المؤلفون: Anne Sophie Mathiesen, Vibeke Zoffmann, Jane Lindschou, Janus Christian Jakobsen, Christian Gluud, Mette Due-Christensen, Bodil Rasmussen, Emilie Haarslev Schröder Marqvorsen, Trine Lund-Jacobsen, Tine Bruhn Skytte, Thordis Thomsen, Mette Juel Rothmann

المصدر: Systematic Reviews, Vol 12, Iss 1, Pp 1-22 (2023)

مصطلحات موضوعية: Quality of life, Diabetes distress, Glycated hemoglobin, Health education tools, Psychosocial support, Medicine

الوصف: Abstract Background Autonomy-supporting interventions, such as self-determination theory and guided self-determination interventions, may improve self-management and clinical and psychosocial outcomes in people with diabetes. Such interventions have never been systematically reviewed assessing both benefits and harms and concurrently controlling the risks of random errors using trial sequential analysis methodology. This systematic review investigates the benefits and harms of self-determination theory-based interventions compared to usual care in people with diabetes. Methods We used the Cochrane methodology. Randomized clinical trials assessing interventions theoretically based on guided self-determination or self-determination theory in any setting were eligible. A comprehensive search (latest search April 2022) was undertaken in CENTRAL, MEDLINE, Embase, LILACS, PsycINFO, SCI-EXPANDED, CINAHL, SSCI, CPCI-S, and CPCI-SSH to identify relevant trials. Two authors independently screened, extracted data, and performed risk-of-bias assessment of included trials using the Cochrane risk-of-bias tool 1.0. Our primary outcomes were quality of life, all-cause mortality, and serious adverse events. Our secondary outcomes were diabetes distress, depressive symptoms, and nonserious adverse events not considered serious. Exploratory outcomes were glycated hemoglobin and motivation (autonomy, controlled, amotivation). Outcomes were assessed at the end of the intervention (primary time point) and at maximum follow-up. The analyses were conducted using Review Manager 5.4 and Trial Sequential Analysis 0.9.5.10. Certainty of the evidence was assessed by GRADE. Results Our search identified 5578 potentially eligible studies of which 11 randomized trials (6059 participants) were included. All trials were assessed at overall high risk of bias. We found no effect of self-determination theory-based interventions compared with usual care on quality of life (mean difference 0.00 points, 95% CI −4.85, 4.86, I 2 = 0%; 225 participants, 3 trials, TSA-adjusted CI −11.83, 11.83), all-cause mortality, serious adverse events, diabetes distress, depressive symptoms, adverse events, glycated hemoglobulin A1c, or motivation (controlled). The certainty of the evidence was low to very low for all outcomes. We found beneficial effect on motivation (autonomous and amotivation; low certainty evidence). Conclusions We found no effect of self-determination-based interventions on our primary or secondary outcomes. The evidence was of very low certainty. Systematic review registration PROSPERO CRD42020181144

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2046-4053Test

الوصول الحر: https://doaj.org/article/5b4d12c812ce4d95831e423238f1685bTest

المؤلفون: Mathiesen, Anne Sophie, Zoffmann, Vibeke, Lindschou, Jane, Jakobsen, Janus Christian, Gluud, Christian, Due-Christensen, Mette, Rasmussen, Bodil, Marqvorsen, Emilie Haarslev Schröder, Lund-Jacobsen, Trine, Skytte, Tine Bruhn, Thomsen, Thordis, Rothmann, Mette Juel

المصدر: Mathiesen , A S , Zoffmann , V , Lindschou , J , Jakobsen , J C , Gluud , C , Due-Christensen , M , Rasmussen , B , Marqvorsen , E H S , Lund-Jacobsen , T , Skytte , T B , Thomsen , T & Rothmann , M J 2023 , ' Self-determination theory interventions versus usual care in people with diabetes : a systematic review with meta-analysis and trial sequential analysis ' , Systematic Reviews , vol. 12 , 158 . https://doi.org/10.1186/s13643-023-02308-zTest

مصطلحات موضوعية: Diabetes distress, Glycated hemoglobin, Health education tools, Psychosocial support, Quality of life, MEDLINE, Diabetes Mellitus/therapy, Humans, Glycopyrrolate

