Adherence to Therapeutic Regimen for People with Diabetes Through the Implementation of Continuous Quality Improvement Projects – Scoping Review
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https://orcid.org/0000-0003-3184-3281
Graça Quaresma
https://orcid.org/0000-0001-8567-0983
Pedro Lucas
https://orcid.org/0000-0002-2560-7306
Abstract
Introduction: Diabetes mellitus is one of the major global health problems, estimated worldwide as one of the four groups of chronic diseases responsible for the high mortality rates in the age group between 30 and 69 years of age. The coordination of care in the management of symptom control and risk reduction, in order to minimize long-term complications, requires an imperative structuring and restructuring of care in order to involve not only the person with diabetes, but also health professionals, and it is pertinent to think about the development of projects for continuous quality improvement programs. Goals: To analyze the scientific evidence about adherence to the therapeutic regimen of people with diabetes as part of a continuous quality improvement project. Methods: Scoping review, with 3 steps: 1) an initial search in CINAHL and MEDLINE; 2) a broader search, using the same keywords and search terms, in the remaining databases of the EBSCOHost platform; 3) search in the bibliographic references of selected articles. The selected time limit covered the period between 2016 and 2021. Results: 21 articles were included; most were retrospective evaluations of continuous quality improvement programs in the area of diabetes mellitus in an outpatient and hospital setting. Conclusions: The implementation of continuous quality improvement programs in the area of diabetes mellitus significantly improves the adherence to the therapeutic regimen for people with diabetes mellitus, promoting self-care, knowledge and experience of their disease.
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Andrich, D. & Foronda, C. (2020). Improving glycemic control and quality of life with diabetes self-management education: A pilot project. The Journal of Continuing Education in Nursing, 51(3), 119-123. https://doi.org/10.3928/00220124-20200216-06.
Arksey, H., & O’Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616.
Caifang, C., Ling, W., Han-Lin, C., Wenfeng, C., & Mijung, P. (2020). Comparative efficacy of social media delivered health education on glycemic control: A meta-analysis. International Journal of Nursing Sciences, 7(3), 359-368. https://doi.org/10.1016/j.ijnss.2020.04.010.
Chan, J., Lim, L.-L., Luk, A., Ozaki, R., Kong, A., Ma, R., So, W-Y., & Lo, S.-V. (2019). From Hong Kong diabetes register to JADE program to RAMP-DM for data-driven actions. Diabetes Care, 42(11), 2022–2031. https://doi.org/10.2337/dci19-0003.
Chaowalaksakun, P., Nantachaipan, P., Kunawiktikul, W., Panuthai, S., Kosachunhanun, N., & Turale, S. (2016). Action research: Development of a diabetes care model in a community hospital. Pacific Rim International Journal of Nursing Research, 20(2), 119-131. https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/23912.
Chen, C., Wang, L., Chi, H-L., Chen, W., & Park, M. (2019). Comparative efficacy of social media delivered health education on glycemic control: A meta-analysis. International Journal of Nursing Sciences, 7(3), 359-368. https://doi.org/10.1016/j.ijnss.2020.04.010.
Correia, L., Boavida, J., Almeida, J., Anselmo, J., Ayala, M., Cardoso, M, Costa, A., Dores, J., Duarte, R., Ferreira, H., Medina, J., Nunes, J., Pereira, H. & Raposo, J. (2015). Diabetes: factos e números 2014. Relatório Anual do Observatório Nacional da Diabetes. Portugal. Sociedade Portuguesa de Diabetologia.
Cradock, K., ÓLaighin, G., Finucane, F., Gainforth, H., Quinlan, L., & Ginis, K. (2017). Behavior change techniques targeting both diet and physical activity in type 2 diabetes: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 14(18), 1-17. https://doi.org/10.1186/s12966-016-0436-0.
Brooker, J., Synnot, A., McDonald, S., Elliott, J., Turner, T., Hodder, R., Weeks, L., Ried, J., MacLehose, H., Akl, E., Kahale, L., Hilton, J., Flemyng, E., Lasserson, T., Tomas, J., Skoetz, N., Clark, J., Featherstone, R & Noel- Storr, A. (2019). Living Evidence Network. Guidance for the production and publication of Cochrane living systematic reviews: Cochrane reviews in living mode 2019. https://community.cochrane.org/sites/default/files/u ploads/inline-files/Transform/201912_LSR_Revised_Guidance.pdf.
