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Meta-analysis of health behavior change interventions in type 1 diabetes
Vicki S Conn1, Adam R Hafdahl, Joseph W Lemaster
1School of Nursing, University of Missouri, Columbia, MO 65211, USA. conn@missouri.edu
Objectives:
To meta-analyze research testing interventions to improve health behaviors including exercise among adults with type 1 diabetes.
Methods:
Multiple literature-searching strategies identified published and unpublished studies reporting glycated hemoglobin outcomes. Fixed- and random-effects meta-analyses included moderator effects.
Results:
Data were synthesized across 1435 subjects. The overall effect size was 0.26. This translates into a reduction of 0.33 in mean HbA1c levels between treatment (8.47%) and control (8.80%) groups. Effect sizes were larger with more females, lower body mass index, higher baseline HbA1c, and interventions targeting multiple behaviors.
Conclusions:
Behavior change interventions improve metabolic control in type 1 diabetes.
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