PURPOSE The purpose of this systematic review was to examine the impact of diabetes self-management education (DSME) programs on A1C levels of Black/African American adults with type 2 diabetes. METHODS Authors followed PRISMA guidelines and searched PubMed and CINAHL databases to identify articles published from 2000 to date. The primary outcome was A1C and participation in a DSME program among Black/African Americans with diabetes. RESULTS Nine high-quality randomized control trials (RCTs) were included in this review. Sample sizes ranged between 48 and 211. Studies reported Black/African American samples ranging from 23% to 57% (n = 4), 4 reported 100%, and 1 reported 96%. Most (56%) reported a statistically significant decline in A1C levels postprogram, whereas 44% noted insignificant changes. All the studies compared the DSME intervention effect to a control group or another type of diabetes self-management program. CONCLUSION The results suggest that DSME programs can be effective at lowering A1C levels in Black/African American adults; however, more research with larger sample sizes of Black/African Americans is warranted. The availability of meta-analyses and more RCTs could also further strengthen the external validity of this review. Additionally, future studies focused on A1C outcomes within DSME programs not combined with other self-management interventions among Black/African Americans can advance science regarding the impact of DSME programs among this disparate population.

中文翻译：

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糖尿病自我管理教育对黑人/非裔美国人 A1C 水平的影响：系统评价。

目的 本系统评价的目的是探讨糖尿病自我管理教育 (DSME) 计划对患有 2 型糖尿病的黑人/非裔美国成人 A1C 水平的影响。方法 作者遵循 PRISMA 指南并检索 PubMed 和 CINAHL 数据库以识别 2000 年至今发表的文章。主要结果是 A1C 以及黑人/非裔美国人糖尿病患者参与 DSME 项目的情况。结果 本综述纳入了九项高质量随机对照试验 (RCT)。样本量范围在 48 到 211 之间。研究报告黑人/非裔美国人样本范围从 23% 到 57% (n = 4)，4 项报告为 100%，1 项报告为 96%。大多数人 (56%) 报告治疗后 A1C 水平出现统计学显着下降，而 44% 则指出变化不显着。所有研究都将 DSME 干预效果与对照组或其他类型的糖尿病自我管理计划进行了比较。结论 结果表明 DSME 计划可以有效降低黑人/非裔美国成年人的 A1C 水平；然而，有必要对黑人/非裔美国人进行更大样本量的更多研究。荟萃分析和更多随机对照试验的可用性也可以进一步加强本综述的外部有效性。此外，未来的研究重点关注 DSME 计划中的 A1C 结果，而不是与黑人/非裔美国人中的其他自我管理干预措施相结合，可以推进关于 DSME 计划对这一不同人群影响的科学发展。