The Effects of Diverse Interventions on Diabetes Management Among Arabs With Diabetes: A Systematic Review.
Omaima Abd Elqader, Einav Srulovici
PMID 39235274WHAT IT FOUND
Personal contact, feedback, and patient-centred education improved HbA1c and medication adherence in Arab patients.
Social media and remote monitoring interventions showed no significant benefit compared to control groups.
Key findings
01Interventions using personal contact, individualised lifestyle modifications, and motivational conversations were associated with improved HbA1c and fasting blood glucose compared to controls.
02Weekly contact via phone or text was associated with higher medication adherence, whereas social media and nonpersonalised remote monitoring showed no significant improvement over control groups.
03Personalised nutrition and physical activity interventions for women addressed cultural barriers and resulted in weight loss and improved HbA1c levels.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review included a mix of randomised and nonrandomised studies, which compromises the certainty of the evidence. Significant heterogeneity in interventions, outcomes, and follow-up durations prevented a meta-analysis. Only three studies reported blinding of outcome assessors. The review was limited to studies published in English, potentially excluding relevant Arabic-language research. Outcomes often reflected the intertwined responsibilities of multiple healthcare providers, making it difficult to isolate the specific contribution of nursing interventions.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not assume that digital health interventions like social media or remote monitoring are effective for this population based on general evidence. This review found these methods showed no significant benefit compared to controls for Arab patients, who responded better to personal contact.