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Airikkala E, Laaksonen M, Halkoaho A, Kaunonen M. Perception of inherited risk in type 2 diabetes: a systematic review. Front Public Health 2023; 11:1293874. [PMID: 38155883 PMCID: PMC10752975 DOI: 10.3389/fpubh.2023.1293874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 11/30/2023] [Indexed: 12/30/2023] Open
Abstract
Introduction A family history is impacting the individual's risk perception. The objective of this systematic review was to describe inherited risk perceptions of type 2 diabetes from the citizen's viewpoint. The aim was to summarize and increase understanding so that the increased knowledge could be used effectively in type 2 diabetes risk communication in health care. Methods We conducted a systematic review using CINAHL, Medline, and Scopus databases for hereditary, risk, perception, and diabetes related concepts, within the date range of 1.1.2017 to 2.8.2022. Eligible articles were English, peer-reviewed, and addressed the research question: how is hereditary risk of type 2 diabetes perceived? Returns were viewed independently by two authors, and evaluated using the appraisal criteria of the Joanna Briggs Institute. A thematic analysis was used for the synthesis of the data, yielding three themes describing perceptions of inherited risk in type 2 diabetes. Results A total of 32 articles were included, of which 23 were quantitative, 5 qualitative, and 4 were mixed-methods studies. The extracted themes were (1) Identifying heredity as a risk factor, (2) Diversity of hereditary risk, and (3) Perception of the magnitude of personal risk. Discussion The perception towards hereditary risk can vary from a desire to actively make a lifestyle change, to the view that diabetes is inevitable regardless of lifestyle. A positive family history increases the risk perception of type 2 diabetes, but the perceived magnitude of the risk may vary from person to person. The findings have the potential to be applied in healthcare's risk communication.
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Affiliation(s)
- Elisa Airikkala
- Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
- School of Social Services and Health Care, Tampere University of Applied Sciences, Tampere, Finland
| | - Mari Laaksonen
- Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
- School of Social Services and Health Care, Tampere University of Applied Sciences, Tampere, Finland
| | - Arja Halkoaho
- Applied Research Center, Tampere University of Applied Sciences, Tampere, Finland
| | - Marja Kaunonen
- Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
- Wellbeing Services County of Pirkanmaa, Tampere, Finland
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JOKAR MOZHGAN, ZANDI MITRA, EBADI ABBAS, MOMENAN AMIRABBAS, MARTINI MARIANO, BEHZADIFAR MASOUD. Adults' perceived health promotion needs in the prediabetes stage: a meta-synthesis study. JOURNAL OF PREVENTIVE MEDICINE AND HYGIENE 2023; 64:E411-E428. [PMID: 38379738 PMCID: PMC10876036 DOI: 10.15167/2421-4248/jpmh2023.64.4.3152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Accepted: 01/11/2024] [Indexed: 02/22/2024]
Abstract
Introduction One of the methods to promote pre-diabetic patients' adherence to preventive behaviors and improving their lifestyle is to pay attention to their needs in the designed educational programs. Therefore, this study was conducted with the aim of identifying the needs of individuals with prediabetes. Methodology Three databases, including ISI/Web of Sciences, PubMed, Scopus were searched without time limitation until August 2022. The quality of the included studies was assessed using the Critical Appraisal Skills Programme tool. This study was reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research guidelines and to achieve the research goal, Sandelowski and Barroso's seven-step meta-synthesis method (2007) was used. Thematic synthesis was used to analyses the data. Results Out of the 1934 studies obtained, 34 studies were finally examined and 805 codes were recorded based on the extracted data. Through synthesizing and analyzing the primary studies, 8 main themes were extracted regarding individuals' needs in the prediabetes stage: Information needs, Cultural needs, psychological needs, Social support needs, Education needs, Financial needs, Service needs and Skill needs. Discussion and Conclusions The perceived needs and their types in each of the dimensions in detail can be a proper guide for designing educational programs and various interventions to control the prediabetes condition, leading to a reduction in the prevalence of type 2 diabetes in the society.
