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.
Lewis et al. (Fri,) studied this question.