Patients’ and informal caregivers’ perspectives on self-management interventions for type 2 diabetes mellitus outcomes: a mixed-methods overview of 14 years of reviews

Background 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 them...

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Vydáno v:Archives of public health = Archives belges de santé publique Ročník 81; číslo 1; s. 140 - 21
Hlavní autoři: Niño-de-Guzman Quispe, Ena, Bracchiglione, Javier, Ballester, Marta, Groene, Oliver, Heijmans, Monique, Martínez García, Laura, Noordman, Janneke, Orrego, Carola, Rocha, Claudio, Suñol, Rosa, Alonso-Coello, Pablo
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 04.08.2023
BioMed Central Ltd
Springer Nature B.V
BMC
Témata:
Analysis
Caregivers
Development and progression
Diabetes
Diabetes therapy
Disease
Health Informatics
Health Policy
Health Services Research
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Mixed methods research
Overview
Patient outcomes
Patient preference
Perspectives
Public Health
Qualitative analysis
Self-management
Systematic Review
Type 2 diabetes
Type 2 diabetes Mellitus
Values
Values
Self-management
Type 2 diabetes Mellitus
Perspectives
Overview
Patient preference
ISSN:2049-3258, 0778-7367, 2049-3258
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Shrnutí:Background 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. Methods 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. Results 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. Conclusions 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.
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ISSN:2049-3258
0778-7367
2049-3258
DOI:10.1186/s13690-023-01153-9