Effective selfcare in diabetes is the key to achieving the desired outcome i.e therapeutic A1c and optimal functional status.

Literature Review Matrix
Part I: PICO Analysis of Research Topic
P: Patient or Population
I: Anticipated Intervention
C: Comparison group or Current standard
O: Outcome desired
Source: Adapted from Elkins (2010)
Step 1: Frame your clinical question using the PICO method.
P: Adults with Diabetes Type 2
I: Effective Self-care
C: N/A
O: Optimal Functional Status; Therapeutic AIC
In adult patients with Diabetes Type 2 (P), how does effective self-management (I) affect A1C level and functional status (O)?
Part II: Search Strategy
Using the Walden Library and other appropriate databases, locate ten scholarly articles that pertain to a practice issue of interest to you and that is appropriate for an evidence-based practice project.
Step 1: Identify the resources you will utilize, or utilized, to find articles that pertain to your topic
Electronic Databases

Research or Professional Organizations

Experts in the field to consult

Books, encyclopedias, handbooks

EBSCO Host

American Association of Diabetes Educators

Diabetologist

Encyclopedia of Health and Behavior

Scopus

American Diabetes Association

Internal Medicine

Encyclopedia of Diabetes

PubMed

National Institute of Diabetes and Digestive and Kidney Diseases


Handbook of Diabetes Management

ScienceDirect

Diabetes Journals




Journal of Diabetes & Metabolic Disorders



















Step 2: Identify search terms and criteria
Key words & phrases

Major authors

Inclusion criteria

Exclusion criteria

Diabetes Management

Pamela R. Kushner, MD, FAAFP

Diabetes; Adult; Out-patient

Less than 18 y/o; In-patient

Self-care in Diabetes

W. Perry Dickinson, Miriam Dickinson, Bonnie T. Jortberg, Danielle M. Hessler, Douglas H. Fernald and Lawrence Fisher

Diabetes; Adult

Juvenile Diabetes

Blood sugar level

Amy T. Cunningham, Denine R. Crittendon, Neva White, Geoffrey D. Mills, Victor Diaz
and Marianna D. LaNoue

Diabetes Type 2; Adult; African-American; HBA1C measure

Not exclusively African-American; Type 1 DM

Outcomes for DM

Ming-Jye Wang , Hung-Ming Lin, Li-Chen Hung, and Yi-Ting Lo

Diabetes; Adult


Diabetes Mellitus Type 2

Abdul-Razak Abubakari, Rosanna Cousins, Cecil Thomas,
Dushyant Sharma, and Ebrahim K. Naderali

Diabetes; Adult

Diabetes Type 1 and Juvenile; Mental conditions (Dementia, severe depression, etc.)

Primary care for DM

Marion L. Penn, Anne P. Kennedy, Ivaylo I. Vassilev, Carolyn A. Chew-Graham, Joanne Protheroe,
Anne Rogers and Tom Monks

Diabetes; Adult

Non-DM

Patient-centered DM treatment

Nira Roopnarinesingh, Nancyellen Brennan, Claude Khan, Paul W. Ladenson, Felicia Hill-Briggs and Rita Rastogi Kalyani

Diabetes; Adult

Non-DM, In-patient

Difficulties in Diabetes Care

Adu, M. D., Malabu, U. H., Malau-Aduli, A. E., & Malau-Aduli, B. S.

Diabetes; Adult; From 4 continents (Europe, Asia, Australia, Amerca)

Other continents not mentioned

Self-monitor glucose levels

Sarah H. Wild, Janet Hanley, Stephanie C. Lewis, John A. McKnight, Lucy
B. McCloughan, Paul L. Padfield, Richard A. Parker, Mary Paterson, Hilary Pinnock,
Aziz Sheikh, Brian McKinstry

Diabetes; Adult

Juvenile, Cognitive Impairments

Step 3: Identify Boolean search strings
* Diabetes OR high glucose levels
* Diabetes Mellitus AND Diabetes management
* Diabetes Intervention AND Self-monitoring of glucose
* Diabetes AND Patient-centered care
* Diabetes AND Primary care treatment
Part III: Analysis of Literature
Step 1: Summarize the ten (10) articles you select from your search efforts completing the table below.
Summary Table of Analyzed Articles (you may determine your own headings)

Citation

Conceptual Framework/ Theory

Main finding

Research method

Strengths of study

Weaknesses

Level of Evidence

Penn, M. L., Kennedy, A. P., Vassilev, I. I., Chew-Graham, C. A., Protheroe, J., Rogers, A., & Monks, T. (2015). Modelling self-management pathways for people with diabetes in primary care. BMC family practice, 16(1), 112.


The frequency of appointment after the diagnosis of Diabetes decreases which leads to the increase in self-management capabilities of the patient. There is a lack of professional knowledge in between the consultations.

Operational Research

Gives a clear picture of the factors that needs to be considered in self-management of Diabetic patients as primary care

The consistency of self-management and support is not documented.
Regional research

3

Cunningham, A. T., Crittendon, D. R., White, N., Mills, G. D., Diaz, V., & LaNoue, M. D. (2018). The effect of diabetes self-management education on HbA1c and quality of life in African-Americans: a systematic review and meta-analysis. BMC health services research, 18(1), 367.


There is no significant difference in the management, quality of life, and DS...