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Process Evaluations of Diabetes Self-Management Programs: A Systematic Review of the Literature.


ABSTRACT:

Objective

To conduct a systematic review of process evaluations (PEs) of diabetes self-management programs (DSMPs).

Data source

An electronic search using Medline (Ovid), Embase (Ovid), CINAHL (Ensco), Academic Search (Ebsco), and APA PsycInfo (Ebsco).

Study inclusion and exclusion criteria

Peer-reviewed, empirical quantitative, qualitative, or mixed-method studies were included if they (1) were a traditional, group-based DSMP, (2) involved adults at least 18 years with T1DM or T2DM, (3) were a stand-alone or embedded PE, and (4) published in English.

Data extraction

The following process evaluation outcomes were extracted: fidelity, dose delivered, dose received, reach, recruitment, retention, and context. Additional items were extracted, (eg, process evaluation type, data collection methods; theories; frameworks or conceptual models used to guide the process evaluation, and etc).

Data synthesis

Due to heterogeneity across studies, studies were synthesized qualitatively (narratively).

Results

Sixty-eight studies (k) in 78 articles (n) (k = 68; n = 78) were included. Most were mixed methods of low quality. Studies were typically integrated into outcome evaluations vs being stand-alone, lacked theoretical approaches to guide them, and incorporated limited outcomes such as dose received, reach, and retention.

Conclusion

Future research should 1) implement stand-alone theoretically grounded PE studies and 2) provide a shared understanding of standardized guidelines to conduct PEs. This will allow public health practitioners and researchers to assess and compare the quality of different programs to be implemented.

SUBMITTER: Nsobundu C 

PROVIDER: S-EPMC11348640 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature

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Publications

Process Evaluations of Diabetes Self-Management Programs: A Systematic Review of the Literature.

Nsobundu Chinelo C   Nmadu Yeka W YW   Wagle Nikita Sandeep NS   Foster Margaret J MJ   McKyer Ellisa Lisako Jones ELJ   Sherman Ledric L   Ory Marcia G MG   Burdine James Jim N JJN  

American journal of health promotion : AJHP 20240422 7


<h4>Objective</h4>To conduct a systematic review of process evaluations (PEs) of diabetes self-management programs (DSMPs).<h4>Data source</h4>An electronic search using Medline (Ovid), Embase (Ovid), CINAHL (Ensco), Academic Search (Ebsco), and APA PsycInfo (Ebsco).<h4>Study inclusion and exclusion criteria</h4>Peer-reviewed, empirical quantitative, qualitative, or mixed-method studies were included if they (1) were a traditional, group-based DSMP, (2) involved adults at least 18 years with T1D  ...[more]

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