- Title
- A systematic review of adherence to diabetes self-care behaviours: evidence from low- and middle-income countries
- Creator
- Mogre, Victor; Johnson, Natalie A.; Tzelepis, Flora; Shaw, Jonathan E.; Paul, Christine
- Relation
- Journal of Advanced Nursing Vol. 75, Issue 12, p. 3374-3389
- Publisher Link
- http://dx.doi.org/10.1111/jan.14190
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2019
- Description
- Aims: To determine diabetes patient's adherence to five self-care behaviours (diet, exercise; medication, self-monitoring of blood glucose [SMBG] and foot care) in low- and middle-income countries. Design: Systematic review. Data sources: We searched MEDLINE, CINAHL, PUBMED, SCOPUS, PsycINFO, EMBASE, Cochrane library and EMCARE for the period January 1990 - June 2017. Review Methods: Title, abstract and full text screening were done according to eligibility criteria. A narrative synthesis of the literature was conducted. Results: A total of 7,109 studies were identified of which 27 met the review eligibility criteria and were included. All the studies used self-report of adherence to diabetes self-care. Studies reported adherence rates in two major forms: (a)mean number of days participants performed a recommended dietary behaviour/activity during the past week; and (b)proportions of participants adhering to a recommended self-care behaviour. Mean number of days per week participants adhered to a self-care behaviour ranged from 2.34.6 days per week for diet, 5.5-6.8 days per week for medication, 1.8-5.7 days per week for exercise, 0.2-2.2 days per week for SMBG and 2.2-4.3 days per week for foot care. Adherence rates ranged from 29.9%-91.7% for diet, 26.0%-97.0% for medication taking, 26.7%-69.0% for exercise, 13.0%-79.9% for self-monitoring of blood glucose and 17.0%-77.4% for foot care. Conclusion: Although most diabetes patients do not adhere to recommended self-care behaviours, adherence rates vary widely and were found to be high in some instances. Impact: Health services in low- and middle-income countries should monitor adherence to diabetes self-care behaviours rather than assume adherence and resources should be invested in improving adherence to the self-care behaviours. Large-scale accurate monitoring of adherence to diabetes self-care behaviour is needed and consideration should be given to choice of measurement tool for such exercise.
- Subject
- adherence; compliance; developing countries; diabetes; low-and middle-income countries; nurse; nursing; self-care; self-management; systematic review; SDG 3; SDG 17; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1415968
- Identifier
- uon:36978
- Identifier
- ISSN:0309-2402
- Rights
- This is the peer reviewed version of the following article: Mogre, Victor; Johnson, Natalie A.; Tzelepis, Flora; Shaw, Jonathan E.; Paul, Christine. “A systematic review of adherence to diabetes self-care behaviours: evidence from low- and middle-income countries”. Journal of Advanced Nursing Vol. 75, Issue 12, p. 3374-3389 (2020), which has been published in final form at http://dx.doi.org/10.1111/jan.14190. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
- Language
- eng
- Full Text
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