The Effects of Diverse Interventions on Diabetes Management Among Arabs With Diabetes: A Systematic Review.

Omaima Abd Elqader, Einav Srulovici

Journal: Journal of advanced nursing 2025;81(3):1222-1240

PMID: 39235274

Abstract

AIM

To identify, describe, and critically evaluate the effects of various interventions on diabetes management outcomes among Arabs with diabetes.

DESIGN

A systematic review.

DATA SOURCES

The search was conducted across three databases: PubMed, CINAHL and the Cochrane Collaboration in December 2023.

REVIEW METHODS

Screening involved randomised controlled trials and nonrandomised studies that focused on the effects of interventions on diabetes management among Arab with diabetes. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist guided the review process. Two researchers independently applied eligibility criteria. Data extraction captured key study details, and methodological quality was assessed using Downs and Black's checklist. This review is registered with the International Prospective Register of Systematic Reviews (PROSPERO; registration number CRD42024555668).

RESULTS

Thirty-five articles were reviewed, yielding 65 outcomes. Effective interventions included personalised care, patient-centred education and direct patient contact through lifestyle modifications, advice, feedback, motivational conversations and calls. These approaches improved haemoglobin A1c, fasting blood glucose, physical activity and medication adherence. Conversely, nonpersonalised remote monitoring and social media interventions showed no significant improvements. Notably, tailored nutritional and physical activity advice positively impacted body mass index and systolic blood pressure among Arab women with diabetes.

CONCLUSION

The findings underscore the effectiveness of personalised care and direct patient contact in optimising diabetes management among Arabs with diabetes.

IMPACT

This review highlights the importance of prioritising direct patient contact over remote methods such as social media in interventions on diabetes management among Arabs with diabetes. It emphasises the need for culturally sensitive approaches, particularly for women.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution, as this study constitutes a review of existing research.

© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.

Address: The Cheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel.
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