COMPAR-EU Recommendations on Self-Management Interventions in Type 2 Diabetes Mellitus
Beltran, Jessica (Institut de Recerca Sant Pau)
Valli, Claudia (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Medina-Aedo, Melixa (Institut de Recerca Sant Pau)
Canelo Aybar, Carlos Gilberto (Institut de Recerca Sant Pau)
Niño de Guzmán, Ena Pery (Institut de Recerca Sant Pau)
Song, Yang (Institut de Recerca Sant Pau)
Orrego, Carola (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Ballester, Marta (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Noordman, Janneke (Netherlands Institute for Health Services Research (NIVEL))
Heijmans, Monique (Netherlands Institute for Health Services Research (NIVEL))
Seitidis, Georgios (University of Ioannina)
Tsokani, Sofia (University of Ioannina)
Kontouli, Katerina Maria (University of Ioannina)
Christogiannis, Christos (University of Ioannina)
Mavridis, Dimitris (University of Ioannina)
de Graaf, Gimon (Erasmus University Rotterdam)
Groene, Oliver (OptiMedis)
Grammatikopoulou, Maria G. (University of Thessaly)
Camalleres-Guillem, Francisco (Centro de Salud Infanta Mercedes)
Perestelo-Pérez, Lilisbeth (Servicio Canario de la Salud)
McGloin, Helen (ATU St Angelas)
Winkley, Kirsty (King's College London)
Mueller, Beate Sigrid (University of Cologne)
Saz-Parkinson, Zuleika (European Research Executive Agency)
Corcoy i Pla, Rosa (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Alonso-Coello, Pablo (Institut de Recerca Sant Pau)

Date:	2024
Abstract:	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.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Diabetes mellitus ; GRADE approach ; Recommendations ; Self-management interventions ; Type 2
Published in:	Healthcare, Vol. 12 (february 2024) , ISSN 2227-9032

DOI: 10.3390/healthcare12040483
PMID: 38391858

19 p, 294.4 KB

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