Department of Occupational Therapy, Manipal College of Health Professions,Manipal Academy of Higher Education, Manipal, Karnataka, India-576104.
Department of Occupational Therapy, Byrdine F. Lewis College of Nursing & Health Professions, Georgia State University, Atlanta, Georgia, USA.
BMJ Open. 2024 Aug 24;14(8):e084743. doi: 10.1136/bmjopen-2024-084743.
Globally, the number of older adults is increasing rapidly; simultaneously, there is an epidemiological shift toward chronic diseases. One such chronic disease is type 2 diabetes mellitus (DM) which is caused either by the inability to produce insulin or due to the ineffective use of insulin. In recent years, self-management programmes for chronic conditions have gained importance, especially among occupational therapists. Though there is an increasing focus on 'self-management interventions' among older adults, there is still a lack of such interventions for older adults with type 2 DM in low- or middle-income countries (LMICs).
Summarise the existing literature on self-management intervention programmes for community-dwelling older adults with type 2 DM; identify the principles, practices and criteria that define a self-management intervention programme for community-dwelling older adults with type 2 DM in LMICs.
This present study will be a scoping review, combining quantitative and qualitative literature with a parallel results convergent synthesis design. The synthesis applies to analysing existing principles and practices that influence the selection and application of 'diabetes self-management intervention' among older adults in community settings with type 2 DM in LMICs.
As a secondary analysis, this scoping review does not require ethics approval. The final review results will be submitted for publication in a peer-reviewed journal in the rehabilitation, diabetes, occupational therapy or health promotion-related fields. Other dissemination strategies may be an oral presentation at international conferences or through various social media networks.
全球范围内,老年人口数量迅速增长;与此同时,慢性病的发病率也呈上升趋势。其中一种慢性病是 2 型糖尿病(DM),其病因要么是胰岛素分泌不足,要么是胰岛素作用失效。近年来,慢性病的自我管理方案受到重视,尤其是在职业治疗师中。尽管人们越来越关注老年人的“自我管理干预”,但在中低收入国家(LMICs),针对 2 型 DM 老年患者的此类干预措施仍然缺乏。
总结针对社区居住的 2 型 DM 老年患者的自我管理干预方案的现有文献;确定在 LMICs 中,针对社区居住的 2 型 DM 老年患者的自我管理干预方案的原则、实践和标准。
本研究将采用范围综述,结合定量和定性文献,采用平行结果融合综合设计。该综合分析适用于分析影响 LMICs 中社区环境下 2 型 DM 老年患者选择和应用“糖尿病自我管理干预”的现有原则和实践。
作为二次分析,本范围综述无需伦理批准。最终的综述结果将提交给康复、糖尿病、职业治疗或健康促进相关领域的同行评议期刊发表。其他传播策略可能包括在国际会议上进行口头报告或通过各种社交媒体网络进行传播。