Patients' and informal caregivers' perspectives on self-management interventions for type 2 diabetes mellitus outcomes : a mixed-methods overview of 14 years of reviews
Niño de Guzmán, Ena Pery (Hospital Universitari de Bellvitge)
Bracchiglione, Javier (Institut d'Investigació Biomèdica Sant Pau)
Ballester, Marta (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Groene, Oliver (University of Witten/Herdecke)
Heijmans, Monique (Netherlands Institute for Health Services Research (NIVEL))
Martínez García, Laura (Institut d'Investigació Biomèdica Sant Pau)
Noordman, Janneke (Netherlands Institute for Health Services Research (NIVEL))
Orrego, Carola (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Rocha, Claudio (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Suñol Sala, Rosa (Universitat Autònoma de Barcelona. Institut Universitari Avedis Donabedian)
Alonso-Coello, Pablo (Institut d'Investigació Biomèdica Sant Pau)

Date:	2023
Abstract:	Self-management interventions (SMIs) are core components of high-quality care in type 2 diabetes mellitus (T2DM). We aimed to identify and summarise the scientific evidence exploring the perspectives of patients with T2DM and their informal caregivers on outcomes of SMIs, and the key themes to enhance T2DM patient-centred care. We conducted a mixed-methods overview of reviews. We searched MEDLINE, CINAHL and PsycINFO, up to June 2021 for systematic reviews (SRs) exploring the perspectives of adults with T2DM and their informal caregivers, regarding self-management. Two reviewers conducted independently study selection, data extraction and quality assessment. We estimated the degree of overlap across SRs. We performed a qualitative analysis using a thematic synthesis approach. We identified 54 SRs, corresponding to 939 studies, with a slight overlap. Most SRs (47/54, 87%) were considered high quality. We developed summaries for 22 outcomes and identified six overarching themes: (1) diabetic identity; (2) accessing healthcare; (3) experience of care; (4) engagement with self-management; (5) outcomes awareness; and (6) challenges adhering to self-management. We found important variability in how patients with T2DM and their informal caregivers value critical outcomes influenced by the disease progression and several contextual factors. Our findings represent what matters most to patients with T2DM and their informal caregivers regarding outcomes of SMIs. Our results can facilitate the development and evaluation of SMIs, and guide decision-making in diabetes care, including the formulation of decisions and recommendations. The online version contains supplementary material available at 10. 1186/s13690-023-01153-9.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Overview ; Patient preference ; Perspectives ; Self-management ; Type 2 diabetes Mellitus ; Values
Published in:	Archives of Public Health, Vol. 81 (august 2023) , ISSN 2049-3258

DOI: 10.1186/s13690-023-01153-9
PMID: 37537669

21 p, 2.8 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles