Dimensions, application, and outcomes of person-centered self-management interventions for those living with type 2 diabetes: A scoping review

Objectives: To explore which dimensions of the person-centered approach (PCA) are adopted in selfmanagement interventions, how they are applied, and its outcomes. Methods: A review team carried out a scoping review using the methodology of Arksey and O'Malley on diabetes mellitus type 2, person-centered care, and self-management. Results: Of the 364 titles identified, 22 articles were included in this review. No study contained all five dimensions described by the person-centered framework. Some dimensions seemed difficult to assess, mainly having a sympathetic presence and engagement. The application of the five PCA dimensions are presented. Although the authors claimed their intervention to be person-centered, none used a specific tool to measure person-centered care in a holistic way. Conclusion: Although the guidelines recommend a PCA to professionals, there is a gap with practice, professionals having difficulty adopting and measuring this approach. (C) 2020 Elsevier B.V. All rights reserved.