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Barriers and enablers to sustaining self-management behaviours after attending a self-management support intervention for type 2 diabetes: a protocol for a systematic review and qualitative evidence synthesis. | LitMetric

AI Article Synopsis

  • Attendance at self-management support interventions for type 2 diabetes initially improves health outcomes, but these improvements often fade within a year due to challenges in maintaining self-management behaviors.
  • This systematic review aims to identify barriers and enablers that affect long-term engagement in self-management after attending such interventions, by synthesizing qualitative research.
  • The review will create a new conceptual model for sustained behavior change, employing several research databases and tools for assessment, to enhance future interventions that support ongoing self-management in type 2 diabetes.

Article Abstract

Attendance at self-management support interventions is associated with improved outcomes for people with type 2 diabetes. However, initial improvements are often not sustained beyond one year, which may be a result of difficulties in sustaining positive changes made to self-management behaviours. The aim of this systematic review is to synthesise qualitative research on the barriers and enablers to sustaining self-management behaviours following attendance at a self-management support intervention for type 2 diabetes. The review will use the "best fit" framework synthesis method to develop a new conceptual model of sustained behaviour change in type 2 diabetes. MEDLINE (Ovid), EMBASE (Elsevier), CINAHL (EBSCO), PsycINFO (Ovid), SCOPUS, ProQuest Dissertations and Theses, WorldCat and Open Grey will be searched to identify primary qualitative studies. A parallel search will be conducted in Google Scholar to identify relevant theories for the development of an framework to synthesise findings across studies. Methodological limitations of included studies will be assessed using an adapted version of the Critical Appraisal Skills Programme tool for Qualitative Studies. A sensitivity analysis will be conducted to examine the impact of studies with methodological limitations on synthesis findings. Confidence in the synthesis findings will be assessed using the GRADE-CERQual tool. Screening, data extraction, methodological limitation assessment, synthesis and GRADE-CERQual assessment will be conducted by one author with a second author independently verifying a randomly selected 20% sample. This review will develop a new model of sustained behaviour change in type 2 diabetes self-management. The findings can be used to inform the development of new interventions or revision of existing interventions to better support sustained engagement in type 2 diabetes self-management behaviours.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8886171PMC
http://dx.doi.org/10.12688/hrbopenres.13466.2DOI Listing

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