الوصف: Background: Autonomy-supporting interventions, such as self-determination theory and guided self-determination interventions, may improve self-management and clinical and psychosocial outcomes in people with diabetes. Such interventions have never been systematically reviewed assessing both benefits and harms and concurrently controlling the risks of random errors using trial sequential analysis methodology. This systematic review investigates the benefits and harms of self-determination theory-based interventions compared to usual care in people with diabetes. Methods: We used the Cochrane methodology. Randomized clinical trials assessing interventions theoretically based on guided self-determination or self-determination theory in any setting were eligible. A comprehensive search (latest search April 2022) was undertaken in CENTRAL, MEDLINE, Embase, LILACS, PsycINFO, SCI-EXPANDED, CINAHL, SSCI, CPCI-S, and CPCI-SSH to identify relevant trials. Two authors independently screened, extracted data, and performed risk-of-bias assessment of included trials using the Cochrane risk-of-bias tool 1.0. Our primary outcomes were quality of life, all-cause mortality, and serious adverse events. Our secondary outcomes were diabetes distress, depressive symptoms, and nonserious adverse events not considered serious. Exploratory outcomes were glycated hemoglobin and motivation (autonomy, controlled, amotivation). Outcomes were assessed at the end of the intervention (primary time point) and at maximum follow-up. The analyses were conducted using Review Manager 5.4 and Trial Sequential Analysis 0.9.5.10. Certainty of the evidence was assessed by GRADE. Results: Our search identified 5578 potentially eligible studies of which 11 randomized trials (6059 participants) were included. All trials were assessed at overall high risk of bias. We found no effect of self-determination theory-based interventions compared with usual care on quality of life (mean difference 0.00 points, 95% CI −4.85, 4.86, I 2 = 0%; 225 participants, 3 ...

وصف الملف: application/pdf

العلاقة: https://portal.findresearcher.sdu.dk/da/publications/6f095c3f-02fa-42c4-b074-41018a910465Test

الإتاحة: https://doi.org/10.1186/s13643-023-02308-zTest
https://portal.findresearcher.sdu.dk/da/publications/6f095c3f-02fa-42c4-b074-41018a910465Test
https://findresearcher.sdu.dk/ws/files/240376006/s13643_023_02308_z.pdfTest

المؤلفون: Ayelet Schor, Lucia Bergovoy-Yellin, Daniel Landsberger, Tania Kolobov, Orna Baron-Epel

المصدر: Israel Journal of Health Policy Research, Vol 8, Iss 1, Pp 1-11 (2019)

مصطلحات موضوعية: Primary care model, Preventive medicine measures, Health education tools, Multidisciplinary practice, Medicine (General), R5-920, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Preventive medicine and health education are among the strategies used in coping with chronic diseases. However, it is yet to be determined what effect do personal and organizational aspects have on its’ implementation in primary care. Methods A cross-sectional survey was conducted in order to assess and compare preventive medicine and health education activities in three types of primary care models: solo working independent physicians, nurse-physician collaborations and teamwork (nurses, dietitians and social workers working alongside a physician). Questionnaires were emailed to 1203 health professionals between September and November 2015, working at Maccabi Healthcare Services, the second largest Israeli healthcare organization. Self-reported rates of health education groups conducted, proactive appointments scheduling and self-empowerment techniques use during routine appointments, were compared among the three models. Independent variables included clinic size as well as health professionals’ occupation, health behaviors and training. A series of multivariate linear regressions were performed in order to identify predictors of preventive medicine and health education implementation. Computerized health records (CHR) validated our self-report data through data regarding patients’ health behaviours and outcomes, including health education group registration, adherence to occult blood tests and influenza vaccinations as well as blood lipid levels. Results Responders included physicians, nurses, dietitians and social workers working at 921 clinics (n = 516, response rate = 31%). Higher rates of proactive appointments scheduling and health education groups were found in the Teamwork and Collaboration models, compared to the Independent Physician Model. Occupation (nurses and dietitians), group facilitation training and personal screening adherence were identified as preventive medicine and health education implementation predictors. Group registration, occult blood tests, healthy population’s well-controlled blood lipids as well as influenza vaccinations among chronically ill patients were all significantly higher in the Teamwork and Collaboration models, compared to the Independent Physician Model. Conclusions The Teamwork and Collaboration models presented higher rates of preventive medicine and health education implementation as well as higher rates of patients’ positive health behaviours documented in these models. This suggests multidisciplinary primary care models may contribute to population’s health by enhancing preventive medicine and health education implementation alongside health professionals’ characteristics.

