SynthesisPloS one2020
Barriers and facilitators to successful management of type 2 diabetes mellitus in Latin America and the Caribbean: A systematic review.
Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Comparative efficacy of social support on glycemic control for type 2 diabetes in low- and middle-income countries or among minoritized groups in high-income countries: a systematic review and network meta-analysis.Journal of behavioral medicine · 2026Pooled it
- User experiences and perceptions on the use of digital health technologies in the management of type 2 diabetes: an integrative systematic review.Frontiers in clinical diabetes and healthcare · 2026Pooled it
- The effect of tele-nursing based motivational interviewing on self-efficacy, self-management and metabolic control parameters in individuals with type 2 diabetes: randomized controlled study.Irish journal of medical science · 2025Trial
- Effects of Exercise and Diet on Body Composition and Physical Function in Older Hispanics with Type 2 Diabetes.International journal of environmental research and public health · 2021Trial
- From evidence to action: contextual determinants for the pre-implementation of a foot-ankle exercise program for diabetes in primary care.BMC health services research · 2026Article
- Screening men in the Toledo district of southern Belize for elevated blood pressure and blood sugar.PLOS global public health · 2026Article
- Gender-Based Disparities in Knowledge, Attitudes, and Practices Among Type-II Diabetes Patients in Punjab, India: Insights for Tailored Interventions.Current pharmaceutical design · 2026Article
- Connotation and Mechanism of Family Support for Patients with Chronic Diseases Under the Perspective of Health Promotion-A Scoping Review of Reviews.Journal of multidisciplinary healthcare · 2026Review
- Characteristics associated with optimal blood sugar in individuals living with type 2 diabetes in hard-to-reach rural communities: results of a cross-sectional study in Esmeraldas, Ecuador.BMC public health · 2025Article
- Untangling the role of social support in type 2 diabetes: insights from a mixed methods study in Quito, Ecuador.Frontiers in public health · 2025Article
- Exploring the lived experiences of patients with type 2 diabetes mellitus-related complications in a healthcare setting in Singapore: a phenomenological study.BMJ public health · 2025Article
- Delphi Study on the Contextualization of Recommendations for Promoting Healthy Eating in Urban Settings of Latin America and the Caribbean.Nutrients · 2024Article
- Article
- Article
- Real-world effectiveness and safety of insulin glargine 300 U/ml in insulin-naïve people with type 2 diabetes in the Latin America region: A subgroup analysis of the ATOS.Diabetes, obesity & metabolism · 2023Observational
- Exploring facilitators and barriers to self-management engagement of Chinese people with type 2 diabetes mellitus and poor blood glucose control: a descriptive qualitative study.BMC endocrine disorders · 2022Article
- Challenges of Type 2 Diabetes Mellitus Management From the Perspective of Patients: Conventional Content Analysis.Interactive journal of medical research · 2022Article
- Barriers and facilitators to insulin treatment: a phenomenological inquiry.Journal of pharmaceutical policy and practice · 2022Article
- Glycemic control and management of cardiovascular risk factors among adults with diabetes in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study.Primary care diabetes · 2022Article
- Provider perspectives on emotional health care for adults with type 2 diabetes mellitus in the Dominican Republic.PLOS global public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGiven that most evidence-based recommendations for managing type 2 diabetes mellitus (T2DM) are generated in high-income settings, significant challenges for their implementation exist in Latin America and the Caribbean region (LAC), where the rates of T2DM and related mortality are increasing. The aim of this study is to identify the facilitators and barriers to successful management of T2DM in LAC, from the perspectives of patients, their families or caregivers, healthcare professionals, and/or other stakeholders.
methodsWe conducted a systematic review in MEDLINE, Web of Science, SciELO, and LILACS. We included studies of disease management, prevention of complications and risk factor management. We qualitatively synthesized the verbatim text referring to barriers and/or facilitators of diabetes management according to the Theoretical Domain Framework and described their relative frequencies.
findingsWe included 60 studies from 1,595 records identified. 54 studies (90%) identified factors related to the environmental context and resources, highlighting the importance of questions related to health care access or lack of resources in the health system, and the environmental context and living conditions of the patients. Issues related to "social influences" (40 studies) and "social/professional role and identity" (37 studies) were also frequently addressed, indicating the negative impact of lack of support from family and friends and clinicians' paternalistic attitude. 25 studies identified patients beliefs as important barriers, identifying issues such as a lack of patients' trust in the effectiveness of the medication and/or the doctor's advice, or preferences for alternative therapies.
conclusionsSuccessful diabetes management in LAC is highly dependent on factors that are beyond the control of the individual patients. Successful disease control will require emphasis on public policies to reinforce health care access and resources, the promotion of a patient-centred care approach, and health promoting infrastructures at environmental level.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.