Barriers and facilitating factors in the prevention of diabetes type 2 and gestational diabetes in vulnerable groups: A scoping review

Abstract

Type 2 diabetes mellitus (T2DM) and gestational diabetes (GDM) are globally on the rise, accompanied by comorbidities and associated health costs. Increased physical activity, healthy nutrition, and weight loss have shown the potential to prevent T2DM/GDM. Despite this, reaching vulnerable groups remains a key challenge. The aim of this scoping review was to identify barriers and facilitating factors in the prevention of T2DM/GDM in vulnerable groups. Methods We conducted a systematic literature search in May 2018, updated in September 2019, in several databases (e.g. PubMed, Embase) to identify barriers and facilitating factors in the prevention of T2DM/GDM in vulnerable groups. Two reviewers independently screened the results. Extracted data was charted, categorized, and summarized. Results We included 125 articles. Ninety-eight studies were extracted, and eight categories of barriers and facilitating factors were formed. The most common categories of barriers were limited knowledge, family/friends, and economic factors, and the most common categories of facilitating factors were family/friends, social support, and knowledge. Conclusion This scoping review identified various barriers and facilitating factors in vulnerable groups. Preventive interventions should consider these barriers and facilitating factors in developing preventive interventions or in adapting existing ones.

Communication strategies in the prevention of type 2 diabetes and gestational diabetes in vulnerable groups: a scoping review

“…This scoping review adds a detailed list of communication strategies in the prevention of type 2 diabetes and gestational diabetes in vulnerable groups to the literature. In conjunction with recently described barriers and facilitating factors in diabetes prevention in vulnerable groups [ 50 ]; therefore, future preventive programs can benefit from these findings or already existing programs could be adapted.…”

Previous life experiences and social relations affecting individuals wish for support when establishing healthy habits – a qualitative study of Norwegian Healthy Life Centre participants

“…Other studies have found that previous difficult life experiences may increase the risk for allostatic load [ 15 ] and unhealthy habits later in life [ 13 , 14 ], as well as being barriers for establishing healthy habits [ 9 – 11 ]. Life experiences in childhood and young life influence grow of SOC in adult life [ 30 ].…”

“…It is emphasized that individuals trying to change health habits may meet different barriers [ 9 – 11 ]. The barriers might include negative experiences from childhood, social life experiences [ 12 ] and family/work situation [ 10 – 12 ].…”

Atención psicológica de personas con diabetes mellitus: una revisión narrativa de las guías de práctica clínica mexicanas

“…Los factores económicos, como el costo para el acceso a programas preventivos y alimentos saludables, así como las interacciones familiares, laborales y sociales, pueden facilitar o dificultar la prevención de la enfermedad (Breuing et al, 2020). La prevención del estrés relacionado con la diabetes -entendido como el estrés resultante del ajuste psicosocial del individuo para satisfacer los requerimientos del tratamiento para la diabetes-se centra en la mejora de la comunicación médico-paciente y el apoyo emocional a través de intervenciones individuales y grupales (Skinner et al, 2019).…”