Barriers and enablers to sustaining self-management behaviours after completing a self-management support intervention for type 2 diabetes: a protocol for a systematic review and qualitative evidence synthesis [version 1; peer review: 2 approved, 1 approved with reservations]
Background: Attendance at self-management support interventions is associated with improved outcomes for people with type 2 diabetes. However, initial improvements are often not sustained beyond one year, which may be a result of difficulties in sustaining positive changes made to self-management be...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
F1000 Research Ltd
2021-12-01
|
| Series: | HRB Open Research |
| Subjects: | |
| Online Access: | https://hrbopenresearch.org/articles/4-129/v1 |
| _version_ | 1828426228824014848 |
|---|---|
| author | Pauline Dunne Molly Byrne Márcia Carvalho Dominika Kwasnicka Jenny McSharry |
| author_facet | Pauline Dunne Molly Byrne Márcia Carvalho Dominika Kwasnicka Jenny McSharry |
| author_sort | Pauline Dunne |
| collection | DOAJ |
| description | Background: Attendance at self-management support interventions is associated with improved outcomes for people with type 2 diabetes. However, initial improvements are often not sustained beyond one year, which may be a result of difficulties in sustaining positive changes made to self-management behaviours. The aim of this systematic review is to synthesise qualitative research on the barriers and enablers to sustaining self-management behaviours following completion of a self-management support intervention for type 2 diabetes. Methods: The review will use the “best fit” framework synthesis method to develop a new conceptual model of sustained behaviour change in type 2 diabetes. MEDLINE (Ovid), EMBASE (Elsevier), CINAHL (EBSCO), PsycINFO (Ovid), SCOPUS, ProQuest Dissertations and Theses, WorldCat and Open Grey will be searched to identify primary qualitative studies. A parallel search will be conducted in Google Scholar to identify relevant theories for the development of an a priori framework to synthesise findings across studies. Methodological limitations of included studies will be assessed using an adapted version of the Critical Appraisal Skills Programme tool for Qualitative Studies. A sensitivity analysis will be conducted to examine the impact of studies with methodological limitations on synthesis findings. Confidence in the synthesis findings will be assessed using the GRADE-CERQual tool. Screening, data extraction, methodological limitation assessment, synthesis and GRADE-CERQual assessment will be conducted by one author with a second author independently verifying a randomly selected 20% sample. Discussion: This review will develop a new model of sustained behaviour change in type 2 diabetes self-management. The findings can be used to inform the development of new interventions or revision of existing interventions to better support sustained engagement in type 2 diabetes self-management behaviours. |
| first_indexed | 2024-12-10T16:42:42Z |
| format | Article |
| id | doaj.art-0834bb0519d74c4ba2fcb4f2d7f35b94 |
| institution | Directory Open Access Journal |
| issn | 2515-4826 |
| language | English |
| last_indexed | 2024-12-10T16:42:42Z |
| publishDate | 2021-12-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | HRB Open Research |
| spelling | doaj.art-0834bb0519d74c4ba2fcb4f2d7f35b942022-12-22T01:41:10ZengF1000 Research LtdHRB Open Research2515-48262021-12-01414677Barriers and enablers to sustaining self-management behaviours after completing a self-management support intervention for type 2 diabetes: a protocol for a systematic review and qualitative evidence synthesis [version 1; peer review: 2 approved, 1 approved with reservations]Pauline Dunne0Molly Byrne1https://orcid.org/0000-0001-8900-4320Márcia Carvalho2https://orcid.org/0000-0002-3711-6176Dominika Kwasnicka3https://orcid.org/0000-0002-5961-837XJenny McSharry4https://orcid.org/0000-0001-5459-1588School of Agriculture and Food Science, University College Dublin, Dublin, IrelandHealth Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Galway, IrelandHealth Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Galway, IrelandFaculty of Psychology, SWPS University of Social Sciences and Humanities, Aleksandra Ostrowskiego, Wrocław, PolandHealth Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Galway, IrelandBackground: Attendance at self-management support interventions is associated with improved outcomes for people with type 2 diabetes. However, initial improvements are often not sustained beyond one year, which may be a result of difficulties in sustaining positive changes made to self-management behaviours. The aim of this systematic review is to synthesise qualitative research on the barriers and enablers to sustaining self-management behaviours following completion of a self-management support intervention for type 2 diabetes. Methods: The review will use the “best fit” framework synthesis method to develop a new conceptual model of sustained behaviour change in type 2 diabetes. MEDLINE (Ovid), EMBASE (Elsevier), CINAHL (EBSCO), PsycINFO (Ovid), SCOPUS, ProQuest Dissertations and Theses, WorldCat and Open Grey will be searched to identify primary qualitative studies. A parallel search will be conducted in Google Scholar to identify relevant theories for the development of an a priori framework to synthesise findings across studies. Methodological limitations of included studies will be assessed using an adapted version of the Critical Appraisal Skills Programme tool for Qualitative Studies. A sensitivity analysis will be conducted to examine the impact of studies with methodological limitations on synthesis findings. Confidence in the synthesis findings will be assessed using the GRADE-CERQual tool. Screening, data extraction, methodological limitation assessment, synthesis and GRADE-CERQual assessment will be conducted by one author with a second author independently verifying a randomly selected 20% sample. Discussion: This review will develop a new model of sustained behaviour change in type 2 diabetes self-management. The findings can be used to inform the development of new interventions or revision of existing interventions to better support sustained engagement in type 2 diabetes self-management behaviours.https://hrbopenresearch.org/articles/4-129/v1type 2 diabetes self-management self-management support interventions behaviour change behaviour maintenance sustained behaviour changeeng |
| spellingShingle | Pauline Dunne Molly Byrne Márcia Carvalho Dominika Kwasnicka Jenny McSharry Barriers and enablers to sustaining self-management behaviours after completing a self-management support intervention for type 2 diabetes: a protocol for a systematic review and qualitative evidence synthesis [version 1; peer review: 2 approved, 1 approved with reservations] HRB Open Research type 2 diabetes self-management self-management support interventions behaviour change behaviour maintenance sustained behaviour change eng |
| title | Barriers and enablers to sustaining self-management behaviours after completing a self-management support intervention for type 2 diabetes: a protocol for a systematic review and qualitative evidence synthesis [version 1; peer review: 2 approved, 1 approved with reservations] |
| title_full | Barriers and enablers to sustaining self-management behaviours after completing a self-management support intervention for type 2 diabetes: a protocol for a systematic review and qualitative evidence synthesis [version 1; peer review: 2 approved, 1 approved with reservations] |
| title_fullStr | Barriers and enablers to sustaining self-management behaviours after completing a self-management support intervention for type 2 diabetes: a protocol for a systematic review and qualitative evidence synthesis [version 1; peer review: 2 approved, 1 approved with reservations] |
| title_full_unstemmed | Barriers and enablers to sustaining self-management behaviours after completing a self-management support intervention for type 2 diabetes: a protocol for a systematic review and qualitative evidence synthesis [version 1; peer review: 2 approved, 1 approved with reservations] |
| title_short | Barriers and enablers to sustaining self-management behaviours after completing a self-management support intervention for type 2 diabetes: a protocol for a systematic review and qualitative evidence synthesis [version 1; peer review: 2 approved, 1 approved with reservations] |
| title_sort | barriers and enablers to sustaining self management behaviours after completing a self management support intervention for type 2 diabetes a protocol for a systematic review and qualitative evidence synthesis version 1 peer review 2 approved 1 approved with reservations |
| topic | type 2 diabetes self-management self-management support interventions behaviour change behaviour maintenance sustained behaviour change eng |
| url | https://hrbopenresearch.org/articles/4-129/v1 |
| work_keys_str_mv | AT paulinedunne barriersandenablerstosustainingselfmanagementbehavioursaftercompletingaselfmanagementsupportinterventionfortype2diabetesaprotocolforasystematicreviewandqualitativeevidencesynthesisversion1peerreview2approved1approvedwithreservations AT mollybyrne barriersandenablerstosustainingselfmanagementbehavioursaftercompletingaselfmanagementsupportinterventionfortype2diabetesaprotocolforasystematicreviewandqualitativeevidencesynthesisversion1peerreview2approved1approvedwithreservations AT marciacarvalho barriersandenablerstosustainingselfmanagementbehavioursaftercompletingaselfmanagementsupportinterventionfortype2diabetesaprotocolforasystematicreviewandqualitativeevidencesynthesisversion1peerreview2approved1approvedwithreservations AT dominikakwasnicka barriersandenablerstosustainingselfmanagementbehavioursaftercompletingaselfmanagementsupportinterventionfortype2diabetesaprotocolforasystematicreviewandqualitativeevidencesynthesisversion1peerreview2approved1approvedwithreservations AT jennymcsharry barriersandenablerstosustainingselfmanagementbehavioursaftercompletingaselfmanagementsupportinterventionfortype2diabetesaprotocolforasystematicreviewandqualitativeevidencesynthesisversion1peerreview2approved1approvedwithreservations |