

4

0.27

-0.27; 0.80

 

Content

    
  

Diet

   

0.00%

   

Yes

18

-0.35*

-0.54; -0.15

 
   

No

1

-0.74

-2.00; 0.50

 
  

Exercise

   

0.00%

   

Yes

15

-0.33*

-0.54; -0.12

 
   

No

4

-0.20

-0.68; 0.28

 
  

Blood glucose self-monitoring

   

0.00%

   

Yes

13

-0.26*

-0.48; -0.03

 
   

No

6

-0.39

-0.81; 0.04

 
  

Basic diabetes knowledge

   

0.00%

   

Yes

8

-0.28*

-0.53; -0.02

 
   

No

11

-0.21

-0.60; 0.17

 
  

Medication adherence

   

0.00%

   

Yes

9

-0.25*

-0.49; -0.05

 
   

No

10

-0.19

-0.58; 0.20

 
  

Psycho-social

   

0.00%

   

Yes

11

-0.18*

-0.40; 0.03

 
   

No

9

-0.38

-0.76; 0.01

 
 

Number of contents

   

5.17%

  

1 or 2

4

-0.36

-0.84; 0.12

 
  

3 or 4

9

0.02

-0.55; 0.58

 
  

5 or more

7

0.84

-0.48; 0.65

 

Educators

    
  

Nurse

   

2.59%

   

Yes

5

-0.02

-0.43; 0.39

 
   

No

14

-0.29*

-0.52; -0.06

 
  

Dietician

   

0.77%

   

Yes

11

-0.10

-0.27; 0.47

 
   

No

8

-0.35*

-0.62; -0.08

 
  

Psychologist

   

2.47%

   

Yes

1

0.05

-0.65; 0.76

 
   

No

18

-0.30*

-0.50; -0.11

 
  

Physician

   

0.00%

   

Yes

2

0.21

-0.29; 0.72

 
   

No

17

-0.33*

-0.54; -0.13

 
  

Research team

   

2.13%

   

Yes

2

-0.10

-0.77; 0.58

 
   

No

17

-0.29*

-0.49; -0.09

 

Number of types of educators

   

0.00%

  

One

11

-0.30*

-0.55; -0.04

 
  

Two

6

-0.41

-0.90; 0.07

 
  

Three or more

2

0.17

-0.34; 0.70

 

Peer provider

   

0.00%

  

Yes

7

-0.54

-0.93; -0.15*

 
  

No

13

0.29

-0.15; 0.74

 

Duration of the intervention (months)

8.4 (1.4)†

-0.02

-0.05; 0.02

 

Number of sessions

12.1 (2.1)†

-0.01

-0.02; 0.01

0.00%

Average duration of each session (hours)

1.5 (0.2)†

-0.01

-0.25; 0.23

0.00%

Total hours of intervention

21.9 (7.0)†

-0.01

-0.01; 0.01

0.00%

Intensity (number of hours/month)

4.6 (1.3)†

-0.01

-0.09; 0.07

1.60%

  1. SMD = standardized mean difference; I2 = Variation in standardized mean difference attributable to heterogeneity; 95% CI = 95% confidence interval; HbA1c = glycated hemoglobin.
  2. aN is not equal to 20 for all variables, as some characteristics were not reported for all the interventions.
  3. *p < 0.05; **p < 0.001, † = mean (SE).