Marghalara Rashid, Nicole Arseneau, Tibetha Kemble, Mosom Patrick Lightning, Karen L Forbes
Exploring medical students' experiences with indigenous patient care: a phenomenological study
Medical education online
number people living diabetes rising worldwide higher prevalence diabetes linked experiencing socioeconomic deprivation selfmanagement strategies vital known reduce risks longterm complications amongst people living diabetes lack knowledge selfcare activity required manage diabetes key barrier successful selfmanagement selfmanagement interventions less effective socioeconomically deprived populations increase risk exacerbating health inequalities purpose review identify synthesise qualitative evidence barriers facilitators selfmanagement diabetes amongst people socioeconomically disadvantaged medline embase amed psycinfo cinahl plus searched qualitative studies concerning selfmanagement multiple longterm conditions amongst socioeconomically disadvantaged populations relevant papers focused diabetes identified data coded thematically synthesised using nvivo search results 79 qualitative studies identified fulltext screening 26 studies included final thematic analysis two overarching analytical themes identified alongside set subthemes 1 socioeconomic barriers diabetes selfmanagement healthcare costs financial costs healthy eating cultural influences living areas deprivation competing priorities time constraints health literacy 2 facilitators diabetes selfmanagement lifestyle goals support healthcare providers informal support selfmanagement diabetes challenging people experiencing socioeconomic deprivation due barriers associated living areas deprivation financial barriers surrounding healthcare medication healthy food support healthcare providers facilitate selfmanagement important people diabetes access interventions designed inclusive cultural perspective well affordable patient advisory group contributed research questions interpretation qualitative findings reflecting themes developed