{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:06:37Z","timestamp":1791497197179,"version":"4.3.4"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,4,29]],"date-time":"2015-04-29T00:00:00Z","timestamp":1430265600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The evidence for self\u2010management programmes in older adults varies in methodological approaches, and disease criteria. Using predetermined methodological criteria, we evaluated the effect of diabetes\u2010specific self\u2010management programme interventions in older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:styled-content style=\"fixed-case\">EMBASE<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content>\n                      and Cochrane Central Register of Controlled Trials databases were searched from January 1980 to November 2013, as were reference lists from systematic reviews, meta\u2010analyses and clinical practice guidelines. A total of 13 trials met the selection criteria, which included 4517 older adult participants; 2361 participants randomized to a diabetes self\u2010management programme and 2156 to usual care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The pooled effect on HbA\n                      <jats:sub>1c<\/jats:sub>\n                      was a reduction of \u20132\u00a0mmol\/mol (\u20130.2%; 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u20130.3 to \u20130.1); tailored interventions [\u20133\u00a0mmol\/mol (\u20130.2%; 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u20130.4 to \u20130.1)] or programmes with a psychological emphasis [\u20133\u00a0mmol\/mol (\u20130.2; 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u20130.4 to \u20130.1)] were most effective. A pooled treatment effect on total cholesterol was a 5.81\u00a0mg\/dl reduction (95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      \u201310.33 to \u20131.29) and non\u2010significant reductions in systolic and diastolic blood pressure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Diabetes self\u2010management programmes for older adults demonstrate a small reduction in HbA\n                      <jats:sub>1c<\/jats:sub>\n                      , lipids and blood pressure. These findings may be of greater clinical relevance when offered in conjunction with other therapies.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.12780","type":"journal-article","created":{"date-parts":[[2015,4,10]],"date-time":"2015-04-10T19:14:55Z","timestamp":1428693295000},"page":"1404-1414","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":83,"title":["Diabetes self\u2010management programmes in older adults: a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"32","author":[{"given":"D.","family":"Sherifali","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences McMaster University"},{"name":"Diabetes Care and Research Program Hamilton Health Sciences"},{"name":"McMaster Evidence Review and Synthesis Centre, (MERSC) McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.\u2010W.","family":"Bai","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences McMaster University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kenny","sequence":"additional","affiliation":[{"name":"McMaster Evidence Review and Synthesis Centre, (MERSC) McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Warren","sequence":"additional","affiliation":[{"name":"McMaster Evidence Review and Synthesis Centre, (MERSC) McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. U.","family":"Ali","sequence":"additional","affiliation":[{"name":"McMaster Evidence Review and Synthesis Centre, (MERSC) McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,4,29]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Public Health Agency of Canada.National Diabetes Surveillance System 2009.Ottawa:Public Health Agency of Canada 2009. Available athttp:\/\/www.phacaspc.gc.ca\/publicat\/2009\/ndssdic-snsddac-09\/index-eng.phpLast accessed 1 May 2010."},{"key":"e_1_2_8_3_1","volume-title":"Evidence\u2010Based Diabetes Care","author":"Gerstein HC","year":"2001"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-0062"},{"key":"e_1_2_8_5_1","first-page":"750","article-title":"Trends in diabetes prevalence, incidence, and mortality in Ontario, Canda 1995\u20132005","volume":"369","author":"Lipscombe L","year":"2007","journal-title":"A population\u2010based study. 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