Replicating group-based education interventions for the management of type 2 diabetes: a review of intervention reporting

Aims To assess the completeness of reporting of group-based education interventions for the management of type 2 diabetes. Methods A previous systematic review of group-based education programmes for adults with type 2 diabetes identified eligible intervention studies. Data were extracted and assessed using the Template for Intervention Description and Replication ('TIDieR') checklist. Missing data were sourced from other published material, or by contacting authors. Results Fifty-three publications describing 47 studies were included. No publications sufficiently described all items. Authors of 43 of the 47 included studies (91%) were contacted via e-mail to obtain missing data in order to complete the TIDieR checklist. Seven (16%) did not respond. Additional data were obtained for 33/47 studies (70%). Most studies (45/47, 96%) described the intervention duration and frequency, detailed the procedures and rationale (40/47, 85%), provided a brief intervention name and explained any individual tailoring (38/47, 81%), defined whether providers received training and adequately described how the programme was delivered (37/47, 79%). However, few described any modifications (28/47, 60%), whether the intervention was delivered as planned (27/47, 57%), where it was delivered (21/47, 45%), whether materials were provided (19/47, 40%), and who delivered the intervention (13/47, 28%). Conclusions Group-based education interventions for the management of type 2 diabetes are poorly reported. To translate effective research into practice, practitioners need sufficient detail to implement evidence-based interventions. Researcher adoption of the TIDieR checklist will assist the translation and replication of published interventions

Title: Understanding the prevalence and determinants of childhood undernutrition among infants and young children (six months to five years) in Sub-Saharan African countries: A protocol for a Scoping Review

Undernutrition can result from the insufficient intake of energy and nutrients to meet an individual’s needs to maintain good health. Undernutrition can increase the risk of infectious diseases, diet-related non-communicable diseases, premature death, and impaired brain development. Additionally, undernutrition can reduce productivity and increase the high burden of healthcare costs. Undernutrition includes stunting, wasting, underweight, and micronutrient deficiencies or insufficiencies. Despite the substantial progress witnessed over the last 20 years, undernutrition has remained an alarming global challenge, particularly in Sub-Saharan Africa. Globally, stunting has declined, while wasting still devastates the lives of many children worldwide. Sub-Saharan Africa is the only region where the prevalence of stunting in children under five years of age has significantly increased. This research project aims to understand the prevalence and determinants of childhood undernutrition among infants and young children aged six months to five years in Sub-Saharan African countries

Understanding the prevalence and determinants of childhood undernutrition among infants and young children (six months to five years) in Sub-Saharan African countries: A protocol for a Scoping Review.

Undernutrition can result from the insufficient intake of energy and nutrients to meet an individual’s needs to maintain good health. Undernutrition can increase the risk of infectious diseases, diet-related non-communicable diseases, premature death, and impaired brain development. Additionally, undernutrition can reduce productivity and increase the high burden of healthcare costs. Undernutrition includes stunting, wasting, underweight, and micronutrient deficiencies or insufficiencies.Despite the substantial progress witnessed over the last 20 years, undernutrition has remained an alarming global challenge, particularly in Sub-Saharan Africa. Globally, stunting has declined, while wasting still devastates the lives of many children worldwide. Sub-Saharan Africa is the only region where the prevalence of stunting in children under five years of age has significantly increased.This research project aims to understand the prevalence and determinants of childhood undernutrition among infants and young children aged six months to five years in Sub-Saharan African countries

Effectiveness of Interventions to Address Undernutrition in Children Under Five in Sub-Saharan Africa: A Systematic Review Protocol.

Undernutrition is distinguished by insufficient intake of energy or nutrients to maintain good health and includes stunting, wasting and underweight. Despite progress towards some of the 2025 global nutrition targets, undernutrition persists at unacceptably high levels. Worldwide, the rates of undernutrition have been rising since 2015, and childhood undernutrition is an especially urgent public health challenge in Sub-Saharan Africa. This systematic review aims to determine the effectiveness of interventions to address undernutrition in children under five in Sub-Saharan Africa

Group-based education for patients with type 2 diabetes: A survey of Australian dietitians

Group-based education has the potential to substantially improve the outcomes of individuals with type 2 diabetes mellitus (T2DM) and reduce the enormous burden that chronic diseases place on healthcare systems worldwide. Despite this proven effectiveness, the utilisation of group services for the management of T2DM by Australian dietitians is surprisingly low. This study surveyed a sample of 263 Australian dietitians to explore the utilisation of group-based education for T2DM, as well as dietitians’ preferences for practice and training. The results of this study indicate that Australian dietitians are currently under-utilising group-based education programs for the management of T2DM, with the primary reasons identified as a lack of training provided to dietitians in the area, limited access to facilities suitable for conducting group education, the perceived poor cost-effectiveness of these programs, and the lack of evidence-based practice guidelines for the group-based management of persons with T2DM. Additionally, the majority of preferences for further training were for either face-to-face or web-based formal training conducted over 3–6h. Clear, evidence-based practice guidelines and training resources for group education for the management of T2DM are needed in order to encourage better utilisation of group-based education by Australian dietitians. </jats:p

Group participants' experiences of a patient-directed group-based education program for the management of type 2 diabetes mellitus.

OBJECTIVE:The objective of this study was to explore the experiences of individuals who participated in a group-based education program, including their motivators in relation to their diabetes management, and the perceived impact of group interactions on participants' experiences and motivation for self-management. Understanding individuals diagnosed with diabetes experiences of group-based education for the management of type 2 diabetes mellitus may guide the development and facilitation of these programs. METHODS:Semi-structured interviews were conducted with all individuals who participated in the intervention. Using thematic analysis underpinned by self-determination theory, we developed themes that explored participants' motivators in relation to diabetes management and the impact of group interactions on their experiences and motivation. RESULTS:The key themes included knowledge, experience, group interactions and motivation. Participants perceived that the group interactions facilitated further learning and increased motivation, achieved through normalization, peer identification or by talking with, and learning from the experience of others. CONCLUSIONS:The results support the use of patient-centred programs that prioritize group interactions over the didactic presentation of content, which may address relevant psychological needs of people diagnosed with type 2 diabetes mellitus, and improve their motivation and health behaviours. Future group-based education programs may benefit from the use of self-determination theory as a framework for intervention design to enhance participant motivation