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s13584-019-0318-4Test; https://doaj.org/toc/2045-4015Test

الوصول الحر: https://doaj.org/article/248d7fb544dd4895b184b3bea8a8c654Test

المؤلفون: Mathiesen, Anne Sophie, Rothmann, Mette Juel, Zoffmann, Vibeke, Jakobsen, Janus Christian, Gluud, Christian, Lindschou, Jane, Due-Christensen, Mette, Rasmussen, Bodil, Marqvorsen, Emilie, Thomsen, Thordis

المصدر: Mathiesen , A S , Rothmann , M J , Zoffmann , V , Jakobsen , J C , Gluud , C , Lindschou , J , Due-Christensen , M , Rasmussen , B , Marqvorsen , E & Thomsen , T 2021 , ' Self-determination theory interventions versus usual care in people with diabetes : a protocol for a systematic review with meta-analysis and trial sequential analysis ' , Systematic Reviews , vol. 10 , 12 . https://doi.org/10.1186/s13643-020-01566-5Test

مصطلحات موضوعية: Depressive symptoms, Diabetes distress, Glycated haemoglobin, Guided self-determination method, Health education tools, Psychosocial support, Quality of life, Self-determination theory, Type 1 diabetes, Type 2 diabetes

الوصف: Background: Existing self-management and behavioural interventions for diabetes vary widely in their content, and their sustained long-term effectiveness is uncertain. Autonomy supporting interventions may be a prerequisite to achieve ‘real life’ patient engagement and more long-term improvement through shared decision-making and collaborative goal setting. Autonomy supportive interventions aim to promote that the person with diabetes’ motivation is autonomous meaning that the person strives for goals they themselves truly believe in and value. This is the goal of self-determination theory and guided self-determination interventions. Self-determination theory has been reviewed but without assessing both benefits and harms and accounting for the risk of random errors using trial sequential analysis. The guided self-determination has not yet been systematically reviewed. The aim of this protocol is to investigate the benefits and harms of self-determination theory-based interventions versus usual care in adults with diabetes. Methods/design: We will conduct the systematic review following The Cochrane Collaboration guidelines. This protocol is reported according to the PRISMA checklist. A comprehensive search will be undertaken in the CENTRAL, MEDLINE, EMBASE, LILACS, PsycINFO, SCI-EXPANDED, CINAHL, SSCI, CPCI-S and CPCI-SSH to identify relevant trials. We will include randomised clinical trials assessing interventions theoretically based on guided self-determination or self-determination theory provided face-to-face or digitally by any healthcare professional in any setting. The primary outcomes will be quality of life, mortality, and serious adverse events. The secondary will be diabetes distress, depressive symptoms and adverse events not considered serious. Exploratory outcomes will be glycated haemoglobin and motivation. Outcomes will be assessed at the end of the intervention and at maximum follow-up. The analyses will be performed using Stata version 16 and trial sequential analysis. Two authors will ...

وصف الملف: application/pdf

العلاقة: https://portal.findresearcher.sdu.dk/da/publications/9c4d87aa-34f8-425c-90de-50c950ad4bbaTest

الإتاحة: https://doi.org/10.1186/s13643-020-01566-5Test
https://portal.findresearcher.sdu.dk/da/publications/9c4d87aa-34f8-425c-90de-50c950ad4bbaTest
https://findresearcher.sdu.dk/ws/files/178090549/Open_Access_Version.pdfTest

المؤلفون: AS Mathiesen, MJ Rothmann, V Zoffmann, JC Jakobsen, C Gluud, J Lindschou, M Due-Christensen, Bodil Rasmussen, E Marqvorsen, T Thomsen

