Effect of Patient-Centered Care for Individuals with Type 2 Diabetes: A Scoping Review

Abstract

Background and aims: Type 2 diabetes is a major global health issue that often requires intensive self-management by patients to control disease progression and prevent complications. Person Centered Care (PCC), which involves the active participation of patients in their care, is gaining recognition for enhancing self-efficacy, glycemic control, and quality of life in diabetes management. This scoping review provided understanding on the effectiveness of patient-centered self-management education in individuals with type 2 diabetes, examining both the clinical and psychosocial impacts of PCC in managing diabetes.
Methods: Following Arksey and O’Malley’s framework, 31 studies were reviewed, including randomized controlled trials, cohort studies, and qualitative analyses.
Results: Of the 13,395 titles identified, 31 articles were selected for inclusion in this review. The studies consistently showed positive effects of PCC interventions on various outcomes, including improved HbA1c levels, quality of life, diabetes self-management behaviours, and psychological well-being. Behavioral improvements, such as adherence to diet and exercise, were also observed, although some studies reported limited efficacy in altering lifestyle behaviours.
Conclusion: The review highlights that PCC strategies, when customized to each patient’s needs, can significantly enhance self-management capacities and health outcomes in type 2 diabetes. Future research should explore optimal PCC approaches and mechanisms to better support patients’ long-term diabetes management.