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Resilience in Vulnerable Populations With Type 2 Diabetes Mellitus and Hypertension: A Systematic Review and Meta-analysis

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dc.contributor.author Pesantes, M. Amalia
dc.contributor.author Lazo-Porras, Maria
dc.contributor.author Abu Dabrh, Abd Moain
dc.contributor.author Avila-Ramirez, Jaime R.
dc.contributor.author Caycho, Maria
dc.contributor.author Villamonte, Georgina Y.
dc.contributor.author Sanchez-Perez, Grecia P.
dc.contributor.author Malaga, German
dc.contributor.author Bernabe-Ortiz, Antonio
dc.contributor.author Miranda, J. Jaime
dc.date.accessioned 2019-02-06T14:59:07Z
dc.date.available 2019-02-06T14:59:07Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5554
dc.description.abstract BACKGROUND: Patients with chronic conditions and limited access to health care experience stressful challenges resulting from the burden of managing both their conditions and their daily life demands. Resilience provides a mechanism of adapting to stressful experiences. We conducted a systematic review and meta-analysis to synthesize the evidence about interventions to enhance resiliency in managing hypertension or type 2 diabetes in vulnerable populations and to assess the efficacy of these interventions on clinical outcomes. METHODS: We searched multiple databases from early inception through February 2015 including randomized controlled trials that enrolled patients with type 2 diabetes or hypertension. All interventions that targeted resilience in vulnerable populations were included. Data were synthesized to describe the characteristics and efficacy of resiliency interventions. We pooled the total effects by calculating standardized mean difference using the random-effects model. RESULTS: The final search yielded 17 studies. All studies were conducted in the United States and generally targeted minority participants. Resiliency interventions used diverse strategies; discussion groups or workshops were the most common approach. CONCLUSIONS: Interventions aimed at enhancing the resiliency of patients from vulnerable groups are diverse. Outcomes were not fully conclusive. There was some evidence that resiliency interventions had a positive effect on hemoglobin A1C levels but not blood pressure. The incorporation of resiliency-oriented interventions into the arsenal of preventing and managing chronic conditions appears to be an opportunity that remains to be better investigated and exploited, and there is need to pursue further understanding of the core components of any intervention that claims to enhance resilience. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof urn:issn:1916-7075
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Humans en_US
dc.subject Glycated Hemoglobin A en_US
dc.subject Resilience, Psychological en_US
dc.subject Cultural Competency en_US
dc.subject Diabetes Mellitus, Type 2/psychology en_US
dc.subject Diabetic Angiopathies/psychology en_US
dc.subject Hypertension/psychology en_US
dc.subject Self Care en_US
dc.subject Vulnerable Populations/psychology en_US
dc.title Resilience in Vulnerable Populations With Type 2 Diabetes Mellitus and Hypertension: A Systematic Review and Meta-analysis en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1016/j.cjca.2015.06.003
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.04

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