TAILIEUCHUNG - Increasing Diabetes Self-Management Education in Community Settings

COPD, although preventable and treatable, is not currently curable. hus, the primary prevention of COPD remains a critical action for public health. New investigations into COPD risk factors could explore occupational hazards, environmental exposures, genetics, family history, and co-morbid conditions such as asthma. Investigation of proper training and clinical use of spirometry and evidence-based treatment modalities is also warranted. | Increasing Diabetes Self-Management Education in Community Settings A Systematic Review Susan L. Norris MD MPH Phyllis J. Nichols MPH Carl J. Caspersen PhD MPH Russell E. Glasgow PhD Michael M. Engelgau MD MSc Leonard Jack Jr PhD MSc Susan R. Snyder PhD Vilma G. Carande-Kulis PhD George Isham MD Sanford Garfield PhD Peter Briss MD David McCulloch MD and the Task Force on Community Preventive Services Overview This report presents the results of a systematic review of the effectiveness and economic efficiency of self-management education interventions for people with diabetes and forms the basis for recommendations by the Task Force on Community Preventive Services. Data on glycemic control provide sufficient evidence that self-management education is effective in community gathering places for adults with type 2 diabetes and in the home for adolescents with type 1 diabetes. Evidence is insufficient to assess the effectiveness of self-management education interventions at the worksite or in summer camps for either type 1 or type 2 diabetes or in the home for type 2 diabetes. Evidence is also insufficient to assess the effectiveness of educating coworkers and school personnel about diabetes. Medical Subject Headings MeSH blood glucose self-monitoring community health services decision making diabetes mellitus evidence-based medicine health education patient education preventive health services public health practice review literature self-care self-efficacy self-help groups Am J Prev Med 2002 22 4S 39-66 2002 American Journal of Preventive Medicine Introduction Diabetes self-management education DSME the process of teaching people to manage their diabetes 1 has been considered an important part of the clinical management of diabetes since the 1930s and the work of The American Diabetes Association ADA recommends assessing self-management skills and knowledge of diabetes at least annually and providing or encouraging continuing DSME is considered

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