مصطلحات موضوعية: Science & Technology, Life Sciences & Biomedicine, Medicine, General & Internal, General & Internal Medicine, Type 1 diabetes, Type 2 diabetes, Self-determination theory, Guided self-determination method, Quality of life, Diabetes distress, Depressive symptoms, Glycated haemoglobin, Health education tools, Psychosocial support, RANDOMIZED CLINICAL-TRIALS, DESIGN CHARACTERISTICS, EMPIRICAL-EVIDENCE, INFORMATION SIZE, GLYCEMIC CONTROL, OBSERVER BIAS, QUALITY, ADULTS, LIFE, MOTIVATION, 4203 Health services and systems, 4205 Nursing

الوصف: Background Existing self-management and behavioural interventions for diabetes vary widely in their content, and their sustained long-term effectiveness is uncertain. Autonomy supporting interventions may be a prerequisite to achieve ‘real life’ patient engagement and more long-term improvement through shared decision-making and collaborative goal setting. Autonomy supportive interventions aim to promote that the person with diabetes’ motivation is autonomous meaning that the person strives for goals they themselves truly believe in and value. This is the goal of self-determination theory and guided self-determination interventions. Self-determination theory has been reviewed but without assessing both benefits and harms and accounting for the risk of random errors using trial sequential analysis. The guided self-determination has not yet been systematically reviewed. The aim of this protocol is to investigate the benefits and harms of self-determination theory-based interventions versus usual care in adults with diabetes. Methods/design We will conduct the systematic review following The Cochrane Collaboration guidelines. This protocol is reported according to the PRISMA checklist. A comprehensive search will be undertaken in the CENTRAL, MEDLINE, EMBASE, LILACS, PsycINFO, SCI-EXPANDED, CINAHL, SSCI, CPCI-S and CPCI-SSH to identify relevant trials. We will include randomised clinical trials assessing interventions theoretically based on guided self-determination or self-determination theory provided face-to-face or digitally by any healthcare professional in any setting. The primary outcomes will be quality of life, mortality, and serious adverse events. The secondary will be diabetes distress, depressive symptoms and adverse events not considered serious. Exploratory outcomes will be glycated haemoglobin and motivation. Outcomes will be assessed at the end of the intervention and at maximum follow-up. The analyses will be performed using Stata version 16 and trial sequential analysis. Two authors will ...

العلاقة: http://hdl.handle.net/10536/DRO/DU:30147226Test; https://figshare.com/articles/journal_contribution/Self-determination_theory_interventions_versus_usual_care_in_people_with_diabetes_a_protocol_for_a_systematic_review_with_meta-analysis_and_trial_sequential_analysis/20679376Test

الإتاحة: http://hdl.handle.net/10536/DRO/DU:30147226Test
https://figshare.com/articles/journal_contribution/Self-determination_theory_interventions_versus_usual_care_in_people_with_diabetes_a_protocol_for_a_systematic_review_with_meta-analysis_and_trial_sequential_analysis/20679376Test

المؤلفون: Fang-Suey Lin, Hong-Chun Shi

المصدر: Healthcare; Volume 8; Issue 3; Pages: 261

مصطلحات موضوعية: participatory action research, nasogastric tube, home care, medical graphics, PDSA, health education tools development

الوصف: Medical institutions provide guidance on caring skills for home caregivers. Oral teaching is combined with graphical tools in a method that has been proved to be an effective way of quickly mastering home caring skills and promotes effective learning for home caregivers. The graphic design and operation contents of this method are constantly revised through interviews and observations, and by carrying out home care application graphics it forms a spiral structure of Plan–Do–Study–Act (PDSA) participatory action research (PAR). In the three cycles of the operation of PDSA PAR, the designers accurately create graphics of the caring details based on the nurses’ demonstrations and develop health education tools that are suitable to provide continuous assistance and services in real-life situations. PAR combined with PDSA, in each of the three cycles of the operation—design personnel, medical personnel and home caregiver personnel, respectively—as the lead roles, guide the planning decisions for PAR. This study is a reference for the improvement and development of medical graphics for health education tools to improve accuracy.