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Affiliation(s)
- MOZHGAN JOKAR
- School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - MITRA ZANDI
- School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - ABBAS EBADI
- Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
- Research Center for Life & Health Sciences & Biotechnology of the Police, Direction of Health, Rescue & Treatment, Police Headquarter, Tehran, Iran
| | - AMIR ABBAS MOMENAN
- Prevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- TLGS Unit Manager, Tehran, Iran
| | - MARIANO MARTINI
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - MASOUD BEHZADIFAR
- Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
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Faletau J, Dobson R, Nosa V, McCool J. Screening, diagnosing and management of Pacific peoples with prediabetes in New Zealand primary healthcare clinics with high concentrations of Pacific peoples: an online survey. J Prim Health Care 2023; 15:162-166. [PMID: 37390031 DOI: 10.1071/hc23016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 04/28/2023] [Indexed: 07/02/2023] Open
Abstract
Introduction Prediabetes is a condition of elevated blood sugar levels which can increase the risk of type 2 diabetes (T2D) if not managed effectively. Prediabetes is likely to affect about 24.6% of New Zealand (NZ) adults, with estimates of 29% of the Pacific population currently living with the condition. A prediabetes diagnosis is an opportunity for intervention from trusted primary care providers. The study aim was to describe primary healthcare clinician's knowledge and practice regarding screening, diagnosing and management of prediabetes in Pacific patients. Methods An online survey was conducted with current practicing primary healthcare clinicians between February and April 2021. Eligible participants included clinicians employed in a primary healthcare clinic with over 50% of enrolled patients identified as Pacific. Results Primary healthcare clinicians (n = 30) reported that their prediabetes screening, diagnosis and management were aligned with the NZ Ministry of Health clinical guidelines. The most common factors that prompted screening was a family history of T2D (25/30, 83%), ethnicity (24/30, 80%) weight and BMI (24/30, 80%). The initial management practices involved providing recommendations for dietary changes and physical activity (28/30, 93%) and referring patients to a diabetes prevention lifestyle change programme (16/30, 53%). Discussion Primary healthcare clinicians are the foremost point of engagement with patients and their fāmili (family) in their health journey. Culturally appropriate tools could be useful to assist healthcare providers to communicate to a higher risk population and most clinicians rely on up to date guidelines for screening and management.
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Affiliation(s)
- Julienne Faletau
- Epidemiology and Biostatistics Section, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, M&HS Building 507; 28 Park Avenue, Grafton, Auckland, 1023, New Zealand
| | - Rosie Dobson
- Pacific Health Section, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, M&HS Building 507; 28 Park Avenue, Grafton, Auckland, 1023, New Zealand
| | - Vili Nosa
- Pacific Health Section, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, M&HS Building 507; 28 Park Avenue, Grafton, Auckland, 1023, New Zealand
| | - Judith McCool
- Epidemiology and Biostatistics Section, School of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, M&HS Building 507; 28 Park Avenue, Grafton, Auckland, 1023, New Zealand
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Tepai M, Nosa V, Herman J, May YY, Kiadarbandsari A, Sluyter J. Diabetes in the Cook Islands: a clinical audit. J Prim Health Care 2023; 15:176-183. [PMID: 37390040 DOI: 10.1071/hc21138] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 04/28/2023] [Indexed: 07/02/2023] Open
Abstract
Introduction The global burden of diabetes mellitus (diabetes) is significant and of increasing concern with more pregnant women being diagnosed with gestational diabetes mellitus (GDM). The Cook Islands face mounting pressures to address diabetes alongside competing population health needs and priorities. Cook Islands residents frequently travel to New Zealand to access health services. Inadequate information systems also make it difficult for countries to prioritise preventative measures for investment. In the absence of good data to inform effective diabetes preventative and treatment measures, people with diabetes are likely to progress to complications which will burden society and health systems in the Cook Islands and New Zealand. Aim To determine the prevalence of diabetes and prediabetes, and incidence of GDM, in the Cook Islands. Methods We analysed two Te Marae Ora Cook Islands Ministry of Health datasets, the Non-Communicable Diseases (NCD) register examining demographic data for the period 1967 to December 2018 and same for the GDM register from January 2009 to December 2018. Results Of the 1270 diabetes cases, 53% were female and half were aged 45-64 years. There were 54 pre-diabetes cases and 146 GDM. Of the 20 GDM cases who developed type 2 diabetes, 80% were diagnosed before the age of 40 years. Data quality was poor. Discussion The Cook Islands diabetes registers provide important data to inform priorities for diabetes-related preventative and treatment measures. A data analyst has been employed to ensure quality, regularly audited data and information systems.
