COMPAR-EU Recommendations on Self-Management Interventions in Type 2 Diabetes Mellitus
Self-management interventions (SMIs) offer a promising approach to actively engage patients in the management of their chronic diseases. Within the scope of the COMPAR-EU project, our goal is to provide evidence-based recommendations for the utilisation and implementation of SMIs in the care of adul...
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| Veröffentlicht in: | Healthcare (Basel) 2024-02, Vol.12 (4), p.483 |
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| creator | Beltran, Jessica Valli, Claudia Medina-Aedo, Melixa Canelo-Aybar, Carlos Niño de Guzmán, Ena Song, Yang Orrego, Carola Ballester, Marta Suñol, Rosa Noordman, Janneke Heijmans, Monique Seitidis, Georgios Tsokani, Sofia Kontouli, Katerina-Maria Christogiannis, Christos Mavridis, Dimitris Graaf, Gimon de Groene, Oliver Grammatikopoulou, Maria G Camalleres-Guillem, Francisco Perestelo-Perez, Lilisbeth McGloin, Helen Winkley, Kirsty Mueller, Beate Sigrid Saz-Parkinson, Zuleika Corcoy, Rosa Alonso-Coello, Pablo |
| description | Self-management interventions (SMIs) offer a promising approach to actively engage patients in the management of their chronic diseases. Within the scope of the COMPAR-EU project, our goal is to provide evidence-based recommendations for the utilisation and implementation of SMIs in the care of adult individuals with type 2 diabetes mellitus (T2DM). A multidisciplinary panel of experts, utilising a core outcome set (COS), identified critical outcomes and established effect thresholds for each outcome. The panel formulated recommendations using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach, a transparent and rigorous framework for developing and presenting the best available evidence for the formulation of recommendations. All recommendations are based on systematic reviews (SR) of the effects and of values and preferences, a contextual analysis, and a cost-effectiveness analysis. The COMPAR-EU panel is in favour of using SMIs rather than usual care (UC) alone (conditional, very low certainty of the evidence). Furthermore, the panel specifically is in favour of using ten selected SMIs, rather than UC alone (conditional, low certainty of the evidence), mostly encompassing education, self-monitoring, and behavioural techniques. The panel acknowledges that, for most SMIs, moderate resource requirements exist, and cost-effectiveness analyses do not distinctly favour either the SMI or UC. Additionally, it recognises that SMIs are likely to enhance equity, deeming them acceptable and feasible for implementation. |
| doi_str_mv | 10.3390/healthcare12040483 |
| format | Article |
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Within the scope of the COMPAR-EU project, our goal is to provide evidence-based recommendations for the utilisation and implementation of SMIs in the care of adult individuals with type 2 diabetes mellitus (T2DM). A multidisciplinary panel of experts, utilising a core outcome set (COS), identified critical outcomes and established effect thresholds for each outcome. The panel formulated recommendations using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach, a transparent and rigorous framework for developing and presenting the best available evidence for the formulation of recommendations. All recommendations are based on systematic reviews (SR) of the effects and of values and preferences, a contextual analysis, and a cost-effectiveness analysis. The COMPAR-EU panel is in favour of using SMIs rather than usual care (UC) alone (conditional, very low certainty of the evidence). Furthermore, the panel specifically is in favour of using ten selected SMIs, rather than UC alone (conditional, low certainty of the evidence), mostly encompassing education, self-monitoring, and behavioural techniques. The panel acknowledges that, for most SMIs, moderate resource requirements exist, and cost-effectiveness analyses do not distinctly favour either the SMI or UC. 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This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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Within the scope of the COMPAR-EU project, our goal is to provide evidence-based recommendations for the utilisation and implementation of SMIs in the care of adult individuals with type 2 diabetes mellitus (T2DM). A multidisciplinary panel of experts, utilising a core outcome set (COS), identified critical outcomes and established effect thresholds for each outcome. The panel formulated recommendations using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach, a transparent and rigorous framework for developing and presenting the best available evidence for the formulation of recommendations. All recommendations are based on systematic reviews (SR) of the effects and of values and preferences, a contextual analysis, and a cost-effectiveness analysis. The COMPAR-EU panel is in favour of using SMIs rather than usual care (UC) alone (conditional, very low certainty of the evidence). 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| fulltext | fulltext |
| identifier | ISSN: 2227-9032 |
| ispartof | Healthcare (Basel), 2024-02, Vol.12 (4), p.483 |
| issn | 2227-9032 2227-9032 |
| language | eng |
| recordid | cdi_proquest_journals_2930957813 |
| source | MDPI - Multidisciplinary Digital Publishing Institute; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Analysis Care and treatment Chronic illnesses Chronic obstructive pulmonary disease Decision making Diabetes Heart failure Interdisciplinary aspects Intervention Medical care Medical research Medicine, Experimental Obesity Patients Professionals Quality of life Self-management (Psychology) Social support Spain Taxonomy Type 2 diabetes Weight control |
| title | COMPAR-EU Recommendations on Self-Management Interventions in Type 2 Diabetes Mellitus |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T05%3A26%3A55IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=COMPAR-EU%20Recommendations%20on%20Self-Management%20Interventions%20in%20Type%202%20Diabetes%20Mellitus&rft.jtitle=Healthcare%20(Basel)&rft.au=Beltran,%20Jessica&rft.date=2024-02-01&rft.volume=12&rft.issue=4&rft.spage=483&rft.pages=483-&rft.issn=2227-9032&rft.eissn=2227-9032&rft_id=info:doi/10.3390/healthcare12040483&rft_dat=%3Cgale_proqu%3EA784039992%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2930957813&rft_id=info:pmid/38391858&rft_galeid=A784039992&rfr_iscdi=true |