وصف الملف: application/pdf

العلاقة: TeleHealth and Digital Healthcare; https://dx.doi.org/10.3390/healthcare8030261Test

الإتاحة: https://doi.org/10.3390/healthcare8030261Test

المؤلفون: Fang-Suey Lin, Hong-Chun Shi, Kwo-Ting Fang

المصدر: Healthcare; Volume 8; Issue 3; Pages: 205

مصطلحات موضوعية: pictorial health education tools, long-term home care, nurses and home caregivers, communication, case study, a qualitative perspective

الوصف: Regarding long-term home care needs, nurses need to communicate effectively and reasonably when teaching home caregivers. Designers can assist medical staff and develop pictorial tools to enhance communication. The purpose of this study is to explore a theoretical basis from the perspective of designers, patients’ home caregivers, and medical staff to construct a theoretical framework that can jointly develop pictorial health education tools and healthcare system. The qualitative methods, including in-depth interview and observation, are applied to this study; ground theory sets out to construct a framework from the verbatim transcript of the interviews. Based on interview results, six axial codes were extracted: (1) the method of interdisciplinary cooperation; (2) medical research ethics; (3) communication methods; (4) forms of health education tools; (5) development of health education tools; (6) home care intubation procedure. Eight groups of home caregivers offered suggestions from their experiences. The designers need to assist medical staff to solve real problems, pay attention to professional norms, and forms of cooperation. Health education tools need to meet the needs of medical staff and home caregivers and designers should pay attention to the processes of communication. This study can also assist in interdisciplinary cooperation to explore the theoretical basis of pictorial health education tools for nurses in the context of long-term care at home.

وصف الملف: application/pdf

العلاقة: TeleHealth and Digital Healthcare; https://dx.doi.org/10.3390/healthcare8030205Test

الإتاحة: https://doi.org/10.3390/healthcare8030205Test

المؤلفون: AS Mathiesen, V Zoffmann, J Lindschou, JC Jakobsen, C Gluud, M Due-Christensen, Bodil Rasmussen, EHS Marqvorsen, T Lund-Jacobsen, TB Skytte, T Thomsen, MJ Rothmann

مصطلحات موضوعية: Biomedical and clinical sciences, Health sciences, Health services and systems, Science & Technology, Life Sciences & Biomedicine, Medicine, General & Internal, General & Internal Medicine, Quality of life, Diabetes distress, Glycated hemoglobin, Health education tools, Psychosocial support, RANDOMIZED CLINICAL-TRIALS, PSYCHOSOCIAL INTERVENTIONS, EMPIRICAL-EVIDENCE, OBSERVER BIAS, QUALITY, OUTCOMES, ADULTS, LIFE, DISTRESS, YOUTH, Humans, Diabetes Mellitus, Glycopyrrolate, MEDLINE, Mind and Body, Clinical Research, Clinical Trials and Supportive Activities

الوصف: Background: Autonomy-supporting interventions, such as self-determination theory and guided self-determination interventions, may improve self-management and clinical and psychosocial outcomes in people with diabetes. Such interventions have never been systematically reviewed assessing both benefits and harms and concurrently controlling the risks of random errors using trial sequential analysis methodology. This systematic review investigates the benefits and harms of self-determination theory-based interventions compared to usual care in people with diabetes. Methods: We used the Cochrane methodology. Randomized clinical trials assessing interventions theoretically based on guided self-determination or self-determination theory in any setting were eligible. A comprehensive search (latest search April 2022) was undertaken in CENTRAL, MEDLINE, Embase, LILACS, PsycINFO, SCI-EXPANDED, CINAHL, SSCI, CPCI-S, and CPCI-SSH to identify relevant trials. Two authors independently screened, extracted data, and performed risk-of-bias assessment of included trials using the Cochrane risk-of-bias tool 1.0. Our primary outcomes were quality of life, all-cause mortality, and serious adverse events. Our secondary outcomes were diabetes distress, depressive symptoms, and nonserious adverse events not considered serious. Exploratory outcomes were glycated hemoglobin and motivation (autonomy, controlled, amotivation). Outcomes were assessed at the end of the intervention (primary time point) and at maximum follow-up. The analyses were conducted using Review Manager 5.4 and Trial Sequential Analysis 0.9.5.10. Certainty of the evidence was assessed by GRADE. Results: Our search identified 5578 potentially eligible studies of which 11 randomized trials (6059 participants) were included. All trials were assessed at overall high risk of bias. We found no effect of self-determination theory-based interventions compared with usual care on quality of life (mean difference 0.00 points, 95% CI −4.85, 4.86, I 2 = 0%; 225 participants, 3 ...

