A systematic literature review of diabetes self-management education features to improve diabetes education in women of Black African/Caribbean and Hispanic/Latin American ethnicity

Patient Educ Couns. 2013 Aug;92(2):235-45. doi: 10.1016/j.pec.2013.03.007. Epub 2013 Apr 6.


Objective: This systematic literature review aims to identify diabetes self-management education (DSME) features to improve diabetes education for Black African/Caribbean and Hispanic/Latin American women with Type 2 diabetes mellitus.

Methods: We conducted a literature search in six health databases for randomized controlled trials and comparative studies. Success rates of intervention features were calculated based on effectiveness in improving glycosolated hemoglobin (HbA1c), anthropometrics, physical activity, or diet outcomes. Calculations of rate differences assessed whether an intervention feature positively or negatively affected an outcome.

Results: From 13 studies included in our analysis, we identified 38 intervention features in relation to their success with an outcome. Five intervention features had positive rate differences across at least three outcomes: hospital-based interventions, group interventions, the use of situational problem-solving, frequent sessions, and incorporating dietitians as interventionists. Six intervention features had high positive rate differences (i.e. ≥50%) on specific outcomes.

Conclusion: Different DSME intervention features may influence broad and specific self-management outcomes for women of African/Caribbean and Hispanic/Latin ethnicity.

Practical implications: With the emphasis on patient-centered care, patients and care providers can consider options based on DSME intervention features for its broad and specific impact on outcomes to potentially make programming more effective.

Keywords: Diabetes self-management education; Ethnic groups; Patient education; Women.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Blacks / education*
  • Blacks / statistics & numerical data
  • Blood Glucose Self-Monitoring
  • Diabetes Mellitus, Type 2 / ethnology*
  • Female
  • Glycated Hemoglobin A / metabolism
  • Hispanic or Latino / education*
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Patient Education as Topic / methods*
  • Patient-Centered Care
  • Self Care / methods*
  • United States


  • Glycated Hemoglobin A