Scoping review explores diabetes self management education effects on outcomes, suggesting incomplete engagement has uncertain benefits.
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.
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Lewis et al. (2026) studied this question.
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