Multicomponent approaches to promoting healthy behaviours in people with Type 2 diabetes: an integrative review.
The progression of diabetes-related complications can be delayed with multifactorial interventions that support healthy behaviours. However, many initiatives have focused on educational or individual-level activities and observed limited or modest sustained improvements in healthy behaviours. A mult...
| Publicado en: | Health Promotion International Vol. 38; no. 3; pp. 1 - 26 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164705765&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164705765 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09574824 F9Y jtl: Health Promotion International issn: 09574824 maglogo: N pubinfo: dt: Jun2023 vid: 38 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 164705765 164705765 164705765 10.1093/heapro/daac042 164705765 ppf: 1 ppct: 25 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Multicomponent approaches to promoting healthy behaviours in people with Type 2 diabetes: an integrative review. aug: au: Darcy, Morgan Parkinson, Joy Ball, Lauren Norton, Lyza Hobby, Julie affil: Social Marketing @ Griffith, Griffith University , 170 Kessels Road, Nathan, Brisbane, QLD, 4111, Australia sug: subj: Health Promotion Methods Health Behavior Diabetic Patients Psychosocial Factors Diabetes Mellitus, Type 2 Therapy Treatment Outcomes Human Systematic Review Meta Synthesis Funding Source Medline Embase PubMed Psycinfo CINAHL Database Male Female Adolescence Young Adult Adult Middle Age Aged Glycated Hemoglobin Blood Pressure Cholesterol Diet Physical Activity Multidisciplinary Care Team Self Care Education Group Processes Peer Group Leaders Community-Institutional Relations Financial Support Built Environment Social Determinants of Health Public Health Checklists Support, Social Diabetic Patients Education Quality Improvement Behavioral Changes Hypoglycemic Agents Therapeutic Use Medication Compliance Diabetes Education Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: The progression of diabetes-related complications can be delayed with multifactorial interventions that support healthy behaviours. However, many initiatives have focused on educational or individual-level activities and observed limited or modest sustained improvements in healthy behaviours. A multicomponent approach to behaviour change, which simultaneously considers numerous social determinants of health across multiple socio-ecological model levels, may be required to achieve meaningful health outcomes for people with Type 2 diabetes. Applying a multicomponent method of inquiry, this integrative review aimed to synthesize the evidence on interventions using multifactorial interventions to promote healthy behaviours in adults with Type 2 diabetes. Interventions promoting healthy behaviours in adults with Type 2 diabetes were considered for the review. A total of 7205 abstracts retrieved from eight databases were screened for inclusion. Thirteen articles were included, of these 11 achieved statistically significant clinical and/or behavioural changes in outcomes such as glycated haemoglobin, blood pressure, cholesterol, diet and physical activity. The multifactorial components utilized included the coordination of multi-disciplinary health care teams, in-person self-care classes, group activities, incorporation of peer-leaders, the development of community partnerships, economic relief and built-environment support. The proportion of included studies published within recent years indicates a trend towards multicomponent interventions and the growing recognition of this approach in promoting public health. Our findings provide early support for the potential of extending intervention components beyond educational, individual-level and health care system-level focus to incorporate multiple socio-ecological model components that contribute to the system of influence affecting the health of people with diabetes. pubtype: Academic Journal doctype: research systematic review tables/charts meta synthesis Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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