Real‐world completion of diabetes self management education and its impact on patient‐reported outcomes: A scoping review
Authors' conclusion
Evidence of short-term improvements in self management skills and QOL was constrained by programme heterogeneity, methodological variability and predominantly high-income settings. Evidence supporting sustained benefits beyond 6-12 months is limited and impact on diabetes distress is uncertain. No studies reported the effectiveness of partial completion of DSME on PROMs, despite a widely accepted benchmark suggesting ≥60% engagement constitutes completion.
Study context
- Population
- Quantitative studies of people with T2D receiving diabetes self management education (DSME); searches of CINAHL, MEDLINE and EMBASE24 records
- Comparison
- Full vs partial DSME completion vs control
- Outcome
- Patient-reported outcomes:
- Self care
- Diabetes distress
- QOL
Methodological detailsPRISMA extension for scoping reviews, ITT analyses and pre-post designs without controls excluded, Records identified: 1307 from databases plus 12 by hand-searching; 24 met inclusion criteria
- PRISMA extension for scoping reviews
- ITT analyses and pre-post designs without controls excluded
- Records identified: 1307 from databases plus 12 by hand-searching; 24 met inclusion criteria
Main finding
As reported in the abstract
Patient-reported outcomes (PROMs) by DSME completion · 3-6 months
- 100% DSME completion improves self management skills and QOL over 3-6 months, with greater gains in self care behaviours and mental health-related QOL
- Medication adherence and physical health improved less consistently
- No studies reported outcomes for partial DSME completion
Original publication
Real‐world completion of diabetes self management education and its impact on patient‐reported outcomes: A scoping review. Diabet Med. Published 3 April 2026. doi:10.
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