Diabetes management interventions for homeless adults: a systematic review

Constance, Janice and Lusher, Joanne (2020) Diabetes management interventions for homeless adults: a systematic review. International Journal of Public Health, 65 (9). pp. 1773-1783. ISSN 1661-8564

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Official URL: https://doi.org/10.1007/s00038-020-01513-0

Abstract / Description

Objectives:
Recent studies investigating diabetes show that inequalities to access appropriate care still persists. Whilst most of the general population are able to access a suitable quality of care, there are a number of groups who fail to receive the same standard. The objective of this review was to identify existing diabetes management interventions for homeless adults.

Methods:
A literature search was conducted in February 2017, and repeated in September 2020.

Results:
Of the 223 potentially relevant articles identified, only 26 were retrieved for detailed evaluation, and 6 met the inclusion criteria. Papers focusing on the management of diabetes in homeless people were included. The studies used interventions including diabetes education; medication support and supplies for blood monitoring; improvements in self-care behaviours; improvements in diabetes control; patient empowerment/engagement; and community engagement/partnerships.

Conclusions:
Effective strategies for addressing the challenges and obstacles that the homeless population face, requires innovative, multi-sectored, flexible and well-coordinated models of care. Without appropriate support, these groups of people are prone to experience poor control of their diabetes; resulting in an increased risk of developing major health complications.

Item Type: Article
Additional Information: ** From Springer Nature via Jisc Publications Router
Uncontrolled Keywords: Type 2 diabetes; systematic review; Diabetes management
Subjects: 600 Technology > 610 Medicine & health
Department: School of Social Sciences
SWORD Depositor: Pub Router
Depositing User: Pub Router
Date Deposited: 11 Dec 2020 12:46
Last Modified: 11 Dec 2020 12:46
URI: http://repository.londonmet.ac.uk/id/eprint/6214

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