Carvalho Márcia, Dunne Pauline, Kwasnicka Dominika, Byrne Molly, McSharry Jenny
Health Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Galway, Ireland.
School of Agriculture and Food Science, University College Dublin, Dublin, Ireland.
HRB Open Res. 2022 Jun 13;4:129. doi: 10.12688/hrbopenres.13466.2. eCollection 2021.
Attendance at self-management support interventions is associated with improved outcomes for people with type 2 diabetes. However, initial improvements are often not sustained beyond one year, which may be a result of difficulties in sustaining positive changes made to self-management behaviours. The aim of this systematic review is to synthesise qualitative research on the barriers and enablers to sustaining self-management behaviours following attendance at a self-management support intervention for type 2 diabetes. The review will use the "best fit" framework synthesis method to develop a new conceptual model of sustained behaviour change in type 2 diabetes. MEDLINE (Ovid), EMBASE (Elsevier), CINAHL (EBSCO), PsycINFO (Ovid), SCOPUS, ProQuest Dissertations and Theses, WorldCat and Open Grey will be searched to identify primary qualitative studies. A parallel search will be conducted in Google Scholar to identify relevant theories for the development of an framework to synthesise findings across studies. Methodological limitations of included studies will be assessed using an adapted version of the Critical Appraisal Skills Programme tool for Qualitative Studies. A sensitivity analysis will be conducted to examine the impact of studies with methodological limitations on synthesis findings. Confidence in the synthesis findings will be assessed using the GRADE-CERQual tool. Screening, data extraction, methodological limitation assessment, synthesis and GRADE-CERQual assessment will be conducted by one author with a second author independently verifying a randomly selected 20% sample. This review will develop a new model of sustained behaviour change in type 2 diabetes self-management. The findings can be used to inform the development of new interventions or revision of existing interventions to better support sustained engagement in type 2 diabetes self-management behaviours.
参加自我管理支持干预措施与改善2型糖尿病患者的预后相关。然而，最初的改善往往在一年后难以持续，这可能是由于维持自我管理行为所做出的积极改变存在困难。本系统评价的目的是综合关于2型糖尿病自我管理支持干预措施后维持自我管理行为的障碍和促进因素的定性研究。该评价将使用“最佳拟合”框架综合法来构建2型糖尿病持续行为改变的新概念模型。将检索MEDLINE（Ovid）、EMBASE（爱思唯尔）、CINAHL（EBSCO）、PsycINFO（Ovid）、SCOPUS、ProQuest学位论文与学术论文数据库、WorldCat和Open Grey，以识别主要的定性研究。将在谷歌学术中进行平行检索，以识别用于开发跨研究综合结果框架的相关理论。将使用适用于定性研究的批判性评价技能计划工具的改编版来评估纳入研究的方法学局限性。将进行敏感性分析，以检验方法学有局限性的研究对综合结果的影响。将使用GRADE-CERQual工具评估对综合结果的信心。筛选、数据提取、方法学局限性评估、综合和GRADE-CERQual评估将由一位作者进行，另一位作者独立核实随机抽取的20%样本。本评价将构建2型糖尿病自我管理持续行为改变的新模型。研究结果可用于为新干预措施的开发或现有干预措施的修订提供信息，以更好地支持2型糖尿病自我管理行为的持续参与。
