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Althubyani AN, Gupta S, Tang CY, Batra M, Puvvada RK, Higgs P, Joisa M, Thomas J. Barriers and Enablers of Diabetes Self-Management Strategies Among Arabic-Speaking Immigrants Living with Type 2 Diabetes in High-Income Western countries- A Systematic Review. J Immigr Minor Health 2024; 26:761-774. [PMID: 38231345 PMCID: PMC11289197 DOI: 10.1007/s10903-023-01576-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/23/2023] [Indexed: 01/18/2024]
Abstract
The aim of this review is to investigate barriers and enablers of diabetes self-management strategies among migrant Arabic-speaking background [ASB] individuals living with type 2 diabetes in high-income Western countries. Despite living in high-income Western countries, individuals from ASB are perceived to have difficulties adopting self-management strategies and this necessitates gaining an understanding of factors that may impact the uptake of these strategies. Ten studies are included in this review: five quantitative and five qualitative. Quality assessment was conducted using the Joanna Briggs Institute Critical Appraisal and Hawker tools. The findings of the quantitative studies were descriptively analysed, while thematic analysis was performed for the qualitative studies. The results indicate that individuals from ASB are perceived to have low levels of adherence to diabetes self-management. It is also suggested that participants who did not complete high school have poorer glycaemic control compared to those with a high school qualification (30 vs. 16%). Regular exercise was reported to be less likely to be adopted by ASBs homemakers, and those who were unemployed, by 82% and 70%, respectively, compared to those employed (homemakers: OR = 0.187, P = 0.006; 95% CI = 056-0.620), (unemployed OR = 0.30, P = 0.046; 95% CI = 0.093-0.980). Cultural, social, religious beliefs, lack of knowledge and language barriers are some of the factors identified that impact self-management among ASB individuals. It is suggested that diabetes self-management education program (DSME) tailored to ASB immigrants culture may be an effective way to encourage them to uptake self-management strategies.
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Affiliation(s)
- Anwar Noor Althubyani
- Department of Microbiology Anatomy Physiology and Pharmacology (MAPP), School of Agriculture Biomedicine and Environment (SABE), La Trobe University, Melbourne, Australia
- Department of Public Health, School of applied science, University of Tabuk, Tabuk, Saudi Arabia
| | - Sabrina Gupta
- Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Clarice Y Tang
- Department of Physiotherapy, School of Health Sciences, Western Sydney University, Penrith, Australia
- Institute of Health and Sport, Victoria University, Melbourne, Australia
| | - Mehak Batra
- Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Rahul Krishna Puvvada
- Department of Microbiology Anatomy Physiology and Pharmacology (MAPP), School of Agriculture Biomedicine and Environment (SABE), La Trobe University, Melbourne, Australia
- Department of Pharmacy Practice, JSS College of Pharmacy, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India
| | - Peter Higgs
- Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Markandeya Joisa
- Department of Microbiology Anatomy Physiology and Pharmacology (MAPP), School of Agriculture Biomedicine and Environment (SABE), La Trobe University, Melbourne, Australia
| | - Jency Thomas
- Department of Microbiology Anatomy Physiology and Pharmacology (MAPP), School of Agriculture Biomedicine and Environment (SABE), La Trobe University, Melbourne, Australia.
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Jiang T, Liu C, Jiang P, Cheng W, Sun X, Yuan J, Wang Q, Wang Y, Hong S, Shen H, Zhu D, Zhang Y, Dai F, Hang J, Li J, Hu H, Zhang Q. The Effect of Diabetes Management Shared Care Clinic on Glycated Hemoglobin A1c Compliance and Self-Management Abilities in Patients with Type 2 Diabetes Mellitus. Int J Clin Pract 2023; 2023:2493634. [PMID: 38187353 PMCID: PMC10771925 DOI: 10.1155/2023/2493634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 05/09/2023] [Accepted: 09/28/2023] [Indexed: 01/09/2024] Open
Abstract
Objective We aim to evaluate the impact of diabetes management shared care clinic (DMSCC) on glycated hemoglobin A1c (HbA1c) compliance and self-management abilities in patients with type 2 diabetes mellitus (T2DM). Methods This study was a prospective cohort study of patients with T2DM participating in the DMSCC. At baseline and after management, the HbA1c levels were measured, the HbA1c compliance rate were calculated, and the Summary of Diabetes Self-Care Activities-6 (SDSCA-6), Diabetes Empowerment Scale-DAWN Short Form (DES-DSF), and Problem Areas in Diabetes Scale-Five-item Short Form (PAID-5) were completed. These pre- and post-management data were compared. Results A total of 124 eligible patients were enrolled. After the diabetes management of DMSCC, the average HbA1c decreased and the HbA1c compliance rate increased significantly (P < 0.01). SDSCA-6 showed significant improvement in physical activity, glycemic monitoring, smoking (P < 0.01), and taking medication (P < 0.05). DES-DSF suggested a greater willingness to try to effectively treat diabetes (P < 0.05). PAID-5 indicated significant improvement in diabetes-related emotional distress. Conclusion DMSCC can help patients with T2DM reduce HbA1c, increase HbA1c compliance, improve diabetes self-management behaviors, empowerment, and diabetes-related emotional distress and serve as an effective exploration and practice of diabetes self-management education and support.
