Diabetes management interventions for homeless adults: a systematic review

Janice Constance and Joanne M. Lusher ()
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Janice Constance: London Metropolitan University
Joanne M. Lusher: University of the West of Scotland

International Journal of Public Health, 2020, vol. 65, issue 9, No 27, 1773-1783

Abstract: Abstract 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.

Keywords: Type 2 diabetes; Systematic review; Diabetes management (search for similar items in EconPapers)
Date: 2020
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DOI: 10.1007/s00038-020-01513-0

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