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Barriers and Facilitators for Type-2 Diabetes Management in South Asians: A Systematic Review

PloS one, 2015-09, Vol.10 (9), p.e0136202-e0136202 [Tạp chí có phản biện]

2015 Sohal et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2015 Sohal et al 2015 Sohal et al ;ISSN: 1932-6203 ;EISSN: 1932-6203 ;DOI: 10.1371/journal.pone.0136202 ;PMID: 26383535

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  • Nhan đề:
    Barriers and Facilitators for Type-2 Diabetes Management in South Asians: A Systematic Review
  • Tác giả: Sohal, Tanveer ; Sohal, Parmjit ; King-Shier, Kathryn M ; Khan, Nadia A
  • Barengo, Noel Christopher
  • Chủ đề: Asian people ; Bangladesh ; Communication ; Culture ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - therapy ; Diet ; Discordance ; Disease Management ; Disease prevention ; Drugs ; Exercise ; Health care ; Health promotion ; Health Services Accessibility ; Human communication ; Humans ; India ; Intervention ; Life assessment ; Management ; Medicine ; Mortality ; Nutrition research ; Pakistan ; Patients ; Pediatrics ; Physical fitness ; Physician-Patient Relations ; Phytotherapy ; Population ; Public health ; Studies ; Systematic review ; Workers
  • Là 1 phần của: PloS one, 2015-09, Vol.10 (9), p.e0136202-e0136202
  • Mô tả: Although South Asian populations have among the highest burden of type 2 diabetes in the world, their diabetes management remains poor. We systematically reviewed studies on South Asian patient's perspectives on the barriers and facilitators to diabetes management. We conducted a literature search using OVID, CINHAL and EMBASE (January, 1990 -February, 2014) evaluating the core components of diabetes management: interactions with health care providers, diet, exercise, and medication adherence. South Asian patients were self-reported as Indian, Pakistani, Malaysian-Indian or Bangladeshi origin. From 208 abstracts reviewed, 20 studies were included (19 qualitative including mixed methods studies, 1 questionnaire). Barriers and facilitators were extracted and combined using qualitative synthesis. All studies included barriers and few facilitators were identified. Language and communication discordance with the healthcare provider was a significant barrier to receiving and understanding diabetes education. There was inconsistent willingness to partake in self-management with preference for following their physician's guidance. Barriers to adopting a diabetic diet were lack of specific details on South Asian tailored diabetic diet; social responsibilities to continue with a traditional diet, and misconceptions on the components of the diabetic diet. For exercise, South Asian patients were concerned with lack of gender specific exercise facilities and fear of injury or worsening health with exercise. Patients reported a lack of understanding about diabetes medication management, preference for folk and phytotherapy, and concerns about the long-term safety of diabetes medications. Facilitators included trust in care providers, use of culturally appropriate exercise and dietary advice and increasing family involvement. Overall themes for the barriers included lack of knowledge and misperceptions as well as lack of cultural adaptation to diabetes management. Diabetes programs that focus on improving communication, addressing prevailing misconceptions, and culture specific strategies may be useful for improving diabetes management for South Asians.
  • Nơi xuất bản: United States: Public Library of Science
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 1932-6203
    EISSN: 1932-6203
    DOI: 10.1371/journal.pone.0136202
    PMID: 26383535
  • Nguồn: TestCollectionTL3OpenAccess
    GFMER Free Medical Journals
    MEDLINE
    PubMed Central
    Public Library of Science (PLoS)
    ProQuest Central
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