Interventions for improved diabetes control and self-management among those experiencing homelessness: protocol for a mixed methods scoping review

Abstract Background Diabetes is a chronic medical condition that requires patients to be actively engaged in intensive self-management to achieve optimal clinical outcomes. Unfortunately, individuals who are experiencing homelessness often struggle to manage diabetes and consequently suffer numerous and severe complicationsâ both acute and chronic. There are many barriers to optimal diabetes self-management among this population, and this may be exacerbated by the lack of tailoring and customization of care to this unique population. Given this disconnect, it is likely that many organizations have attempted to provide specialized innovations for this populationâ which may or may not be reported in the formal literature. Our objective is to perform a scoping review to summarize and synthesize the experiences of those who have attempted to provide tailored interventions. Methods We propose a mixed methods scoping review that will include both a formal search of the published literature (MEDLINE, CINAHL, EMBASE, Web of Science, Scopus) and a thorough search of the grey literature. Eligible articles and documents are those that report on an intervention or guideline for the management of diabetes among those experiencing homelessness. All titles and abstracts will undergo duplicate review, as will the full article/document. We will include any report that either includes a description of an intervention or provides recommendations for the treatment of individuals who are homeless with diabetes. We will extract both qualitative and quantitative data for analysis and interpretation. Meta-analysis will not be performed. Discussion Those experiencing homelessness who also have diabetes often struggle to manage their chronic condition. When care is tailored to suit their needs, it is feasible that outcomes may be improved. By collating and synthesizing information from diverse organizations and jurisdictions, we hope to facilitate the sharing of knowledge with others who wish to provide this type of care.

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PID https://www.doi.org/10.6084/m9.figshare.c.4479470
PID https://www.doi.org/10.6084/m9.figshare.c.4479470.v1
URL http://dx.doi.org/10.6084/m9.figshare.c.4479470.v1
URL http://dx.doi.org/10.6084/m9.figshare.c.4479470
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Author Campbell, David
Author Campbell, Rachel
Author Ziegler, Carolyn
Author McBrien, Kerry
Author Hwang, Stephen
Author Booth, Gillian
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Collected From Datacite
Hosted By figshare
Publication Date 2019-01-01
Publisher Figshare
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Language UNKNOWN
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keyword FOS: Health sciences
system:type other
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Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::5bec2899b2e50e432706cb40d5990067
Author jsonws_user
Last Updated 18 December 2020, 10:02 (CET)
Created 18 December 2020, 10:02 (CET)