Training of Community Health Workers in Diabetes Lead to Improved Outcomes for Diabetes Screening and Management in Low- and Middle-Income Countries: Protocol for a Systematic Review.

Autor: Gudlavalleti AG; Pragyaan Sustainable Health Outcomes Foundation, Hyderabad, India.; Department of Family Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands., Babu GR; Qatar University, Doha, Qatar., Kamalakannan S; Department of social work, education and community wellbeing, Northumbria University, Newcastle Upon Tyne, United Kingdom., Murthy GVS; Pragyaan Sustainable Health Outcomes Foundation, Hyderabad, India., Schaper NC; Department of Family Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands., van Schayck OCP; Department of Family Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands.
Jazyk: angličtina
Zdroj: JMIR research protocols [JMIR Res Protoc] 2024 Aug 21; Vol. 13, pp. e57313. Date of Electronic Publication: 2024 Aug 21.
DOI: 10.2196/57313
Abstrakt: Background: Diabetes is a growing concern worldwide, particularly in low- and middle-income countries (LMICs). Type 2 diabetes mellitus constitutes a significant proportion of cases and is associated with debilitating microvascular complications. Type 2 diabetes mellitus is steadily increasing among the LMICs where many barriers to health care exist. Thus, task shifting to community health workers (CHWs) has been proposed as a solution to improve diabetes management in these settings. However, CHWs often lack the necessary training to manage diabetes effectively. Thus, a systematic review is required to present evidence of the highest degree for this intervention.
Objective: This study aims to establish the protocols for a systemic review.
Methods: Using the Participants Intervention Comparator Outcome Time Study Design (PICOTS) framework, this study outlines a systematic review aiming to evaluate the impact of training programs for CHWs in diabetes management in LMICs. Quantitative studies focusing on CHWs, diabetes training, focusing on diabetes management outcomes like hemoglobin A 1c levels and fasting blood glucose levels, between January 2000 and December 2023 and found on databases such as PubMed, Ovid MEDLINE, Evidence Based Medicine Reviews, BASE, Google Scholar, and Web of Science will be included. We will include randomized controlled trials but will also include observational studies if we find less than 5 randomized controlled trials. An author committee consisting of 3 reviewers will be formed, where 2 reviewers will conduct the review independently while the third will resolve all disputes. The Cochrane Methods Risk of Bias Tool 2 will be used for assessing the risk of bias and the Grading of Recommendations, Assessment, Development and Evaluation approach for the meta-analysis and narrative synthesis analysis will be used. The results will be presented in a PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) diagram.
Results: The review will begin in May 2024 and conclude in 3 months.
Conclusions: The review will synthesize existing evidence and provide insights into the effectiveness of such programs, informing future research and practice in diabetes care in LMICs.
Trial Registration: PROSPERO CRD42022341717; https://tinyurl.com/jva2hpdr.
International Registered Report Identifier (irrid): PRR1-10.2196/57313.
(©Anirudh Gaurang Gudlavalleti, Giridhara R Babu, Sureshkumar Kamalakannan, G V S Murthy, Nicolaas C Schaper, Onno C P van Schayck. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 21.08.2024.)
Databáze: MEDLINE
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