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The purpose of this study is to evaluate the effectiveness of diabetes self-efficacy educational interventions in patients with
diabetes and to determine the effective components of the interventions. 6 databases were systematically searched for
studies on the metabolic controls, diabetes self-efficacy, behavior, knowledge, psychological indicators and quality of life of
diabetes self-efficacy educational interventions for patients with diabetes. 16 studies published between 2006 and 2017 met the
inclusion criteria. Glycosylated hemoglobin A1C, fasting blood glucose, diabetes self-efficacy, behavior and knowledge were
identified as positive results in most studies. Only five studies used the complete four sources of information and eight studies
assessed both the self-efficacy and behavior of participants based on self-efficacy theory. Performance accomplishments,
vicarious experience and verbal persuasion were predominantly employed. Such strategies as goal setting, practicing selfmanagement
skills, participants’ return-demonstration, behavior recording, peer modeling, verbal persuasion by nurses and
face to face delivery were preferred in the included studies. Individuals with diabetes are likely to benefit from diabetes selfefficacy
educational interventions. The four sources of information and outcome assessments based on self-efficacy theory
were insufficient in most studies. Future work is required to develop an effective diabetes self-efficacy educational intervention
and further determine the effects.