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Diabetes management interventions for homeless adults: a systematic review

Author

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  • Janice Constance

    (London Metropolitan University)

  • Joanne M. Lusher

    (University of the West of Scotland)

Abstract

Objectives Recent studies investigating diabetes show that inequalities to access appropriate care still persists. Whilst most of the general population are able to access a suitable quality of care, there are a number of groups who fail to receive the same standard. The objective of this review was to identify existing diabetes management interventions for homeless adults. Methods A literature search was conducted in February 2017, and repeated in September 2020. Results Of the 223 potentially relevant articles identified, only 26 were retrieved for detailed evaluation, and 6 met the inclusion criteria. Papers focusing on the management of diabetes in homeless people were included. The studies used interventions including diabetes education; medication support and supplies for blood monitoring; improvements in self-care behaviours; improvements in diabetes control; patient empowerment/engagement; and community engagement/partnerships. Conclusions Effective strategies for addressing the challenges and obstacles that the homeless population face, requires innovative, multi-sectored, flexible and well-coordinated models of care. Without appropriate support, these groups of people are prone to experience poor control of their diabetes; resulting in an increased risk of developing major health complications.

Suggested Citation

  • Janice Constance & Joanne M. Lusher, 2020. "Diabetes management interventions for homeless adults: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(9), pages 1773-1783, December.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:9:d:10.1007_s00038-020-01513-0
    DOI: 10.1007/s00038-020-01513-0
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    References listed on IDEAS

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    1. Stephen Hwang & Tim Aubry & Anita Palepu & Susan Farrell & Rosane Nisenbaum & Anita Hubley & Fran Klodawsky & Evie Gogosis & Elizabeth Hay & Shannon Pidlubny & Tatiana Dowbor & Catharine Chambers, 2011. "The health and housing in transition study: a longitudinal study of the health of homeless and vulnerably housed adults in three Canadian cities," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(6), pages 609-623, December.
    2. O'Toole, T.P. & Buckel, L. & Bourgault, C. & Blumen, J. & Redlhan, S.G. & Jiang, L. & Frledmann, P., 2010. "Applying the chronic care model to homeless veterans: Effect of a population approach to primary care on utilization and clinical outcomes," American Journal of Public Health, American Public Health Association, vol. 100(12), pages 2493-2499.
    3. Baggett, T.P. & O'Connell, J.J. & Singer, D.E. & Rigotti, N.A., 2010. "The unmet health care needs of homeless adults: A national study," American Journal of Public Health, American Public Health Association, vol. 100(7), pages 1326-1333.
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