Self-management of diabetes and associated comorbidities in rural and remote communities: A scoping review Rasmussen, Bodil, Wynter, Karen, Rawson, HA, Skouteris, H, Ivory, N and Brumby, Susan 2021, Self-management of diabetes and associated comorbidities in rural and remote communities: A scoping review, Australian Journal of Primary Health, vol. 27, no. 4, pp. 243-254, doi: 10.1071/PY20110. Attached Files Name Description MIMEType Size Downloads Title Self-management of diabetes and associated comorbidities in rural and remote communities: A scoping review Author(s) Rasmussen, Bodil orcid.org/0000-0002-6789-8260 Wynter, Karen orcid.org/0000-0003-4620-7691 Rawson, HA Skouteris, H Ivory, N Brumby, Susan orcid.org/0000-0001-6332-3374 Journal name Australian Journal of Primary Health Volume number 27 Issue number 4 Start page 243 End page 254 Total pages 12 Publisher CSIRO PUBLISHING Place of publication Australia Publication date 2021-08-01 ISSN 1448-7527 1836-7399 Keyword(s) Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services Health Policy & Services Primary Health Care Public, Environmental & Occupational Health General & Internal Medicine chronic health conditions comorbidities diabetes rural and remote communities self-management CHRONIC DISEASE BARRIERS CARE EPIDEMIOLOGY EXPERIENCES DEPRESSION PREVALENCE SUPPORT Summary Chronic health conditions are more prevalent in rural and remote areas than in metropolitan areas; living in rural and remote areas may present particular barriers to the self-management of chronic conditions like diabetes and comorbidities. The aims of this review were to: (1) synthesise evidence examining the self-management of diabetes and comorbidities among adults living in rural and remote communities; and (2) describe barriers and enablers underpinning self-management reported in studies that met our inclusion criteria. A systematic search of English language papers was undertaken in PsycINFO, Medline Complete, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete, EMBASE and the Cochrane Database of Systematic Reviews, searching for literature indexed from the beginning of the database until 6 March 2020. Essential key concepts were diabetes, comorbidities, self-management and rural or remote. Twelve studies met the inclusion criteria. Six of these reported interventions to promote self-management for adults with diabetes in rural and remote communities and described comorbidities. These interventions had mixed results; only three demonstrated improvements in clinical outcomes or health behaviours. All three of these interventions specifically targeted adults living with diabetes and comorbidities in rural and remote areas; two used the same telehealth approach. Barriers to self-management included costs, transport problems and limited health service access. Interventions should take account of the specific challenges of managing both diabetes and comorbidities; telehealth may address some of the barriers associated with living in rural and remote areas. Language eng DOI 10.1071/PY20110 Field of Research 11 Medical and Health Sciences 16 Studies in Human Society 17 Psychology and Cognitive Sciences HERDC Research category C1 Refereed article in a scholarly journal Free to Read? Yes Persistent URL http://hdl.handle.net/10536/DRO/DU:30153223 Document type: Journal Article Collections: Faculty of Health School of Nursing and Midwifery School of Medicine Open Access Collection Institute for Health Transformation Related Links Link Description Link to full-text (open access)   Connect to published version Go to link with your DU access privileges   Connect to Elements publication management system Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Wed, 07 Jul 2021, 21:57:21 EST Thu, 08 Jul 2021, 05:01:34 EST Thu, 15 Jul 2021, 06:11:03 EST Sat, 24 Jul 2021, 02:30:03 EST Sat, 24 Jul 2021, 02:43:37 EST Wed, 04 Aug 2021, 11:05:30 EST Wed, 04 Aug 2021, 11:08:35 EST Wed, 04 Aug 2021, 11:09:10 EST Thu, 03 Mar 2022, 11:47:43 EST Thu, 28 Jul 2022, 01:35:08 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 93 Abstract Views, 1 File Downloads  -  Detailed Statistics Created: Wed, 07 Jul 2021, 21:57:21 EST