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dc.contributor.authorBako, K.R.
dc.contributor.authorReynolds, A.N.
dc.contributor.authorSika-Paotonu, D.
dc.contributor.authorSignal, L.
dc.contributor.authorMohammadnezhad, Masoud
dc.date.accessioned2022-12-04T09:24:37Z
dc.date.accessioned2022-12-20T12:47:11Z
dc.date.available2022-12-04T09:24:37Z
dc.date.available2022-12-20T12:47:11Z
dc.date.issued2022-11
dc.identifier.citationBako KR, Reynolds AN, Sika-Paotonu D et al (2022) Identifying factors which enhance the self-management of type 2 diabetes: A systematic review with thematic analysis. Global Journal of Health Science. 15(1).en_US
dc.identifier.urihttp://hdl.handle.net/10454/19259
dc.descriptionYesen_US
dc.description.abstractBackground: Individuals with type 2 diabetes play a pivotal role in their health. Enhancing the self-management of diabetes can improve blood glucose control, and quality of life, and reduce diabetes-related complications. We have identified factors influencing the self-management of type 2 diabetes to inform strategies that may be applied in the long-term management of blood glucose control. Methods: We conducted a systematic literature review of recent studies published between January 2010 to December 2020 to identify the available evidence on effective self-management strategies for type 2 diabetes. The databases used for the searchers were Scopus, PubMed, Science Direct, CINAHL, and Google Scholar. We assessed English language publications only. The screening of titles was duplicated by two researchers. We then conducted a thematic analysis of the key findings from eligible publications to identify reoccurring messages that may augment or abate self-management strategies. Results: We identified 49 relevant publications involving 90,857 participants. Four key themes were identified from these publications: Individual drive, social capital, Knowledge base, and Insufficient health care. High motivation and self-efficacy enabled greater self-management. The importance of family, friends, and the health care professional was salient, as were the negative effects of stigma and labelling. Enablers to good self-management were the level of support provided and its affordability. Finally, the accessibility and adequacy of the health care services emerged as fundamental to permit diabetes self-management. Conclusions: Self-management of type 2 diabetes is an essential strategy given its global presence and impact, and the current resource constraints in health care. Individuals with type 2 diabetes should be empowered and supported to self-manage. This includes awareness raising on their role in self-health, engaging broader support networks, and the pivotal role of health care professionals to inform and support. Further research is needed into the capacity assessment of healthcare systems in diabetes medicine, targeted low-cost resources for self-management, and the financial requirements that enable self-management advice to be enacted.en_US
dc.description.sponsorshipWhile this research did not receive any specific project funding, KRB is funded by a University of Otago Pacific Ph.D. Scholarship. ANR is funded as a Research Fellow by the National Heart Foundation.en_US
dc.language.isoenen_US
dc.rights© 2022 The Authors. This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).en_US
dc.subjectType 2 diabetesen_US
dc.subjectSelf-managementen_US
dc.subjectPatient journeyen_US
dc.titleIdentifying factors which enhance the self-management of type 2 diabetes: A systematic review with thematic analysisen_US
dc.status.refereedYesen_US
dc.date.Accepted2022-11-22
dc.date.application2022-11-30
dc.typeArticleen_US
dc.type.versionPublished versionen_US
dc.identifier.doihttps://doi.org/10.5539/gjhs.v15n1p1
dc.rights.licenseCC-BYen_US
dc.date.updated2022-12-04T09:24:39Z
refterms.dateFOA2022-12-20T12:47:47Z
dc.openaccess.statusopenAccessen_US


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