Facilitators and barriers for lifestyle change in people with prediabetes: a meta-synthesis of qualitative studies.
Facilitators and barriers for lifestyle change in people with prediabetes: a meta-synthesis of qualitative studies.
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DOI：
10.1186/s12889-022-12885-8
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发表时间：
2022-03-21
影响因子：
4.5
通讯作者：
Hilde G
中科院分区：
文献类型：
--
作者：
Skoglund G;Nilsson BB;Olsen CF;Bergland A;Hilde G
2型糖尿病在全球范围内的发病率不断增加，是一个主要的全球公共卫生问题。糖尿病前期是一种可逆的疾病，被视为预防2型糖尿病的关键阶段。本研究的目的是确定和综合目前的证据，在糖尿病前期患者的生活方式改变的感知障碍和促进因素的初始变化和生活方式的改变维护。于2021年4月在六个书目数据库中进行了系统性文献检索。根据预先设定的标准评估潜在研究的合格性。对纳入的研究进行了质量评价，并采用专题综合法对纳入研究的数据进行了综合分析。包括20项主要研究，包含552人的经验。13项研究报告了参与者在参加以社区为基础的生活方式干预计划时对生活方式改变的促进者和障碍的看法，而7项研究报告了通过与医疗保健专业人员协商（不涉及干预）对生活方式改变的促进者和障碍的看法。三个分析主题照亮了感知的障碍和促进者的生活方式的改变：1）个人的评价的重要性，发起生活方式的改变，2）第二个主题是战略和应对机制，维持生活方式的改变和3）最后一个主题是支持的关系和环境的意义，在发起和维持生活方式的改变。对前驱糖尿病的认识及其相关风险的感知影响了2型糖尿病风险人群改变生活方式的动机;但这并不一定会导致生活方式的改变。生活方式改变的促进者和障碍被发现在多个生态水平内，包括人际、个人、环境和政策水平，处于复杂的相互作用中。对生活方式改变的感知障碍和促进因素的综合理解和分析可能会告知前驱糖尿病患者，医疗保健专业人员和政策制定者需要为这一人群提供心理，社会和环境支持。在线版本包含补充材料，可通过10.1186/s12889-022-12885-8获得。
The increasing prevalence of type 2 diabetes worldwide is a major global public health concern. Prediabetes is a reversible condition and is seen as the critical phase for the prevention of type 2 diabetes. The aim of this study is to identify and synthesize current evidence on the perceived barriers and facilitators of lifestyle change among people with prediabetes in terms of both initial change and lifestyle change maintenance. A systematic literature search in six bibliographic databases was conducted in April 2021. Potential studies were assessed for eligibility based on pre-set criteria. Quality appraisal was done on the included studies, and the thematic synthesis approach was applied to synthesize and analyse the data from the included studies. Twenty primary studies were included, containing the experiences of 552 individuals. Thirteen studies reported participants perceived facilitators and barriers of lifestyle change when taking part in community-based lifestyle intervention programs, while seven studies reported on perceived facilitators and barriers of lifestyle change through consultations with health care professionals (no intervention involved). Three analytical themes illuminating perceived barriers and facilitators for lifestyle change were identified: 1) the individual’s evaluation of the importance of initiating lifestyle change, 2) the second theme was strategies and coping mechanisms for maintaining lifestyle changes and 3) the last theme was the significance of supportive relations and environments in initiating and maintaining lifestyle change. Awareness of prediabetes and the perception of its related risks affects the motivation for lifestyle change in people at risk of type 2 diabetes; but this does not necessarily lead to lifestyle changes. Facilitators and barriers of lifestyle change are found to be in a complex interplay within multiple ecological levels, including the interpersonal, intrapersonal, environmental and policy level. An integrated understanding and analysis of the perceived barriers and facilitators of lifestyle change might inform people with prediabetes, healthcare professionals, and policy makers in terms of the need for psychological, social, and environmental support for this population. The online version contains supplementary material available at 10.1186/s12889-022-12885-8.
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影响因子：
1.6
作者：
Dyer KE;Moreau JL PhD, MPH;Finley E PhD, MPH;Bean-Mayberry B MD, MHS;Farmer MM;Bernet D MS, RDN;Kress A MS, RD, LDN;Lewis JL;Batuman FK MD, FACP;Haskell SG;Hamilton AB PhD, MPH;Moin T MD, MBA, MSHS
通讯作者：
Moin T MD, MBA, MSHS
影响因子：
2.9
作者：
Coppell, Kirsten J.;Abel, Sally L.;Whitehead, Lisa C.
通讯作者：
Whitehead, Lisa C.
影响因子：
1.9
作者：
Hansen, Elisabeth;Landstad, Bodil J.;Svebak, Sven
通讯作者：
Svebak, Sven
影响因子：
2.5
作者：
Bean, Corliss;Dineen, Tineke;Jung, Mary E.
通讯作者：
Jung, Mary E.
影响因子：
9.3
作者：
Barry E;Greenhalgh T;Fahy N
通讯作者：
Fahy N