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Effectiveness of Culturally Tailored Interventions on Self-Management in Type 2 Diabetes Mellitus: A Systematic
Richard Adongo Afaya1,2, Charlotte Seib2, Amanda McGuire2
1School of Nursing and Midwifery, University for Development Studies, Tamale, Ghana.
Background:
Given evidence that existing "one size fits all" diabetes self-management education approaches are not a universal fit for all people with type 2 diabetes mellitus, cultural tailoring of interventions is undertaken to better meet specific needs of underserved population groups.
Aim:
To evaluate the effectiveness of culturally tailored self-management interventions in people with type 2 diabetes mellitus.
Methods:
The search retrieved 1402 articles of which 17 studies (15 randomized controlled trials and 2 quasi-experimental studies) were included, with 7 studies in the meta-analysis.
Results:
Most studies (n = 9) were conducted in the United States of America among ethnic minority groups. Of the 17 studies, 14 measured self-management behaviors with 9 showing substantial improvements in adherence to self-management behaviors (i.e., diet, foot care, medication, physical activity, self-testing of blood glucose). The meta-analysis showed that there was significant improvement in Glycated Hemoglobin (HbA1c) levels (-0.57 [95% CI -1.15, -0.25] p < 0.01) post intervention.
Linking Evidence To Action:
Culturally tailored interventions have the potential to improve HbA1c and self-management behaviors in people with type 2 diabetes mellitus. While maintaining a collaborative approach with experts including nurses, future interventions should adopt participatory approaches with persons living with T2DM and their families, considering their perspectives, unique needs, and priorities.
Trial Registration:
PROSPERO number: CRD42022375630.
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