Self-management of diabetes and associated comorbidities in rural and remote communities: a scoping review
| Autor: | Susan Brumby, Bodil Rasmussen, Helen Rawson, Helen Skouteris, Karen Wynter, Nicola Ivory |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Adult Rural Population self-management rural and remote communities Psychological intervention Population health CINAHL Telehealth PsycINFO comorbidities Health Services Accessibility SUPPORT Health care Diabetes Mellitus EPIDEMIOLOGY Medicine Humans chronic health conditions BARRIERS diabetes business.industry Health Policy Self-Management Public Health Environmental and Occupational Health CARE DEPRESSION EXPERIENCES PREVALENCE Systematic review Community health CHRONIC DISEASE business Systematic Reviews as Topic |
| Zdroj: | Rasmussen, B, Wynter, K, Rawson, H A, Skouteris, H, Ivory, N & Brumby, S A 2021, ' Self-management of diabetes and associated comorbidities in rural and remote communities : A scoping review ', Australian Journal of Primary Health, vol. 27, no. 4, pp. 243-254 . https://doi.org/10.1071/PY20110 Rasmussen, B, Wynter, K, Rawson, H A, Skouteris, H, Ivory, N & Brumby, S A 2021, ' Self-management of diabetes and associated comorbidities in rural and remote communities : a scoping review ', Australian Journal of Primary Health, vol. 27, no. 4, pp. 243-254 . https://doi.org/10.1071/PY20110 |
| ISSN: | 1836-7399 |
| DOI: | 10.1071/PY20110 |
| Popis: | Chronic health conditions are more prevalent in rural and remote areas than in metropolitan areas; living in rural and remote areas may present particular barriers to the self-management of chronic conditions like diabetes and comorbidities. The aims of this review were to: (1) synthesise evidence examining the self-management of diabetes and comorbidities among adults living in rural and remote communities; and (2) describe barriers and enablers underpinning self-management reported in studies that met our inclusion criteria. A systematic search of English language papers was undertaken in PsycINFO, Medline Complete, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete, EMBASE and the Cochrane Database of Systematic Reviews, searching for literature indexed from the beginning of the database until 6 March 2020. Essential key concepts were diabetes, comorbidities, self-management and rural or remote. Twelve studies met the inclusion criteria. Six of these reported interventions to promote self-management for adults with diabetes in rural and remote communities and described comorbidities. These interventions had mixed results; only three demonstrated improvements in clinical outcomes or health behaviours. All three of these interventions specifically targeted adults living with diabetes and comorbidities in rural and remote areas; two used the same telehealth approach. Barriers to self-management included costs, transport problems and limited health service access. Interventions should take account of the specific challenges of managing both diabetes and comorbidities; telehealth may address some of the barriers associated with living in rural and remote areas. |
| Databáze: | OpenAIRE |
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