2023-09-28 14:46:10 +00:00
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abstract: 'Background Indigenous peoples in high income countries are
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disproportionately affected by Type 2 Diabetes. Socioeconomic
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disadvantages and inadequate access to appropriate healthcare are
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important contributors.
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Objectives This systematic review investigates effective designs of
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primary care management of Type 2 Diabetes for Indigenous adults in
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Australia, Canada, New Zealand, and the United States. Primary outcome
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was change in mean glycated haemoglobin. Secondary outcomes were
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diabetes-related hospital admission rates, treatment compliance, and
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change in weight or Body Mass Index.
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Methods Included studies were critically appraised using Joanna Briggs
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Institute appraisal checklists. A mixed-method systematic review was
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undertaken. Quantitative findings were compared by narrative synthesis,
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meta-aggregation of qualitative factors was performed.
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Results Seven studies were included. Three reported statistically
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significant reductions in means HbA1c following their intervention.
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Seven components of effective interventions were identified. These were:
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a need to reduce health system barriers to facilitate access to primary
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care (which the other six components work towards), an essential role
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for Indigenous community consultation in intervention planning and
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implementation, a need for primary care programs to account for and
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adapt to changes with time in barriers to primary care posed by the
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health system and community members, the key role of community-based
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health workers, Indigenous empowerment to facilitate community and
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self-management, benefit of short-intensive programs, and benefit of
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group-based programs.
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Conclusions This study synthesises a decade of data from communities
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with a high burden of Type 2 Diabetes and limited research regarding
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health system approaches to improve diabetes-related outcomes.
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Policymakers should consider applying the seven identified components of
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effective primary care interventions when designing primary care
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approaches to mitigate the impact of Type 2 Diabetes in Indigenous
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populations. More robust and culturally appropriate studies of Type 2
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Diabetes management in Indigenous groups are needed.
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Trail registration Registered with PROSPERO (02/04/2021:
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CRD42021240098).'
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affiliation: 'Chopra, S (Corresponding Author), Princess Alexandra Hosp, Brisbane,
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Qld, Australia.
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Chopra, S (Corresponding Author), Univ Queensland, Brisbane, Qld, Australia.
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Chopra, Sahil, Princess Alexandra Hosp, Brisbane, Qld, Australia.
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Chopra, Sahil, Univ Queensland, Brisbane, Qld, Australia.
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Lahiff, Tahne Joseph, Royal Brisbane \& Womens Hosp, Brisbane, Qld, Australia.
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Franklin, Richard, James Cook Univ, Coll Publ Hlth Med \& Vet Sci, Townsville, Qld,
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Australia.
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Brown, Alex, Australian Natl Univ, Indigenous Genom, Nedlands, WA, Australia.
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Brown, Alex, Telethon Kids Inst, Nedlands, WA, Australia.
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Rasalam, Roy, Queensland Hlth, Publ Hlth Med, Townsville, Qld, Australia.'
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article-number: e0276396
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author: Chopra, Sahil and Lahiff, Tahne Joseph and Franklin, Richard and Brown, Alex
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and Rasalam, Roy
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author-email: sahilchopra018@gmail.com
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author_list:
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- family: Chopra
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given: Sahil
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- family: Lahiff
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given: Tahne Joseph
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- family: Franklin
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given: Richard
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- family: Brown
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given: Alex
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- family: Rasalam
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given: Roy
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da: '2023-09-28'
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doi: 10.1371/journal.pone.0276396
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files: []
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issn: 1932-6203
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journal: PLOS ONE
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keywords-plus: HEALTH-CARE; AMERICAN-INDIANS; CHALLENGES; BARRIERS; CANADA; PEOPLE
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language: English
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month: NOV 10
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number: '11'
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number-of-cited-references: '55'
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orcid-numbers: 'Rasalam, Roy/0000-0002-6822-7936
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Franklin, Richard Charles/0000-0003-1864-4552
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Brown, Alex/0000-0003-2112-3918
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Chopra, Sahil/0000-0002-7835-9131
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Lahiff, Tahne/0000-0003-4873-6802'
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papis_id: 7ef9b78754c8965a3cf7047dc7863500
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ref: Chopra2022effectiveprimary
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researcherid-numbers: 'Rasalam, Roy/N-4558-2017
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Brown, Alex D/E-8614-2010
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Brown, Allison/JCO-5157-2023
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Franklin, Richard Charles/H-1731-2012
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'
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tags:
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- review
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times-cited: '0'
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title: 'Effective primary care management of type 2 diabetes for indigenous populations:
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A systematic review'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000926098800023
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usage-count-last-180-days: '4'
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usage-count-since-2013: '5'
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volume: '17'
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web-of-science-categories: Multidisciplinary Sciences
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year: '2022'
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