Communication strategies in the prevention of type 2 diabetes and gestational diabetes in vulnerable groups: a scoping review

The global prevalence of diabetes is nearly 9%, with an upward trend in type 2 diabetes mellitus (T2DM) and gestational diabetes (GDM). Although evidence shows that vulnerable groups are affected disproportionally, these groups are difficult to reach in terms of preventive measures. Currently, there...

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Bibliographic Details
Published in:	Systematic reviews Vol. 10; no. 1; p. 301
Main Authors:	Breuing, Jessica, Joisten, Christine, Neuhaus, Annika Lena, Heß, Simone, Kusche, Lena, Haas, Fabiola, Spiller, Mark, Pieper, Dawid
Format:	Journal Article
Language:	English
Published:	England BioMed Central 24-11-2021 BMC
Subjects:	Aged Communication Communication strategies Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - prevention & control Diabetes, Gestational - prevention & control Female Gestational diabetes Handicapped accessibility Health care Health education Homeless people Humans Lifestyles Mental disorders Mortality Native peoples Population Pregnancy Prevention Public health Socioeconomic factors Transients and Migrants Type 2 diabetes mellitus Vulnerable groups United States > US Germany Prevention Vulnerable groups Type 2 diabetes mellitus Communication strategies
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Summary:	The global prevalence of diabetes is nearly 9%, with an upward trend in type 2 diabetes mellitus (T2DM) and gestational diabetes (GDM). Although evidence shows that vulnerable groups are affected disproportionally, these groups are difficult to reach in terms of preventive measures. Currently, there is no gold standard regarding communication strategies and/or public awareness campaigns. We conducted a scoping review in September 2019. Two reviewers independently screened the results of the electronic literature search in several databases, including Medline, EMBASE, and PsycINFO. Extracted data were charted, categorized, and summarized. All of the included articles (n=24) targeted T2DM; none targeted GDM. We identified the following five different vulnerable groups within the identified studies: migrants (n=9), ethnic groups such as African Americans (n=8), people with low socioeconomic status (n=3), older people (n=1), and people in need of care (n=1). Three categories of communication strategies were identified as follows: adapted diabetes prevention programs (n=21), community health workers (n=5), and technical approaches (n=9). We found different approaches for preventive interventions for T2DM. Some of these approaches were already adapted to known barriers. Communication strategies should be adapted to barriers and facilitating factors to increase participation and motivation.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	2046-4053 2046-4053
DOI:	10.1186/s13643-021-01846-8