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. 2015 Oct;18(5):625-42.
doi: 10.1111/hex.12080. Epub 2013 May 27.

A systematic review of research into black and ethnic minority patients' views on self-management of type 2 diabetes

Rabiya Majeed-Ariss  1 , Cath Jackson  1 , Peter Knapp  1 , Francine M Cheater  1
Affiliations

A systematic review of research into black and ethnic minority patients' views on self-management of type 2 diabetes

Rabiya Majeed-Ariss et al. Health Expect. 2015 Oct.

Abstract

Context: Eliciting patients' views of type 2 diabetes self-management provides insights on how policy and services might better support the needs of this population.

Objective: To synthesize black and ethnic minority patients' views on the barriers and facilitators influencing the self-management of type 2 diabetes.

Search strategy: A systematic search of international literature published in nine electronic databases was undertaken in 2008. Search strategies used both MeSH and free-text terms. Two relevant journals were also hand searched.

Inclusion criteria: Any primary empirical study published in the English language since 1986 that reported black and ethnic minority patients' views on type 2 diabetes self-management.

Data extraction and synthesis: Data were extracted and study quality was formally assessed. Data were analysed using thematic synthesis.

Main results: Fifty-seven studies were included, of qualitative (n = 54), mixed-method (n = 2) or quantitative (n = 1) design. Studies were from North America (n = 41), Europe (n = 14) and Australia (n = 2), including 1735 participants in total. Three analytical themes emerged: 'Importance of identity'; 'Being understood by others' and 'Making sense of condition', all linked conceptually under the overarching theme 'Sense of self'. The quality of the studies varied.

Discussion and conclusions: The findings provide insight into what black and minority ethnic people regard as the barriers to, and facilitators of self-management, as opposed to what health professionals, policy makers and trial researchers may have assumed. Recognition of the views of people with diabetes is essential for the design and delivery of patient-centred care and policies.

Keywords: ethnicity; minority; qualitative; self-management; systematic review; type 2 diabetes.

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Figures

Figure 1
Figure 1
A flow chart of study selection. *These numbers relate to a broad search strategy that was used to identify studies for this ‘views’ review and the linked ‘interventions’ review.
Figure 2
Figure 2
Identified descriptive and analytical themes.
See this image and copyright information in PMC

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