The effectiveness of goal setting on glycaemic control for people with type 2 diabetes and prediabetes: A systematic review and meta‐analysis
Document Type
Journal Article
Publication Title
Journal of Advanced Nursing
Publisher
Wiley
School
School of Nursing and Midwifery
RAS ID
39828
Abstract
Aim
This review assessed the effectiveness of interventions using a goal-setting approach on glycaemic control for people diagnosed with prediabetes or type 2 diabetes.
Design
A systematic review guided by the Joanna Briggs Institute methodology for conducting systematic reviews of primary research studies was conducted.
Data Sources
Randomized controlled trials and experimental studies with a minimum follow-up period of 6 months were considered for inclusion. The primary outcome was change in glycaemic control as measured by glycated haemoglobin (%) and/or fasting plasma glucose (mg/dl). A systematic search of seven electronic databases was completed in October 2020
Review Methods
Papers meeting the inclusion criteria were critically appraised using the Joanna Briggs Institute tools for critical appraisal followed by data extraction. A Grading of Recommendations Assessment, Development and Evaluation assessment was conducted to assess the overall certainty of the evidence. Fixed-effect meta-analyses were completed to demonstrate the mean effect for each outcome of interest.
Results
Twenty one studies were included in this review. Goal setting was more effective than usual care for glycaemic control in prediabetes at 6 months and at 12 months for fasting plasma glucose (mg/dl) and glycated haemoglobin (%). Goal setting was more effective than usual care for glycaemic control in type 2 diabetes for fasting plasma glucose (mg/dl) at 6 months, fasting plasma glucose (mg/dl) at 12 months, glycated haemoglobin (%) at 6 months and glycated haemoglobin (%) at 12 months.
Conclusion
The evidence suggests goal setting is effective in supporting people to achieve glycaemic targets in prediabetes and type 2 diabetes.
DOI
10.1111/jan.15084
Access Rights
subscription content
Comments
Whitehead, L., Glass, C., & Coppell, K. (2022). The effectiveness of goal setting on glycaemic control for people with type 2 diabetes and prediabetes: A systematic review and meta‐analysis. Journal of Advanced Nursing, 78(5), p. 1212-1227.
https://doi.org/10.1111/jan.15084