Peer-Reviewed Journal Details
Mandatory Fields
Fredrix, M;McSharry, J;Flannery, C;Dinneen, S;Byrne, M
2018
January
Psychology & Health
Goal-setting in diabetes self-management: A systematic review and meta-analysis examining content and effectiveness of goal-setting interventions
Published
0 ()
Optional Fields
BEHAVIOR-CHANGE INTERVENTIONS PHYSICAL-ACTIVITY BEHAVIOR RANDOMIZED-CLINICAL-TRIAL SCALE CARE EDUCATION TAXONOMY VALIDITY OUTCOMES
33
955
977
Background: Goal-setting is recommended and widely used within diabetes self-management programmes. However, empirical evidence around its effectiveness lacks clarity. This review aims to evaluate the effectiveness of goal-setting interventions on diabetes outcomes and to determine which behaviour change techniques (BCTs) are frequently used within these interventions.Methods: A systematic search identified 14 studies, describing 12 interventions targeting diabetic-control which incorporated goal-setting as the main intervention strategy. Study characteristics, outcome measures and effect sizes of the included studies were extracted and checked by two authors. The BCT taxonomy v1 was used to identify intervention content. Meta-analyses were conducted to assess intervention effects on the primary outcome of average blood glucose levels (HbA1c) and on body-weight. Psycho-social and behavioural outcomes were summarised in narrative syntheses.Results: Significant post-intervention improvements in HbA1C were found (-.22, 95% CI, -.40, -.04) across studies. No other main effects were identified. The BCT goal-setting (behaviour)' was most frequently implemented and was identified in 84% of the interventions.Conclusions: Goal-setting interventions appear to be associated with reduced HbA1C levels. However, the low numbers of studies identified and the risk biases across studies suggest more research is needed to further explore goal-setting BCTs in diabetes self-management.
0887-0446
10.1080/08870446.2018.1432760
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