Diabetes self-management education for older adults in Western countries: a scoping review protocol

Camargo‐Plazas, Pilar; Robertson, Madison; Paré, Geneviève C.; Costa, Idevânia Geraldina; Alvarado, Beatriz; Ross‐White, Amanda; Duhn, Lenora

doi:10.11124/jbies-22-00254

Cited by 2 publications

(12 citation statements)

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“…This scoping review was conducted following the JBI methodology framework for scoping reviews [ 47 ], and we adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist [ 47 ] ( S1 Appendix ). Our published protocol [ 46 ] was registered through Open Science Framework and is available at https://doi.org/10.17605/OSF.IO/W4KCQ . Our overall review question was: What has been reported in the literature about DSME for older persons aged 65 years and older living with T1D and T2D?…”

Section: Methodsmentioning

confidence: 99%

“…People aged 65 years and over have been frequently excluded from research (e.g., clinical trials); when included, researchers often do not report analysis by age [ 48 , 49 ]. Our review was not specific to gender, sex, ethnicity, or frailty [ 46 ]. Studies including older persons with and without diabetes were considered when separate analyses for people with and without diabetes were provided [ 46 ].…”

Section: Methodsmentioning

confidence: 99%

“…Our review was not specific to gender, sex, ethnicity, or frailty [ 46 ]. Studies including older persons with and without diabetes were considered when separate analyses for people with and without diabetes were provided [ 46 ]. Studies mixing older and younger participants were considered when separate analyses for the older and younger groups were provided [ 46 ].…”

Section: Methodsmentioning

confidence: 99%

“…Systematic reviews have been conducted about the effectiveness of self-management education for: glycemic control [ 39 , 40 ]; community-dwelling older adults [ 41 ]; the use of technology and its effects on diabetes outcomes [ 42 ]; people from diverse backgrounds [ 43 ]; women [ 44 ]; and individuals in low-income settings [ 45 ]. However, little is known about the implementation of DSME in adults aged 65 years and older or the range of DSME programs/interventions for this population [ 46 ]. Furthermore, in previous DSME studies, people aged 65 years and over are often underrepresented; this is a problematic knowledge gap for the development of evidence-informed guidelines targeted toward this unique population [ 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, in previous DSME studies, people aged 65 years and over are often underrepresented; this is a problematic knowledge gap for the development of evidence-informed guidelines targeted toward this unique population [ 22 , 23 ]. With the increasing evidence about the importance and variety of diabetes self-management interventions, a comprehensive overview of DSME for adults aged 65 years and older with diabetes is warranted to identify the knowledge and methodological deficits in this area of study [ 46 ]. Therefore, the objective of this scoping review was to map the available evidence on DSME for persons aged 65 years and older in Western countries.…”

Section: Introductionmentioning

confidence: 99%

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Diabetes self-management education (DSME) for older persons in Western countries: A scoping review

Camargo-Plazas,

Robertson,

Alvarado

et al. 2023

PLoS ONE

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Diabetes mellitus is a chronic metabolic health condition affecting millions globally. Diabetes is a growing concern among aging societies, with its prevalence increasing among those aged 65 and above. Enabling disease self-management via relevant education is part of high-quality care to improve health outcomes and minimize complications for individuals living with diabetes. Successful diabetes self-management education (DSME) programs usually require tailoring for the intended audience; however, there is limited literature about the preferences of older persons in Western countries concerning DSME. As such, a broad overview of DSME for older persons was an identified need. To map the available evidence on DSME for persons aged 65 years and older in Western countries, the JBI methodology for conducting and reporting scoping reviews was used. In this scoping review, we considered all studies about DSME for older persons with T1D and T2D in Western countries where lifestyles, risks, prevention, treatment of diabetes, and approaches to self-management and DSME are similar (e.g., North America, Western and Northern Europe and Australasia). Systematic keyword and subject heading searches were conducted in 10 databases (e.g., MEDLINE, JBI EBP) to identify relevant English language papers published from 2000 to 2022. Titles and abstracts were screened to select eligible papers for full-text reading. Full-text screening was done by four independent reviewers to select studies for the final analysis. The review identified 2,397 studies, of which 1,250 full texts were screened for eligibility. Of the final 44 papers included in the review, only one included participants’ understanding of DSME. The education programs differed in their context, design, delivery mode, theoretical underpinnings, and duration. Type of research designs, outcome measures used to determine the effectiveness of DSME, and knowledge gaps were also detailed. Overall, most interventions were effective and improved clinical and behavioural outcomes. Many of the programs led to improvements in clinical outcomes and participants’ quality of life; however, the content needs to be adapted to older persons according to their culture, different degrees of health literacy, preference of education (e.g., individualized or group), preference of setting, degree of frailty and independence, and comorbidities. Few studies included the voices of older persons in the design, implementation, and evaluation of DSME programs. Such experiential knowledge is vital in developing educational programs to ensure alignment with this population’s preferred learning styles, literacy levels, culture, and needs—such an approach could manifest more substantive, sustained results.

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Section: Methodsmentioning

confidence: 99%