Wan Rohimi Wan Nur Liyana Hazwani, Mohd Tahir Nurul Ain
Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Front Pharmacol. 2022 Jul 22;13:953341. doi: 10.3389/fphar.2022.953341. eCollection 2022.
Educational interventions are effective to improve peoples' self-efficacy in managing diabetes complications and lifestyle changes. This systematic review aims to assess and compare various aspects of educational interventions and to provide updated pharmacoeconomics data. Literature searches were conducted using databases such as EBSCOhost, Ovid, PubMed, Scopus, and Web of Science. Outcomes such as study characteristics, costs, medication adherence, effectiveness and were narratively summarized, and the quality of each article was assessed. A total of 27 studies were retrieved. The types of educational interventions were classified as face-to-face strategy, structured programs, telemedicine health education, a combination approach, and others. All types of educational interventions (N = 24, 89%) were reported to be cost-effective. The cost-effectiveness of the other two studies was considered to be not cost-effective while the outcome of one study could not be determined. The majority of the studies (N = 24, 89%) had moderate-quality evidence whereas thirteen (48%) studies were regarded to provide high-quality economic evaluations. All types of educational interventions are highly likely to be cost-effective. The quality of economic evaluations is moderate but the most cost-effective types of educational interventions could not be determined due to variations in the reporting and methodological conduct of the study. A high-quality approach, preferably utilizing the societal perspective over a long period, should be standardized to conduct economic evaluations for educational interventions in T2DM. website, identifier registration number.
教育干预措施对于提高人们管理糖尿病并发症和改变生活方式的自我效能是有效的。本系统评价旨在评估和比较教育干预措施的各个方面，并提供最新的药物经济学数据。使用EBSCOhost、Ovid、PubMed、Scopus和Web of Science等数据库进行文献检索。对研究特征、成本、药物依从性、有效性等结果进行了叙述性总结，并评估了每篇文章的质量。共检索到27项研究。教育干预措施的类型分为面对面策略、结构化项目、远程医疗健康教育、综合方法及其他。据报道，所有类型的教育干预措施（N = 24，89%）都具有成本效益。另外两项研究的成本效益被认为不具有成本效益，而一项研究的结果无法确定。大多数研究（N = 24,89%）有中等质量的证据，而十三项（48%）研究被认为提供了高质量的经济评估。所有类型的教育干预措施都极有可能具有成本效益。经济评估的质量中等，但由于研究报告和方法实施的差异，无法确定最具成本效益的教育干预措施类型。应采用一种高质量的方法，最好长期采用社会视角，对2型糖尿病教育干预措施进行经济评估的标准化操作。网站、标识符注册号。
