Role of community health workers in type 2 diabetes mellitus self-management: A scoping review

Autor: Naomi S. Levitt, David Sanders, Brian van Wyk, Thandi Puoane, Bonaventure Amandi Egbujie, Peter Delobelle
Přispěvatelé: Public Health Sciences
Rok vydání: 2017
Předmět:
Physiology
Health Care Providers
Psychological intervention
lcsh:Medicine
Nurses
Patient advocacy
Biochemistry
Database and Informatics Methods
0302 clinical medicine
Endocrinology
Medicine and Health Sciences
Diabetes diagnosis and management
Medical Personnel
Database Searching
lcsh:Science
Randomized Controlled Trials as Topic
Community Health Workers
Multidisciplinary
Self-management
Agricultural and Biological Sciences(all)
Grey literature
Blood Sugar
3. Good health
Type 2 Diabetes
Body Fluids
Professions
Blood
Anatomy
0305 other medical science
Psychology
Inclusion (education)
Research Article
HbA1c
Patients
Endocrine Disorders
Developing country
030209 endocrinology & metabolism
Patient Advocacy
Research and Analysis Methods
03 medical and health sciences
Social support
Nursing
Diabetes Mellitus
Humans
Hemoglobin
Curriculum
030505 public health
Biology and life sciences
Biochemistry
Genetics and Molecular Biology(all)
lcsh:R
Social Support
Proteins
Models
Theoretical
Diagnostic medicine
Self Care
Health Care
Diabetes Mellitus
Type 2
general
Metabolic Disorders
People and Places
lcsh:Q
Population Groupings
Zdroj: PLoS ONE
PLoS ONE, Vol 13, Iss 6, p e0198424 (2018)
PLOS ONE
ISSN: 1932-6203
Popis: Background Globally the number of people with Type 2 diabetes mellitus (T2DM) has risen significantly over the last few decades. Aligned to this is a growing use of community health workers (CHWs) to deliver T2DM self-management support with good clinical outcomes especially in High Income Countries (HIC). Evidence and lessons from these interventions can be useful for Low- and Middle-Income countries (LMICs) such as South Africa that are experiencing a marked increase in T2DM prevalence. Objectives This study aimed to examine how CHW have been utilized to support T2DM self-management globally, their preparation for and supervision to perform their functions. Method The review was guided by a stepwise approach outlined in the framework for scoping reviews developed by Arksey and O’Malley. Peer reviewed scientific and grey literature was searched using a string of keywords, selecting English full-text articles published between 2000 and 2015. Articles were selected using inclusion criteria, charted and content analyzed. Results 1008 studies were identified of which 54 full text articles were selected. Most (53) of the selected studies were in HIC and targeted mostly minority populations in low resource settings. CHWs were mostly deployed to provide education, support, and advocacy. Structured curriculum based education was the most frequently reported service provided by CHWs to support T2DM self-management. Support services included informational, emotional, appraisal and instrumental support. Models of CHW care included facility linked nurse-led CHW coordination, facility-linked CHW led coordination and standalone CHW interventions without facility interaction. Conclusion CHWs play several roles in T2DM self-management, including structured education, ongoing support and health system advocacy. Preparing and coordinating CHWs for these roles is crucial and needs further research and strengthening.
Databáze: OpenAIRE
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