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Diabetes self-management education (DSME) for older persons in Western countries: A scoping review

Diabetes mellitus is a chronic metabolic health condition affecting millions globally. Diabetes is a growing concern among aging societies, with its prevalence increasing among those aged 65 and above. Enabling disease self-management via relevant education is part of high-quality care to improve he...

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Autores principales: Camargo-Plazas, Pilar, Robertson, Madison, Alvarado, Beatriz, Paré, Geneviève C., Costa, Idevania G., Duhn, Lenora
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411808/
https://www.ncbi.nlm.nih.gov/pubmed/37556399
http://dx.doi.org/10.1371/journal.pone.0288797
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author Camargo-Plazas, Pilar
Robertson, Madison
Alvarado, Beatriz
Paré, Geneviève C.
Costa, Idevania G.
Duhn, Lenora
author_facet Camargo-Plazas, Pilar
Robertson, Madison
Alvarado, Beatriz
Paré, Geneviève C.
Costa, Idevania G.
Duhn, Lenora
author_sort Camargo-Plazas, Pilar
collection PubMed
description Diabetes mellitus is a chronic metabolic health condition affecting millions globally. Diabetes is a growing concern among aging societies, with its prevalence increasing among those aged 65 and above. Enabling disease self-management via relevant education is part of high-quality care to improve health outcomes and minimize complications for individuals living with diabetes. Successful diabetes self-management education (DSME) programs usually require tailoring for the intended audience; however, there is limited literature about the preferences of older persons in Western countries concerning DSME. As such, a broad overview of DSME for older persons was an identified need. To map the available evidence on DSME for persons aged 65 years and older in Western countries, the JBI methodology for conducting and reporting scoping reviews was used. In this scoping review, we considered all studies about DSME for older persons with T1D and T2D in Western countries where lifestyles, risks, prevention, treatment of diabetes, and approaches to self-management and DSME are similar (e.g., North America, Western and Northern Europe and Australasia). Systematic keyword and subject heading searches were conducted in 10 databases (e.g., MEDLINE, JBI EBP) to identify relevant English language papers published from 2000 to 2022. Titles and abstracts were screened to select eligible papers for full-text reading. Full-text screening was done by four independent reviewers to select studies for the final analysis. The review identified 2,397 studies, of which 1,250 full texts were screened for eligibility. Of the final 44 papers included in the review, only one included participants’ understanding of DSME. The education programs differed in their context, design, delivery mode, theoretical underpinnings, and duration. Type of research designs, outcome measures used to determine the effectiveness of DSME, and knowledge gaps were also detailed. Overall, most interventions were effective and improved clinical and behavioural outcomes. Many of the programs led to improvements in clinical outcomes and participants’ quality of life; however, the content needs to be adapted to older persons according to their culture, different degrees of health literacy, preference of education (e.g., individualized or group), preference of setting, degree of frailty and independence, and comorbidities. Few studies included the voices of older persons in the design, implementation, and evaluation of DSME programs. Such experiential knowledge is vital in developing educational programs to ensure alignment with this population’s preferred learning styles, literacy levels, culture, and needs—such an approach could manifest more substantive, sustained results.
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spelling pubmed-104118082023-08-10 Diabetes self-management education (DSME) for older persons in Western countries: A scoping review Camargo-Plazas, Pilar Robertson, Madison Alvarado, Beatriz Paré, Geneviève C. Costa, Idevania G. Duhn, Lenora PLoS One Research Article Diabetes mellitus is a chronic metabolic health condition affecting millions globally. Diabetes is a growing concern among aging societies, with its prevalence increasing among those aged 65 and above. Enabling disease self-management via relevant education is part of high-quality care to improve health outcomes and minimize complications for individuals living with diabetes. Successful diabetes self-management education (DSME) programs usually require tailoring for the intended audience; however, there is limited literature about the preferences of older persons in Western countries concerning DSME. As such, a broad overview of DSME for older persons was an identified need. To map the available evidence on DSME for persons aged 65 years and older in Western countries, the JBI methodology for conducting and reporting scoping reviews was used. In this scoping review, we considered all studies about DSME for older persons with T1D and T2D in Western countries where lifestyles, risks, prevention, treatment of diabetes, and approaches to self-management and DSME are similar (e.g., North America, Western and Northern Europe and Australasia). Systematic keyword and subject heading searches were conducted in 10 databases (e.g., MEDLINE, JBI EBP) to identify relevant English language papers published from 2000 to 2022. Titles and abstracts were screened to select eligible papers for full-text reading. Full-text screening was done by four independent reviewers to select studies for the final analysis. The review identified 2,397 studies, of which 1,250 full texts were screened for eligibility. Of the final 44 papers included in the review, only one included participants’ understanding of DSME. The education programs differed in their context, design, delivery mode, theoretical underpinnings, and duration. Type of research designs, outcome measures used to determine the effectiveness of DSME, and knowledge gaps were also detailed. Overall, most interventions were effective and improved clinical and behavioural outcomes. Many of the programs led to improvements in clinical outcomes and participants’ quality of life; however, the content needs to be adapted to older persons according to their culture, different degrees of health literacy, preference of education (e.g., individualized or group), preference of setting, degree of frailty and independence, and comorbidities. Few studies included the voices of older persons in the design, implementation, and evaluation of DSME programs. Such experiential knowledge is vital in developing educational programs to ensure alignment with this population’s preferred learning styles, literacy levels, culture, and needs—such an approach could manifest more substantive, sustained results. Public Library of Science 2023-08-09 /pmc/articles/PMC10411808/ /pubmed/37556399 http://dx.doi.org/10.1371/journal.pone.0288797 Text en © 2023 Camargo-Plazas et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Camargo-Plazas, Pilar
Robertson, Madison
Alvarado, Beatriz
Paré, Geneviève C.
Costa, Idevania G.
Duhn, Lenora
Diabetes self-management education (DSME) for older persons in Western countries: A scoping review
title Diabetes self-management education (DSME) for older persons in Western countries: A scoping review
title_full Diabetes self-management education (DSME) for older persons in Western countries: A scoping review
title_fullStr Diabetes self-management education (DSME) for older persons in Western countries: A scoping review
title_full_unstemmed Diabetes self-management education (DSME) for older persons in Western countries: A scoping review
title_short Diabetes self-management education (DSME) for older persons in Western countries: A scoping review
title_sort diabetes self-management education (dsme) for older persons in western countries: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411808/
https://www.ncbi.nlm.nih.gov/pubmed/37556399
http://dx.doi.org/10.1371/journal.pone.0288797
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