A systematic review of research into black and ethnic minority patients' views on self-management of type 2 diabetes

Majeed-Ariss, Rabiya, Jackson, Cath, Knapp, Peter and Cheater, Francine M (2015) A systematic review of research into black and ethnic minority patients' views on self-management of type 2 diabetes. Health Expectations, 18 (5). 625–642. ISSN 1369-6513

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Abstract

CONTEXT: Eliciting patients' views of type 2 diabetes self-management provides insights on how policy and services might better support the needs of this population. OBJECTIVE: To synthesize black and ethnic minority patients' views on the barriers and facilitators influencing the self-management of type 2 diabetes. SEARCH STRATEGY: A systematic search of international literature published in nine electronic databases was undertaken in 2008. Search strategies used both MeSH and free-text terms. Two relevant journals were also hand searched. INCLUSION CRITERIA: Any primary empirical study published in the English language since 1986 that reported black and ethnic minority patients' views on type 2 diabetes self-management. DATA EXTRACTION AND SYNTHESIS: Data were extracted and study quality was formally assessed. Data were analysed using thematic synthesis. MAIN RESULTS: Fifty-seven studies were included, of qualitative (n = 54), mixed-method (n = 2) or quantitative (n = 1) design. Studies were from North America (n = 41), Europe (n = 14) and Australia (n = 2), including 1735 participants in total. Three analytical themes emerged: 'Importance of identity'; 'Being understood by others' and 'Making sense of condition', all linked conceptually under the overarching theme 'Sense of self'. The quality of the studies varied. DISCUSSION AND CONCLUSIONS: The findings provide insight into what black and minority ethnic people regard as the barriers to, and facilitators of self-management, as opposed to what health professionals, policy makers and trial researchers may have assumed. Recognition of the views of people with diabetes is essential for the design and delivery of patient-centred care and policies.

Item Type: Article
Additional Information: © 2013 John Wiley & Sons Ltd.
Uncontrolled Keywords: ethnicity,minority,qualitative,self-management,systematic review,type 2 diabetes
Faculty \ School:
Depositing User: Pure Connector
Date Deposited: 17 Aug 2013 05:10
Last Modified: 21 Apr 2020 21:51
URI: https://ueaeprints.uea.ac.uk/id/eprint/43113
DOI: 10.1111/hex.12080

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