Voices of Wisdom: Geriatric Interviews on Self-Management of Type 2 Diabetes in the United States—A Systematic Review and Metasynthesis

This review is aimed at unraveling the intricacies of diabetic self-management among geriatric people, drawing on current insights and understanding the complex paths geriatric people navigate. A wide search was conducted in health-oriented databases, including CINAHL, Embase, PsycINFO, MEDLINE, Pub...

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Main Authors: David F. Lo, Ahmed Gawash, Kunal P. Shah, Jasmine Emanuel, Brandon Goodwin, Don D. Shamilov, Gaurav Kumar, Nathan Jean, Christian P. White
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2024/2673742
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author David F. Lo
Ahmed Gawash
Kunal P. Shah
Jasmine Emanuel
Brandon Goodwin
Don D. Shamilov
Gaurav Kumar
Nathan Jean
Christian P. White
author_facet David F. Lo
Ahmed Gawash
Kunal P. Shah
Jasmine Emanuel
Brandon Goodwin
Don D. Shamilov
Gaurav Kumar
Nathan Jean
Christian P. White
author_sort David F. Lo
collection DOAJ
description This review is aimed at unraveling the intricacies of diabetic self-management among geriatric people, drawing on current insights and understanding the complex paths geriatric people navigate. A wide search was conducted in health-oriented databases, including CINAHL, Embase, PsycINFO, MEDLINE, PubMed, Web of Science, and Cochrane Library, while gray literature was excluded. The search combined keywords and subject headings, focusing on the geriatric population, diabetes, self-management, and qualitative research. A three-tiered screening process was employed, with titles and then abstracts initially reviewed. Full-text analysis followed, with disagreements resolved among reviewers. In total, there were 248 participants included across these eight studies. Positive attitudes and perceptions were found to play a significant role in optimizing diabetes self-care outcomes. Support from family and friends was identified as crucial for self-care, while healthcare professionals often lacked adequate support and encouragement. Participants emphasized the importance of listening to their bodies and acknowledging hidden issues. These themes collectively highlight the multifaceted aspects of diabetes self-care and the impact of various factors on the self-management experiences of geriatric individuals with diabetes. The goal of this review is not to objectify self-management as a treatment strategy but to emphasize the importance of cultivating positive attitudes, respecting individual values, and addressing cultural and ethnic differences in healthcare practices to enhance self-management in this population. By embracing cultural diversity, understanding barriers, and respecting individual values, healthcare professionals and policymakers can improve the quality of life for the geriatric population living with diabetes.
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spelling doaj-art-98d36f231b8643e7b83e9174b53272b32025-02-03T07:23:26ZengWileyJournal of Diabetes Research2314-67532024-01-01202410.1155/2024/2673742Voices of Wisdom: Geriatric Interviews on Self-Management of Type 2 Diabetes in the United States—A Systematic Review and MetasynthesisDavid F. Lo0Ahmed Gawash1Kunal P. Shah2Jasmine Emanuel3Brandon Goodwin4Don D. Shamilov5Gaurav Kumar6Nathan Jean7Christian P. White8New Jersey Institute for Successful AgingNew Jersey Institute for Successful AgingNew Jersey Institute for Successful AgingNew Jersey Institute for Successful AgingNew Jersey Institute for Successful AgingNew Jersey Institute for Successful AgingNew Jersey Institute for Successful AgingDepartment of BiologyNew Jersey Institute for Successful AgingThis review is aimed at unraveling the intricacies of diabetic self-management among geriatric people, drawing on current insights and understanding the complex paths geriatric people navigate. A wide search was conducted in health-oriented databases, including CINAHL, Embase, PsycINFO, MEDLINE, PubMed, Web of Science, and Cochrane Library, while gray literature was excluded. The search combined keywords and subject headings, focusing on the geriatric population, diabetes, self-management, and qualitative research. A three-tiered screening process was employed, with titles and then abstracts initially reviewed. Full-text analysis followed, with disagreements resolved among reviewers. In total, there were 248 participants included across these eight studies. Positive attitudes and perceptions were found to play a significant role in optimizing diabetes self-care outcomes. Support from family and friends was identified as crucial for self-care, while healthcare professionals often lacked adequate support and encouragement. Participants emphasized the importance of listening to their bodies and acknowledging hidden issues. These themes collectively highlight the multifaceted aspects of diabetes self-care and the impact of various factors on the self-management experiences of geriatric individuals with diabetes. The goal of this review is not to objectify self-management as a treatment strategy but to emphasize the importance of cultivating positive attitudes, respecting individual values, and addressing cultural and ethnic differences in healthcare practices to enhance self-management in this population. By embracing cultural diversity, understanding barriers, and respecting individual values, healthcare professionals and policymakers can improve the quality of life for the geriatric population living with diabetes.http://dx.doi.org/10.1155/2024/2673742
spellingShingle David F. Lo
Ahmed Gawash
Kunal P. Shah
Jasmine Emanuel
Brandon Goodwin
Don D. Shamilov
Gaurav Kumar
Nathan Jean
Christian P. White
Voices of Wisdom: Geriatric Interviews on Self-Management of Type 2 Diabetes in the United States—A Systematic Review and Metasynthesis
Journal of Diabetes Research
title Voices of Wisdom: Geriatric Interviews on Self-Management of Type 2 Diabetes in the United States—A Systematic Review and Metasynthesis
title_full Voices of Wisdom: Geriatric Interviews on Self-Management of Type 2 Diabetes in the United States—A Systematic Review and Metasynthesis
title_fullStr Voices of Wisdom: Geriatric Interviews on Self-Management of Type 2 Diabetes in the United States—A Systematic Review and Metasynthesis
title_full_unstemmed Voices of Wisdom: Geriatric Interviews on Self-Management of Type 2 Diabetes in the United States—A Systematic Review and Metasynthesis
title_short Voices of Wisdom: Geriatric Interviews on Self-Management of Type 2 Diabetes in the United States—A Systematic Review and Metasynthesis
title_sort voices of wisdom geriatric interviews on self management of type 2 diabetes in the united states a systematic review and metasynthesis
url http://dx.doi.org/10.1155/2024/2673742
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