Educational programs in type 2 diabetes designed for community-dwelling older adults: A systematic review

Aims: This systematic review aimed to assess the effectiveness of educational interventions in type 2 diabetes specifically designed for community-dwelling older adults. Methods: In accordance with PRISMA guidelines, a systematic search of studies published between 2010 and 2021 was conducted across five electronic databases and manual sources. The study protocol was previously registered in PROSPERO (CRD42021288236). Results: Twelve papers matched the inclusion criteria and were appraised using MERSQI. The features of the educational programs were heterogeneous, and none complied with the ten suggested standards for diabetes self-management education and support. Comprehensive gerontological assessment was not considered. Outcomes included biomedical, psychosocial, behavioral, and knowledge measures. HbA1c and knowledge showed improvements with a high certainty level according to GRADE. Conclusions: Structured DSME programs aimed at older adults have great potential, however there is still room to improve. Applying the principles of a comprehensive gerontological approach and the standards for DSME as continuous monitoring and support could increase their benefits. (C) 2022 The Authors. Published by Elsevier Inc.

Automated summary

This systematic review assessed the effectiveness of educational interventions specifically designed for community-dwelling older adults with type 2 diabetes. The study found that the educational programs varied in their features and did not comply with the suggested standards for diabetes self-management education and support. Improvements were observed in HbA1c and knowledge with a high certainty level. However, there is still room for improvement by applying a comprehensive gerontological approach and the standards for diabetes self-management education.