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Effectiveness of community-based peer-led diabetes self-management programmes (COMP-DSMP) for improving clinical outcomes and quality of life of adults with diabetes in primary care settings in low and middle-income countries (LMIC): a systematic review and meta-analysis

机译:基于社区的同行领导的糖尿病自我管理计划(COMP-DSMP)在中低收入国家(LMIC)的初级保健机构中改善糖尿病成年人的临床结局和生活质量的有效性:系统评价和荟萃-分析

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摘要

IntroductionGlobally, an estimated 380 million people live with diabetes today—80% in low-income and middle-income countries. The Middle East, Western Pacific, Sub-Saharan Africa and South-East Asia remain the most affected regions where economic development has transformed lifestyles, people live longer and there is an increase in the adult population. Although peer support has been used in different conditions with varied results, yet there is limited evidence to date supporting its effectiveness, particularly for individuals with diabetes. In this review, we will focus on community-based peer-led diabetes self-management programmes (COMP-DSMP) and examine the implementation strategies and diabetes-related health outcomes associated with them in LMIC primary healthcare settings.
机译:简介目前,全球估计有3.8亿人患有糖尿病,其中80%位于低收入和中等收入国家。中东,西太平洋,撒哈拉以南非洲和东南亚仍然是受影响最严重的地区,这些地区的经济发展改变了人们的生活方式,人们的寿命更长,成年人口也在增加。尽管同龄人支持已在不同条件下使用,但结果各不相同,但迄今为止,仅有有限的证据支持其有效性,特别是对于糖尿病患者。在本文中,我们将重点关注基于社区的同行领导的糖尿病自我管理计划(COMP-DSMP),并研究在LMIC初级保健机构中的实施策略以及与之相关的糖尿病相关的健康结果。

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