Davies, M., Kristunas, C., Alshreef, A., Dixon, S., Eborall, H., Glab, A., Huddlestone, L., Hudson, N., Khunti, K., Martin, G., Northern, A., Patterson, M., Pritchard, R., Schreder, S., Stribling, B., Turner, J., & Gray, L. (2019). The impact of an intervention to increase uptake to structured self-management education for people with type 2 diabetes mellitus in primary care (the embedding package), compared to usual care, on glycemic control: study protocol for a mixed methods study incorporating a wait- list cluster randomized controlled trial. Family Practice, 20(1), 152-176. https://doi.org/10.1186/s12875-019-1038-0.
Dias, L. (2014). Sistema de melhoria contínua da qualidade dos cuidados de enfermagem: um modelo construtivo no hospital Prof. Doutor Fernando Fonseca, EPE. Revista Clínica Hospital Prof. Dr. Fernando Fonseca, 2(1), 39-40. http://hdl.handle.net/10400.10/1529.
Fallas, C., Pereira, K., Padilla, B., Felsman, I., Allen, S., & Preik, C. (2020). Improving self-care management in low-income latinos with type 2 diabetes using peer-led U.S. conversation maps: A quality improvement project in a free clinic. American Diabetes Association, 38 (3), 213-221. https://doi.org/10.2337/cd19-0052.
Fonseca, C. Ramos, A., Orta, A., Simões, A., Gonçalves, I., Coimbra, M., Lopes, P., Santos, V., & Nunes, I. (2018). Indicadores sensíveis aos cuidados de enfermagem na pessoa idosa com diabetes mellitus em ambulatório: revisão sistemática da literatura. Journal of Aging & Innovation, 7 (1), 11 – 22. http://journalofagingandinnovation.org/wp-content/uploads/2-idoso-diabetes.pdf.
Ginzburg T, Hoffman R., & Azuri J. (2018). Improving diabetes control in the community: A nurse managed intervention model in a multidisciplinary clinic. Australian Journal of Advanced Nursing, 35(2), 23-30. https://www.ajan.com.au/archive/Vol35/Issue2/3Ginzburg.pdf.
Higgins, K., Atkins, H., James, J., Adlam, F., Setty, S., & Jarvis, J. (2020). Transforming healthcare professional diabetes education to improve patient safety outcomes. Journal of Diabetes Nursing, 24 (1), 1-6. https://eds.s.ebscohost.com/eds/pdfviewer/pdfviewer?vid=1&sid=3b685c70-f49e-415a-b815-66ffb348954c%40redis.
Holtrop, J., Luo, Z., Piatt, G., Green, L., Chen, Q., & Piette, J. (2017). Diabetic and Obese Patient Clinical Outcomes Improve During a Care Management Implementation in Primary Care. Journal of Primary Care & Community Health, 8(4), 1–7. https://doi.org/10.1177/2150131917715536.
International Federation of Diabetes. (2019). IDF Diabetes Atlas (9ª ed.). https://www.diabetesatlas.org.
James, T. (2020). Improving referrals to diabetes self-management education in medically underserved adults. American Diabetes Association, 34(1), 20-26. https://doi.org/10.2337/ds20-0001.
Levac, D., Colquhoun, H., & O’Brien, K. (2010). Scoping studies: advancing the methodology. Implement Science, 5(69), 1–9. https://doi.org/10.1186/1748-5908-5-69.
Lim, L., Lau, E, Kong, A., Davies, M., Levitt, N., Eliasson, B., Aguilar-Salinas, C., Ning, G., Seino, Y., So, W., McGill, M., Ogle, G., Orchard, T., Clarke, P., Holman, R., Gregg, E., Gagliardino, J., & Chan, J. (2018). Aspects of multicomponent integrated care promote sustained improvement in surrogate clinical outcomes: A systematic review and meta-analysis. Diabetes Care, 41(6), 1312-1320. https://doi.org/10.2337/dc17-2010.
Marinho, M., Fontbonneb, A., Barbosa, J., Rodrigues, H., Carvalho, E., Souza, W., & Cesse, E. (2017). The impact of an intervention to improve diabetes management in primary healthcare professionals’ practices in Brazil. Primary Care Diabetes, 11(6), 538-545. http://dx.doi.org/10.1016/j.pcd.2017.06.002.
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 8(5), 336-341. https://doi.org/10.7326/0003-4819-151-4-200908180-00135.
