Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/153847
Title: EFFECTIVENESS OF NURSE-LED TELE-COACHING ON THE MODIFIABLE CARDIOVASCULAR RISK FACTORS IN PEOPLE WITH TYPE 2 DIABETES MELLITUS : A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: DELPHINE CHEN YU MEI
Keywords: Type 2 Diabetes Mellitus
Nurse-Led
Telephone
Coaching
Systematic Review
Meta-Analysis
Issue Date: 25-May-2019
Citation: DELPHINE CHEN YU MEI (2019-05-25). EFFECTIVENESS OF NURSE-LED TELE-COACHING ON THE MODIFIABLE CARDIOVASCULAR RISK FACTORS IN PEOPLE WITH TYPE 2 DIABETES MELLITUS : A SYSTEMATIC REVIEW AND META-ANALYSIS. ScholarBank@NUS Repository.
Abstract: Background: Accessible and sustainable patient coaching can tackle the rising trend of Type 2 Diabetes Mellitus (T2DM). Particularly, telephonic patient coaching intervention is an viable alternative in the self-management coaching of T2DM individuals. With the role expansion in the management of T2DM, nurses are well-positioned to provide telephonic patient coaching, however, the effectiveness of nurse-led telephonic coaching (tele-coaching) interventions on the modifiable cardiovascular risk factors in individuals with T2DM is unclear. Objectives: To systematically review the evidence on the effectiveness of nurse-led telecoaching on the modifiable cardiovascular risk factors (glycated hemoglobin, blood pressure, lipid level). Secondary outcomes included lifestyle risk factors (body mass index, physical activity, dietary adherence and medication compliance). Additionally, improvement in health literacy, coaching techniques and risks associated with interventions were explored. Methods: Eight databases (Cochrane Library, PubMed, Embase, CINAHL, Scopus, PsycINFO, Web of Science, ProQuest Dissertations and Theses) were searched to identify relevant randomised controlled trials (RCT) from inception to 29 October 2018. All RCT that evaluated effectiveness of nurse-led tele-coaching on cardiovascular risk factors in T2DM were included. Results: 11 trials involving 4107 participants were included in this review. Compared with usual care, high-frequency nurse-led tele-coaching significantly reduced HbA1c by 1.23% (95%CI [-1.63, -0.83]) and systolic blood pressure by 2.22 mmHg (95% CI [-3.95,-0.49]. Large effect size (d=1.15, 95%CI [0.72, 1.59]) was observed for physical activity score. Nurse-led tele-coaching non-significantly changed diastolic blood pressure, low-density lipoprotein, high-density lipoprotein, medication adherence, dietary compliance and body mass index. Conclusion: Nurse-led tele-coaching is effective in improving the glycemic control, systolic blood pressure and physical activity in T2DM individuals and can be implemented within the primary care settings to improve self-management of T2DM individuals, serving as a cost-effective and accessible alternative to conventional patient coaching.
URI: https://scholarbank.nus.edu.sg/handle/10635/153847
Appears in Collections:Bachelor's Theses

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