Self-management of diabetes and associated comorbidities in rural and remote communities: a scoping review
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Self-management of diabetes and associated comorbidities in rural and remote communities : a scoping review. / Rasmussen, Bodil; Wynter, Karen; Rawson, Helen A.; Skouteris, Helen; Ivory, Nicola; Brumby, Susan A.
In: Australian Journal of Primary Health, Vol. 27, No. 4, 2021, p. 243-254.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Self-management of diabetes and associated comorbidities in rural and remote communities
T2 - a scoping review
AU - Rasmussen, Bodil
AU - Wynter, Karen
AU - Rawson, Helen A.
AU - Skouteris, Helen
AU - Ivory, Nicola
AU - Brumby, Susan A.
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
KW - chronic health conditions
KW - comorbidities
KW - diabetes
KW - rural and remote communities
KW - self-management
KW - CHRONIC DISEASE
KW - BARRIERS
KW - CARE
KW - EPIDEMIOLOGY
KW - EXPERIENCES
KW - DEPRESSION
KW - PREVALENCE
KW - SUPPORT
U2 - 10.1071/PY20110
DO - 10.1071/PY20110
M3 - Review
C2 - 34229829
VL - 27
SP - 243
EP - 254
JO - Australian Journal of Primary Health
JF - Australian Journal of Primary Health
SN - 1448-7527
IS - 4
ER -
ID: 274167889