Views of children with diabetes from underserved communities, and their families on diabetes, glycaemic control and healthcare provision: A qualitative evidence synthesis

Abstract

AimsChildren and young people with diabetes (CYPD) from socio‐economically deprived and/or ethnic minority groups tend to have poorer glucose control and greater risk of diabetes‐related complications. In this systematic review of qualitative evidence (qualitative evidence synthesis ,QES) we aimed to explore the experiences and views of clinical encounters in diabetes care from the perspectives of CYPD and their family/carers from underserved communities and healthcare professionals in diabetes care.MethodsWe searched 6 databases to March 2022 with extensive search terms, and used a thematic synthesis following methods of Thomas and Harden.ResultsWe identified 7 studies and described 11 descriptive themes based on primary and secondary constructs. From these, three ‘analytical themes’ were developed. 1. ‘Alienation of CYPD’ relates to their social identity and interaction with peers, family and health service practitioners in the context of diabetes self‐ and family/carer management and is impacted by communication in the clinical encounter. 2.’ Empowerment of CYPD and family/carers’ explores families’ understanding of risks and consequences of diabetes and taking responsibility for self‐ and family/carer management in the context of their socio‐cultural background. 3. ‘Integration of diabetes (into self and family)’ focuses on the ability to integrate diabetes self‐management into the daily lives of CYPD and family/carers beyond the clinical consultation.ConclusionsThe analytical themes are interdependent and provide a conceptual framework from which to explore and strengthen the therapeutic alliance in clinical encounters and to foster greater concordance with treatment plans. Communicating the biomedical aspects of managing diabetes in the clinical encounter is important, but should be balanced with addressing socio‐emotional factors important to CYPD and family/carers.

Diabetes care and outcomes of pediatric refugees and migrants from Ukraine and Syria/Afghanistan with type 1 diabetes in German-speaking countries

“…The different years of arrival in the host country, but also socioeconomic and cultural aspects, in particular language barriers or dietary education based on European habits can explain some of the differences between refugees from Syria or Afghanistan and those from Ukraine. Healthcare providers and diabetologists should be aware of these differences between refugees with T1D, depending on their country of origin, to be able to adapt treatment and diabetes education to specific cultures and needs (21). For optimal diabetes control, culturally sensitive education and communication is necessary.…”

The possible effect of crude phenolic-rich extract from mushroom (Pleurotus ostreatus) on infertility induced by streptozotocin in rats fed a high-fat diet as a model of type 2 diabetes

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