![]() eating and activity habits), and comorbidities ( 1). ![]() income, culture, literacy, environment), behavioural considerations (e.g. ![]() However, one’s ability to self-manage chronic illnesses is dependent on several factors, including sociodemographic variables (e.g. Individuals living with type 2 diabetes (T2DM) are responsible for the majority of their self-management, spending only very limited time with their healthcare providers while the remaining time spent on self-management is completed by the individual outside of the healthcare setting. Systematic review registration: PROSPERO identifier, CRD42022347478 The lack of detail regarding implementation approaches to diabetes health coaching greatly limits the interpretation and comparisons across studies to best inform the application of this intervention to support diabetes self-management. In general, there was also wide variation in how each of the criteria were reported on by study authorsĬonclusions: Due to the paucity of reporting of the RE-AIM components for diabetes health coaching, limited implementation and clinical practice implications can be drawn. While Reach was the best reported construct by the included studies, followed by Effectiveness and Implementation, the criteria within the Adoption and Maintenance constructs were rarely mentioned by these studies. The included studies all reported on more than 20 RE-AIM criteria, ranging from 21 to 27. 12 criteria were reported by all the included studies and 21 criteria were not reported by any of the studies. Results: 9 diabetes health coaching RCTs were included in this review. Reviewers screened citations and extracted data for study characteristics and the 5 dimensions (62 criteria) of the RE-AIM framework. Methods: We examined the included studies from our recently completed systematic review, which searched 6 databases for randomized controlled trials (RCTs) of health coaching interventions delivered by a health professional for adults with T2DM. This review examines what aspects of diabetes health coaching interventions for adults living with type 2 diabetes have been reported using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to optimize implementation. While previous systematic reviews have focused on the effectiveness of diabetes health coaching programs in adults with type 2 diabetes (T2DM), limited literature is available on its implementation. 2School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canadaīackground: Diabetes health coaching continues to emerge as an effective intervention to support diabetes self-management.1McMaster Evidence Review and Synthesis Team, McMaster University, Hamilton, ON, Canada.Megan Racey 1,2 Milos Jovkovic 1,2 Paige Alliston 1,2 Diana Sherifali 1,2*
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