Online Program

Social support and type 2 diabetes self-management programs in Asia: A Systematic Review

Monday, November 2, 2015

Catherine (Yu-Ting) Lu, School of Public Health, Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, Ann Arbor, MI
Background: Diabetes is a chronic disease for all age groups worldwide; moreover, high prevalence of type 2 diabetes has become a severe public health issue in Asia.  Since diabetes is usually a life-long disease accompanied by mental and physical transitions at different stages, it is crucial to develop self-management programs for the diabetes population.  Social support, defined as a multidimensional concept, is a crucial element in chronic disease self-management programs.  There has been fruitful research in western countries about diabetes interventions integrated with social support; whereas, few studies have discussed the role of social support in Asia.  Therefore, This study compared exisitng asian research on diabetes management programs to research from western countires.  Methods: We performed a systematic review of available published data in PubMed and Google Scholar.  A combination of various keywords relevant to diabetes self-management, intervention, and Asian population was used.  Related data of included studies were extracted in a systematic way. 

Results:  A total of 20 studies were included.  Articles discussing diabetes intervention were from Japan, South Asia, Mainland China, Singapore, Korea, and Taiwan.   The existing studies discussing diabetes management were based on educational materials delivered by health professionals or trained community workers, whereas the implementation of social support in the intervention of diabetes was rarely addressed.  Conclusion:  In western countries, diabetes self-management programs have been successfully modified with social support, including spouses, family and informal caregivers.  It is important to integrate social support into diabetes control in Asia, aligned with the cultural characteristics of those populations.

Learning Areas:

Chronic disease management and prevention
Diversity and culture

Learning Objectives:
Discuss existing research about role of social support in diabetes intervention from western countries. Assess the existing research about lacking of social support in diabetes intervention among Asian population. Finally, compare the difference between diabetes management programs from wester and asian countries.

Keyword(s): Diabetes, Asian and Pacific Islanders

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the MPH student for almost two years, dedicating to study on diabetes and chronic disease self-management programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.