This systematic review set out to establish the effectiveness and optimal delivery of educational interventions to help adults with type 1 diabetes who are using insulin pump therapy.
In adults with type 1 diabetes using or starting insulin pump therapy, what is the effectiveness of educational interventions?
The review included both patients starting pump therapy as well as those who had been using it for a while. It did not focus on a particular type of intervention.
Only five papers were found that met the inclusion criteria. These were very heterogeneous in terms of the interventions studied and were of poor methodological quality.
However, the reviewers conclude:
It is clear that type 1 diabetes patients initiating and utilising IPT need a comprehensive range of advice, education and training.
On the basis of the descriptive data they gathered, they recommend:
- a mix of group and individual teaching,
- use of multidisciplinary teams of educators and
- long-term training with multiple sessions.
Users of this research should consider:
- It would appear that the review did not address a clearly focused question (see above).
- However, they may have excluded or missed important studies, as they found so few. Was their search strategy up to scratch?
- The reviewers included poor quality studies in their review.
- You might be better to look for randomised trials that focus on your patient population or setting, likely interventions and patient-important outcomes.
- More and better quality research is needed in this area.
Jayasekara RS, Munn Z, Lockwood C. Effect of educational components and strategies associated with insulin pump therapy: a systematic review. Int J Evid Based Healthc. 2011 Dec;9(4):346-61.