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Affiliation(s)
- Tian Jiang
- Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
| | - Chao Liu
- Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
| | - Ping Jiang
- Department of Outpatient Changjiang Road, The First Affiliated Hospital of Anhui Medical University, Hefei 230061, Anhui, China
| | - Wenjun Cheng
- Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
| | - Xiaohong Sun
- Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
| | - Jing Yuan
- Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
| | - Qiaoling Wang
- Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
| | - Yanlei Wang
- Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
| | - Shihui Hong
- Department of Outpatient Changjiang Road, The First Affiliated Hospital of Anhui Medical University, Hefei 230061, Anhui, China
| | - Haiyan Shen
- Department of Outpatient Changjiang Road, The First Affiliated Hospital of Anhui Medical University, Hefei 230061, Anhui, China
| | - Dongchun Zhu
- Department of Pharmacy, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
| | - Yi Zhang
- Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
| | - Fang Dai
- Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
| | - Jing Hang
- Beijing Health Technology Co., LTD, Beijing 100085, China
| | - Jiguo Li
- Beijing Health Technology Co., LTD, Beijing 100085, China
| | - Honglin Hu
- Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
| | - Qiu Zhang
- Department of Endocrinology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China
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Nieto-Martinez R, Neira C, de Oliveira D, Velasquez-Rodriguez A, Neira A, Velasquez-Rodriguez P, Garcia G, González-Rivas JP, Mechanick JI, Velasquez-Mieyer P. Lifestyle Medicine in Diabetes Care: The Lifedoc Health Model. Am J Lifestyle Med 2023; 17:336-354. [PMID: 37304744 PMCID: PMC10248374 DOI: 10.1177/15598276221103470] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/06/2023] Open
Abstract
Introduction The relevance of lifestyle medicine in diabetes treatment is now incorporated in clinical practice guidelines but finding an exemplar for the creation of a Lifestyle Medicine Program (LMP) is a difficult task. Aim To use Lifedoc Health (LDH) as a LMP exemplar by describing their multidisciplinary team (MDT) approach to diabetes care along with tactics to address sustainability challenges. Results The LDH model facilitates early activation of patients with diabetes and other cardiometabolic risk factors, MDT approaches, and protocols/policies that are able to overcome barriers to equitable healthcare in the community. Specific programmatic targets are clinical outcomes, effective dissemination, economic viability, and sustainability. Infrastructure centers on patient-driven problem-based visits, shared medical appointments, telemedicine, and patient tracking. Further discussions on program conceptualization and operationalization are provided. Conclusion Even though strategic plans for LMPs that specialize in diabetes care are well represented in the literature, implementation protocols, and performance metrics are lacking. The LDH experience provides a starting point for those healthcare professionals interested in translating ideas into action.
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Affiliation(s)
- Ramfis Nieto-Martinez
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Claudia Neira
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Diana de Oliveira
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Andrés Velasquez-Rodriguez
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Andres Neira
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Pedro Velasquez-Rodriguez
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Gabriela Garcia
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Juan P. González-Rivas
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Jeffrey I. Mechanick
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
| | - Pedro Velasquez-Mieyer
- LifeDoc Health, Memphis, TN, USA (RN-M, CN, AN, PV-R, GG, PV-M);
Departments of Global Health and Population and Epidemiology, Harvard TH Chan
School of Public Health, Harvard University, Boston, MA, USA (RN-M, JPG-R); Foundation for Clinic, Public Health,
and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela (RN-M, DdO, JPG-R); LifeDoc Research, Memphis, TN, USA (CN, AV-R, PV-M); International Clinical
Research Centre (ICRC), St Anne’s University Hospital Brno
(FNUSA), Czech Republic (JPG-R); and The Marie-Josée and Henry R.
Kravis Center for Cardiovascular Health at Mount Sinai Heart, and Division of
Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount
Sinai, New York, NY, USA (JIM)
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