Key result
This protocol outlines a systematic review and qualitative evidence synthesis to identify barriers and enablers to sustaining self-management behaviors in type 2 diabetes.
Why the study?
Initial outcome improvements following self-management support interventions for type 2 diabetes are often not sustained beyond one year, possibly due to difficulties sustaining positive self-management behaviour changes.
What are the barriers and enablers to sustaining self-management behaviours following completion of a self-management support intervention for type 2 diabetes?
Systematic Review
What are the barriers and enablers to sustaining self-management behaviours following completion of a self-management support intervention for type 2 diabetes?
This protocol outlines a systematic review to identify barriers and enablers to sustaining self-management behaviors in type 2 diabetes, aiming to inform future interventions.
Protocol will synthesize barriers and enablers to sustain type 2 diabetes self-management; informs future interventions and identifies research gaps in maintenance.
<ns4:p> <ns4:bold>Background:</ns4:bold> 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 completion of a self-management support intervention for type 2 diabetes. </ns4:p> <ns4:p> Methods: 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 <ns4:italic>a priori</ns4:italic> 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. </ns4:p> <ns4:p> <ns4:bold>Discussion:</ns4:bold> 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. </ns4:p>
No takes yet. Share an insight, caveat, or question.
Carvalho et al. (2021) conducted a systematic review in Type 2 diabetes. Self-management support intervention was evaluated on Barriers and enablers to sustaining self-management behaviours. This protocol outlines a systematic review and qualitative evidence synthesis to identify barriers and enablers to sustaining self-management behaviors in type 2 diabetes.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: