糖尿病自我管理计划的过程评估:对文献的系统审查
Chinelo Nsobundu1,2, Yeka W Nmadu3, Nikita Sandeep Wagle4
1Center for Community Health & Aging, School of Public Health, Texas A&M University, College Station, TX, USA.
American journal of health promotion : AJHP
|April 22, 2024
概括
这一系统性审查发现,大多数糖尿病自我管理计划 (DSMP) 的过程评估 (PE) 是低质量的. 未来的研究需要对理论上有基础的PE进行标准化指导方针,以改善方案评估.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 行为医学是一种行为医学.
背景情况:
- 糖尿病自我管理计划 (DSMP) 对于管理1型和2型糖尿病至关重要.
- 过程评估 (PE) 评估了此类计划的实施和有效性.
- 需要进行系统审查,以了解DSMPs现有的PE的质量和范围.
研究的目的:
- 系统地审查糖尿病自我管理计划 (DSMP) 的过程评估 (PE).
- 确定DSMP的PEs中使用的共同结果和方法.
- 突出差距和需要改进的领域在DSMP的PEs的行为.
主要方法:
- 在多个数据库 (Medline,Embase,CINAHL,学术搜索,APA PsycInfo) 中进行系统的电子搜索.
- 包括经过同行评审的实证研究 (定量,定性,混合方法) 关于T1DM或T2DM成年人的基于组的DSMP.
- 提取过程评估结果,包括真实性,输送/接收剂量,覆盖范围,招聘,保留和上下文,以及研究特征.
主要成果:
- 包括68项研究 (78篇文章),主要是混合方法,总体质量低.
- 大多数PE被嵌入在结果评估中,而不是独立的.
- 研究往往缺乏理论依据,并专注于有限的结果,如接收的剂量,达到和保留.
结论:
- 未来的研究应该优先考虑独立的,基于理论的过程评估.
- 制定进行PEs的标准化指南是必不可少的.
- 改进的PE将能够更好地评估和比较公共卫生实施的DSMP质量.
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