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Affiliation(s)
- Machaela Tepai
- Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Vili Nosa
- Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Josephine Herman
- Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Yin Yin May
- Ministry of Health, PO Box 109, Avarua, Rarotonga, Cook Islands
| | - Atefeh Kiadarbandsari
- Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - John Sluyter
- Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
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McKinlay E, Hilder J, Hood F, Morgan S, Barthow C, Gray B, Huthwaite M, Weatherall M, Crane J, Krebs J, Pullon S. Uncertainty and certainty: perceptions and experiences of prediabetes in New Zealand primary care – a qualitative study. J Prim Health Care 2022; 14:138-145. [DOI: 10.1071/hc21066] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 04/22/2022] [Indexed: 11/23/2022] Open
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LeMaster JW. 23.4 Briefing. Health Expect 2020; 23:719-721. [PMID: 32939947 PMCID: PMC7495074 DOI: 10.1111/hex.13127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Affiliation(s)
- Joseph W LeMaster
- Department of Family Medicine and Community Health School of Medicine University of Kansas Kansas City KS USA
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Faletau J, Nosa V, Dobson R, Heather M, McCool J. Falling into a deep dark hole: Tongan people's perceptions of being at risk of developing type 2 diabetes. Health Expect 2020; 23:837-845. [PMID: 32441864 PMCID: PMC7495076 DOI: 10.1111/hex.13056] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2020] [Revised: 03/09/2020] [Accepted: 03/12/2020] [Indexed: 12/02/2022] Open
Abstract
Background Prediabetes is a precursor for type 2 diabetes. Compared to the New Zealand/European and other population groups (24.6%), the prevalence of prediabetes is higher within Pacific groups (29.8%). The diagnosis of prediabetes presents a potential opportunity to intervene to prevent progression to type 2 diabetes. Objective To develop an understanding of how being ‘at risk’ of developing type 2 diabetes is perceived by Tongan people with prediabetes living in Auckland, New Zealand. Methods The Kakala and Talanga Tongan methodologies underpinned this study. Twelve one‐on‐one, semi‐structured interviews with Tongan patients who had prediabetes from a primary health‐care clinic in Auckland, New Zealand, were conducted. Thematic analysis was used to identify recurrent themes from the data. Results Participants were not aware of their prediabetes diagnosis, emotions associated with the diagnosis reflected fear and disbelief and a perception of imminent danger. Family history informed perceptions of the risk of developing type 2 diabetes. Participants could not differentiate prediabetes from type 2 diabetes, and recollections of being ‘back in the Islands’ of Tonga were consistent with healthy lifestyles. Conclusions Prediabetes appeared to be poorly understood and was believed to be irreversible, which could discourage behaviour change, social and physical improvements in health. Appropriate culturally tailored messages to accompany a prediabetes diagnosis, including cause and management, would be beneficial for Pacific peoples.
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Affiliation(s)
- Julienne Faletau
- Epidemiology and Biostatistics Section, Faculty of Medical and Health Sciences, School of Population Health, The University of Auckland, Auckland, New Zealand
| | - Vili Nosa
- Pacific Health Section, Faculty of Medical and Health Sciences, School of Population Health, The University of Auckland, Auckland, New Zealand
| | - Rosie Dobson
- Pacific Health Section, Faculty of Medical and Health Sciences, School of Population Health, The University of Auckland, Auckland, New Zealand
| | - Maryann Heather
- Pacific Health Section, Faculty of Medical and Health Sciences, School of Population Health, The University of Auckland, Auckland, New Zealand
| | - Judith McCool
- Epidemiology and Biostatistics Section, Faculty of Medical and Health Sciences, School of Population Health, The University of Auckland, Auckland, New Zealand
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