Nelson, C., Park, C., Gates, R., Arreguin, M., Salsa, T., Miller, H., & Manga, M. (2018). Clinical and economic impact of an integrated care team model on targeted, high-risk medicare patients with type 2 diabetes. Clinical Diabetes Online, 36(4), 313-318. https://doi.org/10.2337/cd17-0071.
Nicklesa, D., Dolanskyb, M., Marekb, J., & Burkec, K. (2019). Nursing students use of teach-back to improve patients' knowledge and satisfaction: A quality improvement project. Journal of Professional Nursing, 36(2), 70-76. https://doi.org/10.1016/j.profnurs.2019.08.005.
Oba, N., Barry, C., Gordon, S., & Chutipanyaporn, N. (2020). Development of a nurse-led multidisciplinary based program to improve glycemic control for people with uncontrolled diabetes mellitus in a community hospital, Thailand. Pacific Rim International Journal of Nursing Research, 24(3), 349-362. https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/206447.
Oliveira, G., Almeida, A., Araújo Girão, A., & Aires de Freitas, C. (2016). Intervenções de enfermagem para promoção do autocuidado de pessoas com diabetes tipo 2: revisão integrativa. Revista Eletrónica de Enfermagem, 18, 1-11. http://dx.doi.org/10.5216/ree.v18.38691
Pearson, T., Bardsley, J., Weiner, S., & Kolb, L. (2019). The diabetes educator`s involving role. American Association of Diabetes Educators, 45(4), 333-348. https://pubmed.ncbi.nlm.nih.gov/31232222.
Peters, M., Godfrey, C., Khalil, H., McInerney, P., Parker, D., & Soares, C. (2015). Guidance for conducting systematic scoping reviews. International Journal Evidence Based Health, 13(3), 141–6. https://pubmed.ncbi.nlm.nih.gov/26134548.
Raposo, J. (2020). Diabetes: Factos e números 2016, 2017 e 2018. Revista Portuguesa de Diabetes, 15(1), 19-27. http://www.revportdiabetes.com/wp-content/uploads/2020/05/RPD-Março-2020-Revista-Nacional-págs-19-27.pdf.
Taylor, B., & Bircher, J. (2016). The quality improvement toolkit for diabetes care. Diabetes & Primary Care, 18(6), 264-266. https://www.pcdsociety.org/resources/details/the-quality-improvement-toolkit-for-diabetes-care.
Torres, H., Pereira, F., & Alexandre, L. (2011). Avaliação das ações educativas na promoção do autogerenciamento dos cuidados em diabetes mellitus tipo 2. Revista da Escola de Enfermagem USP, 45(5), 1077-1082. https://doi.org/10.1590/S0080-62342011000500007.
Wan, E., Fung, C., Jiao, F., Yu, E., Chin, W., Fong, D., Wong, C., Chan, K., Kwok, R., Lam, C., & Chan, A. (2018). Five-year effectiveness of the multidisciplinary risk assessment and management programme – diabetes mellitus (RAMP-DM) on diabetes-related complications and health service uses a population-based and propensity - matched cohort study. Diabetes Care, 41(1), 49–59. https://doi.org/10.2337/dc17-0426.
Webba, E., & Rheeder, P. (2017). A cluster-randomized trial to estimate the effect of mobile screening and treatment feedback on HbA1c and diabetes-related complications in Tshwane primary health care clinics, South Africa. Primary Care Diabetes, 11(6), 1751-9918. http://dx.doi.org/10.1016/j.pcd.2017.05.010.
World Health Organization (2016). Global report on diabetes. http://docs.dpaq.de/10605-diabetes_who_embargoed-who-global-report-on-diabetes.pdf.
Word Health Organization (2021). Noncommunicable Diseases. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases.
Young, M. (2019). Program targeting patients with diabetes reaches A1c goals. Relias Media. https://www.reliasmedia.com/articles/145014-program-targeting-patients-with-diabetes-reaches-a1c-goals.
Zhu, D., Dwyer, J., & Ouyang, C-M. (2021). Type 2 diabetes mellitus among Chinese elderly: current realities, challenges and next steps for treatment. Nutrition Today, 56(3), 128-143. https://journals.lww.com/nutritiontodayonline/Abstract/2021/05000/Type_2_Diabetes_Mellitus_Among_Chinese_Elderly_.7.aspx.