Self-management interventions among community-dwelling older adults with type 2 diabetes mellitus: a scoping review protocol

BMJ Open. 2024 Aug 24;14(8):e084743. doi: 10.1136/bmjopen-2024-084743.

Abstract

Background: Globally, the number of older adults is increasing rapidly; simultaneously, there is an epidemiological shift toward chronic diseases. One such chronic disease is type 2 diabetes mellitus (DM) which is caused either by the inability to produce insulin or due to the ineffective use of insulin. In recent years, self-management programmes for chronic conditions have gained importance, especially among occupational therapists. Though there is an increasing focus on 'self-management interventions' among older adults, there is still a lack of such interventions for older adults with type 2 DM in low- or middle-income countries (LMICs).

Objectives: Summarise the existing literature on self-management intervention programmes for community-dwelling older adults with type 2 DM; identify the principles, practices and criteria that define a self-management intervention programme for community-dwelling older adults with type 2 DM in LMICs.

Methods: This present study will be a scoping review, combining quantitative and qualitative literature with a parallel results convergent synthesis design. The synthesis applies to analysing existing principles and practices that influence the selection and application of 'diabetes self-management intervention' among older adults in community settings with type 2 DM in LMICs.

Ethics and dissemination: As a secondary analysis, this scoping review does not require ethics approval. The final review results will be submitted for publication in a peer-reviewed journal in the rehabilitation, diabetes, occupational therapy or health promotion-related fields. Other dissemination strategies may be an oral presentation at international conferences or through various social media networks.

Keywords: aged; diabetes & endocrinology; health education; primary health care; rehabilitation medicine.

MeSH terms

  • Aged
  • Developing Countries
  • Diabetes Mellitus, Type 2* / therapy
  • Humans
  • Independent Living*
  • Research Design
  • Review Literature as Topic
  • Self-Management* / methods