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- Title
Clinicians' perceived barriers and enablers to the dietary management of adults with type 2 diabetes in primary care: A systematic review.
- Authors
Boocock, Ruth C.; Lake, Amelia A.; Haste, Anna; Moore, Helen J.
- Abstract
Background: Dietary management of type 2 diabetes is considered as a key remission and management strategy. This review explored clinicians' perceived barriers and enablers to the dietary management of adults with type 2 diabetes in primary care. Methods: MEDLINE, EMBASE, CINAHL, PsycINFO and ASSIA were searched from 1980 to 16 June 2020. Results: Of 2021 records, 14 studies met the inclusion criteria, describing the 14 domains of the refined Theoretical Domains Framework. The data synthesised to the domains of environmental context and resources, intentions and beliefs about capabilities were considered most trustworthy, closely followed by knowledge, behavioural regulation and beliefs about consequences. Two‐thirds of studies cited time for staff training or patient education as major constraints to type 2 diabetes management. Clinicians also identified lack of patient engagement and poor dietary adherence as issues. Despite this, clinician confidence about giving dietary advice to patients was high. With further exploration, knowledge gaps were apparent and feelings of despondency as a result of poor outcomes were visible. Conclusions: This review revealed four clinician behaviours: (2) the perception of the dietitian; (2) the definition of a clinician qualified to give dietary advice; (3) clinician belief in dietary management as a treatment; and (4) clinician belief in a patient's capability to change dietary behaviour. These behaviours, if challenged and changed, have the potential to improve dietary management and outcomes for people with type 2 diabetes in primary care.
- Subjects
PSYCHOLOGY information storage &; retrieval systems; CINAHL database; HEALTH services accessibility; MEDICAL information storage &; retrieval systems; CONFIDENCE; PROFESSIONS; ATTITUDE (Psychology); SYSTEMATIC reviews; MEDICAL personnel; DIABETES; TYPE 2 diabetes; PRIMARY health care; HEALTH behavior; MEDLINE; PATIENT education; PATIENT compliance; ADULTS
- Publication
Journal of Human Nutrition & Dietetics, 2021, Vol 34, Issue 6, p1042
- ISSN
0952-3871
- Publication type
Article
- DOI
10.1111/jhn.12875