Abstract:
:Diabetes mellitus is one of the most common chronic diseases worldwide and a leading cause of morbidity and mortality. A high prevalence of type 2 diabetes mellitus has been noted among the South Asian population, in general, and migrant South Asians. Self-management is considered a proponent to the management of diabetes. Although empirical evidence supports such interventions, little is known regarding the cultural congruency of such interventions for diverse cultural and ethnic groups, particularly South Asians. Our purpose was to determine the effectiveness of diabetes self-management education (DSME) and diabetes self-management support (DSMS), interventions on migrant South Asian's glycated hemoglobin (A1C) levels and whether DSME and DSMS interventions are culturally tailored to the migrant South Asian population. In this study, a systematic review, with narrative synthesis, was conducted. Data were extracted on the study, participant, and intervention characteristics and the cultural congruity using Leininger's sunrise model. Four studies meeting the inclusion criteria were included. Overall, most (75%) of the DSME and DSMS interventions were not effective in reducing A1C levels. Specific to cultural congruity of the interventions, all studies delivered the intervention based on the participant's preferred language and incorporated culturally sensitive dietary information primarily by persons of the same cultural and ethnic background. However, little information was presented on the provision and integration of culturally congruent care. Findings highlight the importance of rethinking the way in which South Asians are labelled as a homogenous group and accounting for such differences when adapting and designing culturally tailored DSME and or DSMS interventions in clinical practice.
journal_name
Can J Diabetesjournal_title
Canadian journal of diabetesauthors
Navodia N,Wahoush O,Tang T,Yost J,Ibrahim S,Sherifali Ddoi
10.1016/j.jcjd.2019.04.010subject
Has Abstractpub_date
2019-08-01 00:00:00pages
445-452issue
6eissn
1499-2671issn
2352-3840pii
S1499-2671(18)30348-4journal_volume
43pub_type
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journal_title:Canadian journal of diabetes
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journal_title:Canadian journal of diabetes
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journal_title:Canadian journal of diabetes
pub_type: 杂志文章
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journal_title:Canadian journal of diabetes
pub_type: 杂志文章
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journal_title:Canadian journal of diabetes
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Canadian journal of diabetes
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
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