| dc.description.abstract | Background: We assessed community-based educational interventions towards
primary prevention of type-II diabetes (T2D), but with a focus on theoretical
framework and community factors.
Methods:A comprehensive search for eligible studies was carried out on PubMed,
EMBASE, ProQuest, CINAHL nursing & allied health source, Cochrane Library,
Google scholar, conference proceedings, and reference lists. Data was extracted by
using JBI standardized data extraction tool. The primary outcome variables were
fasting blood glucose (FBG), haemoglobin A1c (HbAlc), mean body weight, mean
body mass index (BMI), waist circumference (WC), systolic/diastolic blood pressure
(s/d BP).
Results: Based on the process of searching the electronic database, articles were
published from 2000 to 2019. A total of 5178 articles were screened after removal of
duplicate articles, of which 72 completed the full evaluation phase. A total of 19
studies entered this systematic review. The results of this study showed that the most
studies have been done in high and middle income countries and this indicateed the
importance of a community based approach in different societies. Researchers in
these nineteen articles cited three indicators of FBG, HBA1c, and BMI as primary
outcomes, with approximately 63% of studies reporting the FBG index succeeding
in reducing the average of 5.3%. Among the reports of various indicators as
secondary outcomes, 52% cited waist circumference in these studies, which on
average succeeded in reducing this index by 3.7%. Of the eight studies related to
theory and behavior change models, social cognition theory has received the most
attention.
Conclusion: The results of this systematic review showed that using a communitybased approach to prevent or delay type 2 diabetes has been effective. Theories and
models of behavior change also have a dual effect on how to better educate and
influence educational interventions. This systematic review has shown that the
application of a community-based participatory approach has had successful effectsin addition to underdeveloped countries in developing and developed countries. It is
concluded that decision-makers in future studies should consider how community
involvement is a key factor in case-based studies. | en_US |
