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Cultural Influences, Experiences and Interventions Targeting Self‐Management Behaviours for Prediabetes or Type 2 Diabetes in First‐Generation Immigrants: A Scoping Review
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-11-21 , DOI: 10.1111/jan.16621 Min Zhang, Kirsten Coppell, Johnny Lo, Lisa Whitehead
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-11-21 , DOI: 10.1111/jan.16621 Min Zhang, Kirsten Coppell, Johnny Lo, Lisa Whitehead
AimTo map the existing evidence and identify research gaps regarding the self‐management of prediabetes or type 2 diabetes among first‐generation immigrants ≥ 18 years.DesignA scoping review followed the JBI guidelines and was in accordance with the PRISMA extension for Scoping Reviews.MethodsA systematic search of CINAHL, Cochrane, EMBASE, MEDLINE, PsycINFO, ProQuest, SCOPUS and the Web of Science was conducted. Grey literature and reference lists of included studies were searched for additional citations. Articles published in English from the database inception to February 2023 were included.ResultsWe included 96 studies, of which 28.1% were published within the last 5 years. Most studies (71.9%) were conducted in the United States. Study participants were recruited mainly from community settings and English was their second language. The most common study methodologies used were cross‐sectional surveys and phenomenological interviews. Only two studies specifically focussed on individuals with prediabetes. Multiple factors, such as age, gender, country of origin and other societal, linguistic, cultural and resource barriers or facilitators, as well as patient's cultural unique experiences, were of particular significance for self‐management behaviours. Although several studies reported that culturally tailored interventions were feasible and acceptable among first‐generation immigrants living with type 2 diabetes but not prediabetes, the duration and intensity of these interventions varied.ConclusionHealth professionals should consider various demographic, societal, linguistic and cultural factors, such as participants' low English language proficiency, and provide appropriate support for this group to ensure better self‐management behaviours. Tailoring interventions to individual and cultural preferences in collaboration with key stakeholders is crucial for adult immigrants with prediabetes and type 2 diabetes across diverse cultural and ethnic groups.ImpactDeveloping and applying culturally tailored self‐management interventions for the targeted population, particularly those with prediabetes, should be an important direction for future research.No Patient or Public Contribution.
中文翻译:
针对第一代移民糖尿病前期或 2 型糖尿病自我管理行为的文化影响、经验和干预措施:范围综述
目的绘制现有证据并确定 18 ≥第一代移民中糖尿病前期或 2 型糖尿病自我管理的研究差距。设计范围综述遵循 JBI 指南,并符合范围综述的 PRISMA 扩展。方法对 CINAHL、Cochrane、EMBASE、MEDLINE、PsycINFO、ProQuest、SCOPUS 和 Web of Science 进行了系统检索。检索灰色文献和纳入研究的参考文献列表以查找更多引文。包括从数据库建库到 2023 年 2 月以英文发表的文章。结果我们纳入了 96 项研究,其中 28.1% 是在过去 5 年内发表的。大多数研究 (71.9%) 在美国进行。研究参与者主要从社区环境中招募,英语是他们的第二语言。最常用的研究方法是横断面调查和现象学访谈。只有两项研究专门针对糖尿病前期患者。多种因素,如年龄、性别、原籍国和其他社会、语言、文化和资源障碍或促进因素,以及患者的文化独特经历,对自我管理行为具有特别重要的意义。尽管几项研究报告说,在患有 2 型糖尿病但不是糖尿病前期的第一代移民中,文化定制的干预措施是可行且可接受的,但这些干预的持续时间和强度各不相同。结论卫生专业人员应考虑各种人口、社会、语言和文化因素,例如参与者的英语语言熟练度低,并为该群体提供适当的支持,以确保更好的自我管理行为。 与主要利益相关者合作,根据个人和文化偏好定制干预措施,对于不同文化和种族群体的糖尿病前期和 2 型糖尿病成年移民至关重要。影响为目标人群,尤其是糖尿病前期人群开发和应用针对文化定制的自我管理干预措施,应该是未来研究的重要方向。没有患者或公众的贡献。
更新日期:2024-11-21
中文翻译:
针对第一代移民糖尿病前期或 2 型糖尿病自我管理行为的文化影响、经验和干预措施:范围综述
目的绘制现有证据并确定 18 ≥第一代移民中糖尿病前期或 2 型糖尿病自我管理的研究差距。设计范围综述遵循 JBI 指南,并符合范围综述的 PRISMA 扩展。方法对 CINAHL、Cochrane、EMBASE、MEDLINE、PsycINFO、ProQuest、SCOPUS 和 Web of Science 进行了系统检索。检索灰色文献和纳入研究的参考文献列表以查找更多引文。包括从数据库建库到 2023 年 2 月以英文发表的文章。结果我们纳入了 96 项研究,其中 28.1% 是在过去 5 年内发表的。大多数研究 (71.9%) 在美国进行。研究参与者主要从社区环境中招募,英语是他们的第二语言。最常用的研究方法是横断面调查和现象学访谈。只有两项研究专门针对糖尿病前期患者。多种因素,如年龄、性别、原籍国和其他社会、语言、文化和资源障碍或促进因素,以及患者的文化独特经历,对自我管理行为具有特别重要的意义。尽管几项研究报告说,在患有 2 型糖尿病但不是糖尿病前期的第一代移民中,文化定制的干预措施是可行且可接受的,但这些干预的持续时间和强度各不相同。结论卫生专业人员应考虑各种人口、社会、语言和文化因素,例如参与者的英语语言熟练度低,并为该群体提供适当的支持,以确保更好的自我管理行为。 与主要利益相关者合作,根据个人和文化偏好定制干预措施,对于不同文化和种族群体的糖尿病前期和 2 型糖尿病成年移民至关重要。影响为目标人群,尤其是糖尿病前期人群开发和应用针对文化定制的自我管理干预措施,应该是未来研究的重要方向。没有患者或公众的贡献。