Effectiveness of management models for facilitating self-management and patient outcomes in adults with diabetes and chronic kidney disease

Edward Zimbudzi, Clement Lo, Marie Misso, Sanjeeva Ranasinha, Sophia Zoungas, Edward Zimbudzi, Clement Lo, Marie Misso, Sanjeeva Ranasinha, Sophia Zoungas

Abstract

Background: Self-management models can be a very powerful resource in the health system provided they are well tailored to a particular disease and setting. Patient outcomes have been demonstrated to improve when self-management practices are embedded in the care of people with certain diseases. However, it remains unclear whether self-management models and specific components of these programmes can be implemented in order to effectively improve the care of people with diabetes and/or chronic kidney disease.

Methods/design: Medline (including Medline in-process), Excerpta medica database (EMBASE), Cumulative Index to Nursing and Allied Health (CINAHL) and all evidence-based medicine (EBM) will be systematically searched for randomised controlled studies comparing self-management models with usual care in patients with diabetes or chronic kidney disease. Two reviewers will independently assess articles for eligibility: extract data, evaluate risk of bias and complete quality assessment of included studies. The data will be tabulated and narratively synthesised. Meta-analyses will be performed if there is sufficient homogenous data.

Discussion: This protocol utilises rigorous methodology as well as pre-specified eligibility criteria to comprehensively search for diabetes and kidney disease self-management models which have been compared with usual care in randomised controlled trials. The review is likely to provide insight into the effectiveness of current models for improving patient self-management, and this may address the key translational issue of how to integrate and tailor these self-management practices for patients with diabetes and chronic kidney disease.

Systematic review registration: PROSPERO CRD42015017316.

Figures

Fig. 1
Fig. 1
Programme logic model for a chronic kidney disease/diabetes self-management programme
Fig. 2
Fig. 2
Prisma flow diagram showing how studies will be screened

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Source: PubMed

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