title: Effectiveness of management models for facilitating self-management and patient outcomes in adults with diabetes and chronic kidney disease.
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
  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.
  
  
  CONCLUSIONS
  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.
  
  
  BACKGROUND
  PROSPERO CRD42015017316.
authors.affiliation: Department of Nephrology, Monash Health, Clayton, Melbourne, VIC, Australia. edward.zimbudzi@monash.edu.|Monash Centre for Health Research and Implementation-MCHRI, School of Public Health and Preventive Medicine, Monash University, Clayton, Melbourne, VIC, Australia. edward.zimbudzi@monash.edu.
authors.forename: Edward
authors.initials: E
authors.lastname: Zimbudzi
authors.affiliation: Monash Centre for Health Research and Implementation-MCHRI, School of Public Health and Preventive Medicine, Monash University, Clayton, Melbourne, VIC, Australia.|Diabetes and Vascular Medicine Unit, Monash Health, Clayton, Melbourne, VIC, Australia.
authors.forename: Clement
authors.initials: C
authors.lastname: Lo
authors.affiliation: Monash Centre for Health Research and Implementation-MCHRI, School of Public Health and Preventive Medicine, Monash University, Clayton, Melbourne, VIC, Australia.
authors.forename: Marie
authors.initials: M
authors.lastname: Misso
authors.affiliation: Monash Centre for Health Research and Implementation-MCHRI, School of Public Health and Preventive Medicine, Monash University, Clayton, Melbourne, VIC, Australia.
authors.forename: Sanjeeva
authors.initials: S
authors.lastname: Ranasinha
authors.affiliation: Monash Centre for Health Research and Implementation-MCHRI, School of Public Health and Preventive Medicine, Monash University, Clayton, Melbourne, VIC, Australia.|Diabetes and Vascular Medicine Unit, Monash Health, Clayton, Melbourne, VIC, Australia.|The George Institute for Global Health, University of Sydney, Sydney, NSW, Australia.
authors.forename: Sophia
authors.initials: S
authors.lastname: Zoungas
mesh_terms: D000328:Adult; D003920:Diabetes Mellitus / Q000628:therapy*; D019317:Evidence-Based Medicine; D006801:Humans; D017145:Models, Educational; D063868:Patient Outcome Assessment; D015397:Program Evaluation; D051436:Renal Insufficiency, Chronic / Q000628:therapy*; D012648:Self Care / Q000379:methods*