title: A systematic literature review of diabetes self-management education features to improve diabetes education in women of Black African/Caribbean and Hispanic/Latin American ethnicity.
abstract: OBJECTIVE
  This systematic literature review aims to identify diabetes self-management education (DSME) features to improve diabetes education for Black African/Caribbean and Hispanic/Latin American women with Type 2 diabetes mellitus.
  
  
  METHODS
  We conducted a literature search in six health databases for randomized controlled trials and comparative studies. Success rates of intervention features were calculated based on effectiveness in improving glycosolated hemoglobin (HbA1c), anthropometrics, physical activity, or diet outcomes. Calculations of rate differences assessed whether an intervention feature positively or negatively affected an outcome.
  
  
  RESULTS
  From 13 studies included in our analysis, we identified 38 intervention features in relation to their success with an outcome. Five intervention features had positive rate differences across at least three outcomes: hospital-based interventions, group interventions, the use of situational problem-solving, frequent sessions, and incorporating dietitians as interventionists. Six intervention features had high positive rate differences (i.e. ≥50%) on specific outcomes.
  
  
  CONCLUSIONS
  Different DSME intervention features may influence broad and specific self-management outcomes for women of African/Caribbean and Hispanic/Latin ethnicity.
  
  
  CONCLUSIONS
  With the emphasis on patient-centered care, patients and care providers can consider options based on DSME intervention features for its broad and specific impact on outcomes to potentially make programming more effective.
authors.affiliation: School of Nutrition, Ryerson University, Canada. egucciar@ryerson.ca
authors.forename: Enza
authors.initials: E
authors.lastname: Gucciardi
authors.forename: Vivian Wing-Sheung
authors.initials: VW
authors.lastname: Chan
authors.forename: Lisa
authors.initials: L
authors.lastname: Manuel
authors.forename: Souraya
authors.initials: S
authors.lastname: Sidani
mesh_terms: D044383:Black People / Q000193:education* / Q000706:statistics & numerical data; D015190:Blood Glucose Self-Monitoring; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006630:Hispanic or Latino / Q000193:education* / Q000706:statistics & numerical data; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods*; D018802:Patient-Centered Care; D012648:Self Care / Q000379:methods*; D014481:United States; D001741:Black or African American
chemical_list: D006442:Glycated Hemoglobin
keywords: Diabetes self-management education; Ethnic groups; Patient education; Women