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Randomized Controlled Trial
. 2013 Jun;36(6):1501-6.
doi: 10.2337/dc12-2110. Epub 2013 Jan 11.

Do Older Adults Aged 60-75 Years Benefit From Diabetes Behavioral Interventions?

Free PMC article
Randomized Controlled Trial

Do Older Adults Aged 60-75 Years Benefit From Diabetes Behavioral Interventions?

Elizabeth A Beverly et al. Diabetes Care. .
Free PMC article


Objective: In this secondary analysis, we examined whether older adults with diabetes (aged 60-75 years) could benefit from self-management interventions compared with younger adults. Seventy-one community-dwelling older adults and 151 younger adults were randomized to attend a structured behavioral group, an attention control group, or one-to-one education.

Research design and methods: We measured A1C, self-care (3-day pedometer readings, blood glucose checks, and frequency of self-care), and psychosocial factors (quality of life, diabetes distress, frustration with self-care, depression, self-efficacy, and coping styles) at baseline and 3, 6, and 12 months postintervention.

Results: Both older (age 67 ± 5 years, A1C 8.7 ± 0.8%, duration 20 ± 12 years, 30% type 1 diabetes, 83% white, 41% female) and younger (age 47 ± 9 years, A1C 9.2 ± 1.2%, 18 ± 12 years with diabetes, 59% type 1 diabetes, 82% white, 55% female) adults had improved A1C equally over time. Importantly, older and younger adults in the group conditions improved more and maintained improvements at 12 months (older structured behavioral group change in A1C -0.72 ± 1.4%, older control group -0.65 ± 0.9%, younger behavioral group -0.55 ± 1.2%, younger control group -0.43 ± 1.7%). Furthermore, frequency of self-care, glucose checks, depressive symptoms, quality of life, distress, frustration with self-care, self-efficacy, and emotional coping improved in older and younger participants at follow-up.

Conclusions: The findings suggest that, compared with younger adults, older adults receive equal glycemic benefit from participating in self-management interventions. Moreover, older adults showed the greatest glycemic improvement in the two group conditions. Clinicians can safely recommend group diabetes interventions to community-dwelling older adults with poor glycemic control.


Figure 1
Figure 1
Mean A1C levels over time for older versus younger adults for all intervention groups (n = 222). A: All groups. B: Structured behavioral group intervention. C: Attention control group intervention. D: Individual control group intervention. ○, Younger adults; ■, older adults.

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    1. Brown SA. Effects of educational interventions in diabetes care: a meta-analysis of findings. Nurs Res 1988;37:223–230 - PubMed
    1. Ismail K, Winkley K, Rabe-Hesketh S. Systematic review and meta-analysis of randomised controlled trials of psychological interventions to improve glycaemic control in patients with type 2 diabetes. Lancet 2004;363:1589–1597 - PubMed
    1. Padgett D, Mumford E, Hynes M, Carter R. Meta-analysis of the effects of educational and psychosocial interventions on management of diabetes mellitus. J Clin Epidemiol 1988;41:1007–1030 - PubMed
    1. Pi-Sunyer X, Blackburn G, Brancati FL, et al. Look AHEAD Research Group Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes: one-year results of the look AHEAD trial. Diabetes Care 2007;30:1374–1383 - PMC - PubMed
    1. Deakin T, McShane CE, Cade JE, Williams RD. Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst Rev 2005;(2):CD003417. - PubMed

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