العلاقة: http://hdl.handle.net/10779/DRO/DU:24303121.v1Test; https://figshare.com/articles/journal_contribution/Self-determination_theory_interventions_versus_usual_care_in_people_with_diabetes_a_systematic_review_with_meta-analysis_and_trial_sequential_analysis/24303121Test

الإتاحة: http://hdl.handle.net/10779/DRO/DU:24303121.v1Test
https://figshare.com/articles/journal_contribution/Self-determination_theory_interventions_versus_usual_care_in_people_with_diabetes_a_systematic_review_with_meta-analysis_and_trial_sequential_analysis/24303121Test

المؤلفون: Orna Baron-Epel, Daniel Landsberger, Lucia Bergovoy-Yellin, Tania Kolobov, Ayelet Schor

المصدر: Israel Journal of Health Policy Research, Vol 8, Iss 1, Pp 1-11 (2019)
Israel Journal of Health Policy Research

مصطلحات موضوعية: medicine.medical_specialty, Primary care model, media_common.quotation_subject, education, 01 natural sciences, Health administration, Preventive medicine measures, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, Health care, medicine, Humans, Original Research Article, 030212 general & internal medicine, Israel, 0101 mathematics, Health Education, Health policy, Preventive healthcare, media_common, Teamwork, lcsh:R5-920, Primary Health Care, business.industry, Multidisciplinary practice, Health Policy, Public health, lcsh:Public aspects of medicine, 010102 general mathematics, Public Health, Environmental and Occupational Health, Health services research, Health education tools, lcsh:RA1-1270, Cross-Sectional Studies, Family medicine, Health education, business, lcsh:Medicine (General)

الوصف: Background Preventive medicine and health education are among the strategies used in coping with chronic diseases. However, it is yet to be determined what effect do personal and organizational aspects have on its’ implementation in primary care. Methods A cross-sectional survey was conducted in order to assess and compare preventive medicine and health education activities in three types of primary care models: solo working independent physicians, nurse-physician collaborations and teamwork (nurses, dietitians and social workers working alongside a physician). Questionnaires were emailed to 1203 health professionals between September and November 2015, working at Maccabi Healthcare Services, the second largest Israeli healthcare organization. Self-reported rates of health education groups conducted, proactive appointments scheduling and self-empowerment techniques use during routine appointments, were compared among the three models. Independent variables included clinic size as well as health professionals’ occupation, health behaviors and training. A series of multivariate linear regressions were performed in order to identify predictors of preventive medicine and health education implementation. Computerized health records (CHR) validated our self-report data through data regarding patients’ health behaviours and outcomes, including health education group registration, adherence to occult blood tests and influenza vaccinations as well as blood lipid levels. Results Responders included physicians, nurses, dietitians and social workers working at 921 clinics (n = 516, response rate = 31%). Higher rates of proactive appointments scheduling and health education groups were found in the Teamwork and Collaboration models, compared to the Independent Physician Model. Occupation (nurses and dietitians), group facilitation training and personal screening adherence were identified as preventive medicine and health education implementation predictors. Group registration, occult blood tests, healthy population’s well-controlled blood lipids as well as influenza vaccinations among chronically ill patients were all significantly higher in the Teamwork and Collaboration models, compared to the Independent Physician Model. Conclusions The Teamwork and Collaboration models presented higher rates of preventive medicine and health education implementation as well as higher rates of patients’ positive health behaviours documented in these models. This suggests multidisciplinary primary care models may contribute to population’s health by enhancing preventive medicine and health education implementation alongside health professionals’ characteristics.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7544e58252c7ae97d913c0548a8cf2f0Test
http://link.springer.com/article/10.1186/s13584-019-0318-4Test

المؤلفون: Bodil Rasmussen, Jane Lindschou, Janus Christian Jakobsen, Thordis Thomsen, Vibeke Zoffmann, Emilie Marqvorsen, Mette Due-Christensen, Anne Sophie Mathiesen, Mette Juel Rothmann, Christian Gluud

