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Multicomponent approaches to promoting healthy behaviours in people with Type 2 diabetes: an integrative review.
- Source :
- Health Promotion International; Jun2023, Vol. 38 Issue 3, p1-25, 25p
- Publication Year :
- 2023
-
Abstract
- The progression of diabetes-related complications can be delayed with multifactorial interventions that support healthy behaviours. However, many initiatives have focused on educational or individual-level activities and observed limited or modest sustained improvements in healthy behaviours. A multicomponent approach to behaviour change, which simultaneously considers numerous social determinants of health across multiple socio-ecological model levels, may be required to achieve meaningful health outcomes for people with Type 2 diabetes. Applying a multicomponent method of inquiry, this integrative review aimed to synthesize the evidence on interventions using multifactorial interventions to promote healthy behaviours in adults with Type 2 diabetes. Interventions promoting healthy behaviours in adults with Type 2 diabetes were considered for the review. A total of 7205 abstracts retrieved from eight databases were screened for inclusion. Thirteen articles were included, of these 11 achieved statistically significant clinical and/or behavioural changes in outcomes such as glycated haemoglobin, blood pressure, cholesterol, diet and physical activity. The multifactorial components utilized included the coordination of multi-disciplinary health care teams, in-person self-care classes, group activities, incorporation of peer-leaders, the development of community partnerships, economic relief and built-environment support. The proportion of included studies published within recent years indicates a trend towards multicomponent interventions and the growing recognition of this approach in promoting public health. Our findings provide early support for the potential of extending intervention components beyond educational, individual-level and health care system-level focus to incorporate multiple socio-ecological model components that contribute to the system of influence affecting the health of people with diabetes. [ABSTRACT FROM AUTHOR]
- Subjects :
- META-synthesis
ONLINE information services
PSYCHOLOGY information storage & retrieval systems
CINAHL database
GLYCOSYLATED hemoglobin
BLOOD pressure
AFFINITY groups
MEDICAL information storage & retrieval systems
PUBLIC relations
BUILT environment
SOCIAL determinants of health
SOCIAL support
SYSTEMATIC reviews
DIET
PUBLIC health
HYPOGLYCEMIC agents
DIABETES
TYPE 2 diabetes
TREATMENT effectiveness
PHYSICAL activity
HEALTH behavior
PSYCHOSOCIAL factors
RESEARCH funding
HEALTH care teams
QUALITY assurance
DRUGS
MEDLINE
ENDOWMENTS
PATIENT compliance
PATIENT education
HEALTH promotion
PEOPLE with diabetes
CHOLESTEROL
HEALTH self-care
GROUP process
BEHAVIOR modification
ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 09574824
- Volume :
- 38
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Health Promotion International
- Publication Type :
- Academic Journal
- Accession number :
- 164705765
- Full Text :
- https://doi.org/10.1093/heapro/daac042