title: Collective empowerment strategies for patients with Diabetes Mellitus: A systematic review and meta-analysis.
abstract: To perform a systematic review and meta-analysis to identify and analyze collective empowerment strategies for patients with Diabetes Mellitus (DM).
  
  
  
  The systematic review was performed using PubMed/MEDLINE, Science Direct and BVS. The term "Diabetes Mellitus" was used with each of the following describers, along with the connector "AND": "self-care", "health education", "motivation" and "empowerment". Inclusion criteria were: intervention study with control group published between 2004 and 2014. For meta-analysis, RevMan V 5.3 software was used.
  
  
  
  Among the nine analyzed articles, 66.7% (n=6) were developed in patients diagnosed with DM2. Concerning the indicators for intervention effectiveness evaluation, all articles (n=9) used glycated hemoglobin (HbA1c) and the most used instrument was Summary of Diabetes Self Care Activities Measure, representing 44.4% (n=4) of the studies. The types of strategies used were similar in the articles. There was evidence of a decrease in HbA1c levels in 66.7% (n=6). The meta-analysis found significant evidence indicating beneficial effects of empowerment.
  
  
  
  Programs based on collective empowerment in DM have shown the interventions lead to improvement in clinical parameters, behavior, increased knowledge about DM, and self-care.
authors: Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Av. Bandeirantes, 3900, Monte Alegre, CEP 14049-900 Ribeirão Preto, SP, Brazil. Electronic address: nayarabaldoni@usp.br.
authors: Nayara Ragi
authors: NR
authors: Baldoni
authors: Campus Centro-Oeste Dona Lindu, Universidade Federal de São João del-Rei, Rua Sebastião Gonçalves Coelho, 400, Bairro Chanadour, CEP 35501-296 Divinópolis, MG, Brazil; Grupo de Pesquisa em Epidemiologia e Avaliação de Novas Tecnologias em Saúde, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: jessica.a.aquino@gmail.com.
authors: Jéssica Azevedo
authors: JA
authors: Aquino
authors: Campus Centro-Oeste Dona Lindu, Universidade Federal de São João del-Rei, Rua Sebastião Gonçalves Coelho, 400, Bairro Chanadour, CEP 35501-296 Divinópolis, MG, Brazil; Grupo de Pesquisa em Epidemiologia e Avaliação de Novas Tecnologias em Saúde, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: csgiraud@ufsj.edu.br.
authors: Cristina
authors: C
authors: Sanches-Giraud
authors: Campus Centro-Oeste Dona Lindu, Universidade Federal de São João del-Rei, Rua Sebastião Gonçalves Coelho, 400, Bairro Chanadour, CEP 35501-296 Divinópolis, MG, Brazil; Grupo de Pesquisa em Epidemiologia e Avaliação de Novas Tecnologias em Saúde, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: claudia.dlorenzo@gmail.com.
authors: Cláudia
authors: C
authors: Di Lorenzo Oliveira
authors: Campus Centro-Oeste Dona Lindu, Universidade Federal de São João del-Rei, Rua Sebastião Gonçalves Coelho, 400, Bairro Chanadour, CEP 35501-296 Divinópolis, MG, Brazil; Grupo de Pesquisa em Epidemiologia e Avaliação de Novas Tecnologias em Saúde, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: betafigueiredo@yahoo.com.br.
authors: Roberta Carvalho
authors: RC
authors: de Figueiredo
authors: Campus Centro-Oeste Dona Lindu, Universidade Federal de São João del-Rei, Rua Sebastião Gonçalves Coelho, 400, Bairro Chanadour, CEP 35501-296 Divinópolis, MG, Brazil; Grupo de Pesquisa em Epidemiologia e Avaliação de Novas Tecnologias em Saúde, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: clarecicardoso@yahoo.com.br.
authors: Clareci Silva
authors: CS
authors: Cardoso
authors: Campus Centro-Oeste Dona Lindu, Universidade Federal de São João del-Rei, Rua Sebastião Gonçalves Coelho, 400, Bairro Chanadour, CEP 35501-296 Divinópolis, MG, Brazil; Grupo de Pesquisa em Epidemiologia e Avaliação de Novas Tecnologias em Saúde, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: interferonfar@gmail.com.
authors: Thiago Reis
authors: TR
authors: Santos
authors: Campus Centro-Oeste Dona Lindu, Universidade Federal de São João del-Rei, Rua Sebastião Gonçalves Coelho, 400, Bairro Chanadour, CEP 35501-296 Divinópolis, MG, Brazil; Grupo de Pesquisa em Epidemiologia e Avaliação de Novas Tecnologias em Saúde, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: geisa.cristina@gmail.com.
authors: Geisa Cristina Silva
authors: GC
authors: Alves
authors: Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Av. Bandeirantes, 3900, Monte Alegre, CEP 14049-900 Ribeirão Preto, SP, Brazil. Electronic address: adfabbro@fmrp.usp.br.
authors: Amaury Lelis
authors: AL
authors: Dal Fabbro
authors: Campus Centro-Oeste Dona Lindu, Universidade Federal de São João del-Rei, Rua Sebastião Gonçalves Coelho, 400, Bairro Chanadour, CEP 35501-296 Divinópolis, MG, Brazil; Grupo de Pesquisa em Epidemiologia e Avaliação de Novas Tecnologias em Saúde, GPEANTS, UFSJ/CNPq, Brazil. Electronic address: andrebaldoni@ufsj.edu.br.
authors: André Oliveira
authors: AO
authors: Baldoni
mesh_terms: D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000378:metabolism; D016009:Chi-Square Distribution; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D006442:Glycated Hemoglobin / Q000032:analysis; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009042:Motivation; D010353:Patient Education as Topic; D010358:Patient Participation / Q000379:methods*; D012648:Self Care; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human
keywords: Diabetes Mellitus; Empowerment; Self-care