Association between subthreshold depression and self-care behaviour in people with type 2 diabetes: a protocol for systematic review of observational studies

Abstract Background Depression is a common comorbidity in type 2 diabetes. Studies have consistently shown that major depression is associated with decreased diabetic self-care behaviour. People with subthreshold depression experience greater functional impairment, have a poorer quality of life and...

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Main Authors: Monika Shrestha, Amal Al-Ghareeb, Fatimah Alenazi, Richard Gray
Format: Article
Language:English
Published: BMC 2019-07-01
Series:Systematic Reviews
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13643-019-1084-7
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author Monika Shrestha
Amal Al-Ghareeb
Fatimah Alenazi
Richard Gray
author_facet Monika Shrestha
Amal Al-Ghareeb
Fatimah Alenazi
Richard Gray
author_sort Monika Shrestha
collection DOAJ
description Abstract Background Depression is a common comorbidity in type 2 diabetes. Studies have consistently shown that major depression is associated with decreased diabetic self-care behaviour. People with subthreshold depression experience greater functional impairment, have a poorer quality of life and use health services more than those without depressive symptoms. Although subthreshold depression impacts self-care behaviour, the relationship between subthreshold depression and diabetes self-care behaviour has not been systematically reviewed. The objective of this systematic review is to determine the association between subthreshold depression and self-care behaviour in adults with type 2 diabetes. Methods This protocol will follow the guideline of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols 2015 (PRISMA-P-2015). A systematic search of literature will be conducted for observational studies reporting the association between subthreshold depression and self-care behaviour in adults aged 18 years or over and diagnosed with type 2 diabetes. Electronic databases including MEDLINE, EMBASE, PsycINFO, Emcare and CINAHL will be searched using predefined search terms. Title and abstract, full-text screening and data extraction of identified articles will be done by two reviewers independently. Discrepancies will be resolved by a third author. The methodological quality of the included studies will be assessed using The Joanna Briggs Institute (JBI) risk of bias tools. The review results will be presented in the form of narrative synthesis, and if sufficient studies are available and variability among the studies is low, a random effects meta-analysis will be done to quantify the result. Discussion This review will synthesise evidence on the association between subthreshold depression and self-care behaviour in type 2 diabetic adults. The findings will be useful to researchers and policymakers to determine the most effective approach to overall diabetes management. The review will also identify research gaps in the current literature and provide direction for future research in this area of study. Systematic review registration PROSPERO CRD42018116373
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spelling doaj.art-c948541c424c451797d74b18cc473e0e2022-12-21T19:09:42ZengBMCSystematic Reviews2046-40532019-07-01811510.1186/s13643-019-1084-7Association between subthreshold depression and self-care behaviour in people with type 2 diabetes: a protocol for systematic review of observational studiesMonika Shrestha0Amal Al-Ghareeb1Fatimah Alenazi2Richard Gray3School of Nursing and Midwifery, La Trobe UniversitySchool of Nursing and Midwifery, La Trobe UniversitySchool of Nursing and Midwifery, La Trobe UniversitySchool of Nursing and Midwifery, La Trobe UniversityAbstract Background Depression is a common comorbidity in type 2 diabetes. Studies have consistently shown that major depression is associated with decreased diabetic self-care behaviour. People with subthreshold depression experience greater functional impairment, have a poorer quality of life and use health services more than those without depressive symptoms. Although subthreshold depression impacts self-care behaviour, the relationship between subthreshold depression and diabetes self-care behaviour has not been systematically reviewed. The objective of this systematic review is to determine the association between subthreshold depression and self-care behaviour in adults with type 2 diabetes. Methods This protocol will follow the guideline of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols 2015 (PRISMA-P-2015). A systematic search of literature will be conducted for observational studies reporting the association between subthreshold depression and self-care behaviour in adults aged 18 years or over and diagnosed with type 2 diabetes. Electronic databases including MEDLINE, EMBASE, PsycINFO, Emcare and CINAHL will be searched using predefined search terms. Title and abstract, full-text screening and data extraction of identified articles will be done by two reviewers independently. Discrepancies will be resolved by a third author. The methodological quality of the included studies will be assessed using The Joanna Briggs Institute (JBI) risk of bias tools. The review results will be presented in the form of narrative synthesis, and if sufficient studies are available and variability among the studies is low, a random effects meta-analysis will be done to quantify the result. Discussion This review will synthesise evidence on the association between subthreshold depression and self-care behaviour in type 2 diabetic adults. The findings will be useful to researchers and policymakers to determine the most effective approach to overall diabetes management. The review will also identify research gaps in the current literature and provide direction for future research in this area of study. Systematic review registration PROSPERO CRD42018116373http://link.springer.com/article/10.1186/s13643-019-1084-7Subthreshold depressionDepressionType 2 diabetesSelf-care behaviourSystematic review
spellingShingle Monika Shrestha
Amal Al-Ghareeb
Fatimah Alenazi
Richard Gray
Association between subthreshold depression and self-care behaviour in people with type 2 diabetes: a protocol for systematic review of observational studies
Systematic Reviews
Subthreshold depression
Depression
Type 2 diabetes
Self-care behaviour
Systematic review
title Association between subthreshold depression and self-care behaviour in people with type 2 diabetes: a protocol for systematic review of observational studies
title_full Association between subthreshold depression and self-care behaviour in people with type 2 diabetes: a protocol for systematic review of observational studies
title_fullStr Association between subthreshold depression and self-care behaviour in people with type 2 diabetes: a protocol for systematic review of observational studies
title_full_unstemmed Association between subthreshold depression and self-care behaviour in people with type 2 diabetes: a protocol for systematic review of observational studies
title_short Association between subthreshold depression and self-care behaviour in people with type 2 diabetes: a protocol for systematic review of observational studies
title_sort association between subthreshold depression and self care behaviour in people with type 2 diabetes a protocol for systematic review of observational studies
topic Subthreshold depression
Depression
Type 2 diabetes
Self-care behaviour
Systematic review
url http://link.springer.com/article/10.1186/s13643-019-1084-7
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