المصدر: Systematic Reviews
Mathiesen, A S, Rothmann, M J, Zoffmann, V, Jakobsen, J C, Gluud, C, Lindschou, J, Due-Christensen, M, Rasmussen, B, Marqvorsen, E & Thomsen, T 2021, ' Self-determination theory interventions versus usual care in people with diabetes : a protocol for a systematic review with meta-analysis and trial sequential analysis ', Systematic Reviews, vol. 10, 12 . https://doi.org/10.1186/s13643-020-01566-5Test
Mathiesen, A S, Rothmann, M J, Zoffmann, V, Jakobsen, J C, Gluud, C, Lindschou, J, Due-Christensen, M, Rasmussen, B, Marqvorsen, E & Thomsen, T 2021, ' Self-determination theory interventions versus usual care in people with diabetes : a protocol for a systematic review with meta-analysis and trial sequential analysis ', Systematic Reviews, vol. 10, no. 1, 12 . https://doi.org/10.1186/s13643-020-01566-5Test
Systematic Reviews, Vol 10, Iss 1, Pp 1-13 (2021)

مصطلحات موضوعية: Quality of life, Adult, MEDLINE, Psychological intervention, lcsh:Medicine, Medicine (miscellaneous), 030209 endocrinology & metabolism, CINAHL, PsycINFO, 03 medical and health sciences, 0302 clinical medicine, Quality of life (healthcare), Nursing, Meta-Analysis as Topic, Protocol, Diabetes Mellitus, Medicine, Humans, 030212 general & internal medicine, Goal setting, Glycated Hemoglobin, business.industry, lcsh:R, Depressive symptoms, Psychosocial support, Glycated haemoglobin, Type 2 diabetes, Health education tools, Guided self-determination method, Self-determination theory, Clinical trial, Diabetes distress, Type 1 diabetes, Meta-analysis, Personal Autonomy, business, Systematic Reviews as Topic

الوصف: Background Existing self-management and behavioural interventions for diabetes vary widely in their content, and their sustained long-term effectiveness is uncertain. Autonomy supporting interventions may be a prerequisite to achieve ‘real life’ patient engagement and more long-term improvement through shared decision-making and collaborative goal setting. Autonomy supportive interventions aim to promote that the person with diabetes’ motivation is autonomous meaning that the person strives for goals they themselves truly believe in and value. This is the goal of self-determination theory and guided self-determination interventions. Self-determination theory has been reviewed but without assessing both benefits and harms and accounting for the risk of random errors using trial sequential analysis. The guided self-determination has not yet been systematically reviewed. The aim of this protocol is to investigate the benefits and harms of self-determination theory-based interventions versus usual care in adults with diabetes. Methods/design We will conduct the systematic review following The Cochrane Collaboration guidelines. This protocol is reported according to the PRISMA checklist. A comprehensive search will be undertaken in the CENTRAL, MEDLINE, EMBASE, LILACS, PsycINFO, SCI-EXPANDED, CINAHL, SSCI, CPCI-S and CPCI-SSH to identify relevant trials. We will include randomised clinical trials assessing interventions theoretically based on guided self-determination or self-determination theory provided face-to-face or digitally by any healthcare professional in any setting. The primary outcomes will be quality of life, mortality, and serious adverse events. The secondary will be diabetes distress, depressive symptoms and adverse events not considered serious. Exploratory outcomes will be glycated haemoglobin and motivation. Outcomes will be assessed at the end of the intervention and at maximum follow-up. The analyses will be performed using Stata version 16 and trial sequential analysis. Two authors will independently screen, extract data from and perform risk of bias assessment of included studies using the Cochrane risk of bias tool. Certainty of the evidence will be assessed by GRADE. Discussion Self-determination theory interventions aim to promote a more autonomous patient engagement and are commonly used. It is therefore needed to evaluate the benefit and harms according to existing trials. Systematic review registration PROSPERO CRD42020181144

وصف الملف: application/pdf

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4ced2fa6ce833708f7e035fd4f0ca9cbTest
http://europepmc.org/articles/PMC7791693Test