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What are the barriers to primary prevention of type 2 diabetes in black and minority ethnic groups in the UK? A qualitative evidence synthesis.

Johnson, M., Everson-Hock, E., Jones, R., Woods, H. B., Payne, N. and Goyder, E. (2011) What are the barriers to primary prevention of type 2 diabetes in black and minority ethnic groups in the UK? A qualitative evidence synthesis. Diabetes Research and Clinical Practice, 93 (2). pp. 150-158. ISSN 0168-8227

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Abstract

Background: This review aimed to synthesise available qualitative evidence on barriers and facilitators to the implementation of community based lifestyle behaviour interventions to reduce the risk of diabetes in black and minority ethnic (BME) groups in the UK.

Methods: A search of medical and social science databases was carried out and augmented by hand-searching of reference lists and contents of key journals. Qualitative evidence was synthesised thematically.

Results: A total of 13 papers varying in design and of mainly good quality were included in the review. A limited number of intervention evaluations highlighted a lack of resources and communication between sites. A lack of understanding by providers of cultural and religious requirements, and issues relating to access to interventions for users was reported. Behaviour change was impeded by cultural and social norms, and resistance to change. There were variations in the way dietary change and physical activity was approached by different groups and contrasting practices between generations.

Conclusions: Qualitative data provided insight into the ways that providers might improve or better design future interventions. Acknowledgement of the way that different groups approach lifestyle behaviours may assist acceptability of interventions.

Item Type: Article
Copyright, Publisher and Additional Information: © 2011 Elsevier. This is an author produced version of a paper subsequently published in Diabetes Research and Clinical Practice. Uploaded in accordance with the publisher's self-archiving policy.
Keywords: Diabetes; prevention; evidence synthesis; qualitative; review
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield)
Depositing User: Dr Emma S Everson-Hock
Date Deposited: 06 Sep 2012 13:37
Last Modified: 08 Feb 2013 17:39
Published Version: http://dx.doi.org/10.1016/j.diabres.2011.06.004
Status: Published
Publisher: Elsevier
Refereed: Yes
Identification Number: 10.1016/j.diabres.2011.06.004
URI: http://eprints.whiterose.ac.uk/id/eprint/11063

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