PMID- 31711677 OWN - NLM STAT- MEDLINE DCOM- 20210427 LR - 20210427 IS - 1873-5134 (Electronic) IS - 0738-3991 (Linking) VI - 103 IP - 4 DP - 2020 Apr TI - Systematic review of salutogenic-oriented lifestyle randomised controlled trials for adults with type 2 diabetes mellitus. PG - 764-776 LID - S0738-3991(19)30474-4 [pii] LID - 10.1016/j.pec.2019.10.017 [doi] AB - OBJECTIVE: Describe the characteristics (development, intensity, deliverers, setting, strategies) and assess the effect of salutogenic-oriented lifestyle interventions on physical and psychosocial health outcomes in adults with type 2 diabetes mellitus (T2DM). METHOD: PubMed, Scopus and PsycINFO were systematically searched for randomised controlled trials (RCTs) published up to August 2019 that complied with predefined salutogenic criteria: the participant as a whole, the participant's active involvement and the participant's individual learning process. Characteristics of the salutogenic-oriented interventions with and without significant results were compared and qualitatively summarised. RESULTS: Twenty-eight RCTs were identified. Salutogenic oriented interventions that significantly improved both physical and psychosocial health were characterized by being based on formative research, culturally targeted, and delivered in 10-20 sessions in group settings, whereas salutogenic oriented interventions that neither improved physical or psychosocial health significantly were characterized by being individually tailored and delivered in less than 10 group sessions in individual settings. CONCLUSIONS: This systematic review suggests that salutogenic-oriented lifestyle interventions are effective for physical and psychosocial health in the short term. More research is needed to determine how intervention characteristics moderate (long-term) effectiveness. PRACTICE IMPLICATIONS: The results provide a basis for purposefully developing effective salutogenic interventions for adults with T2DM. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Polhuis, C M M AU - Polhuis CMM AD - Health and Society, Wageningen University, Wageningen, The Netherlands. Electronic address: kristel.polhuis@wur.nl. FAU - Bouwman, L I AU - Bouwman LI AD - Health and Society, Wageningen University, Wageningen, The Netherlands. FAU - Vaandrager, L AU - Vaandrager L AD - Health and Society, Wageningen University, Wageningen, The Netherlands. FAU - Soedamah-Muthu, S S AU - Soedamah-Muthu SS AD - Center of Research on Psychological and Somatic disorders (CORPS), Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands; Institute for Food, Nutrition and Health, University of Reading, Reading, United Kingdom. FAU - Koelen, M A AU - Koelen MA AD - Health and Society, Wageningen University, Wageningen, The Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review DEP - 20191025 PL - Ireland TA - Patient Educ Couns JT - Patient education and counseling JID - 8406280 MH - Adult MH - *Diabetes Mellitus, Type 2/therapy MH - Humans MH - Life Style MH - Randomized Controlled Trials as Topic MH - *Sense of Coherence OTO - NOTNLM OT - Lifestyle interventions OT - Patient-centred OT - Physical health OT - Psychosocial health OT - Salutogenesis OT - Type 2 diabetes mellitus COIS- Declaration of Competing Interest The authors declare that there are no conflicts of interest. EDAT- 2019/11/13 06:00 MHDA- 2021/04/28 06:00 CRDT- 2019/11/13 06:00 PHST- 2018/11/12 00:00 [received] PHST- 2019/10/18 00:00 [revised] PHST- 2019/10/19 00:00 [accepted] PHST- 2019/11/13 06:00 [pubmed] PHST- 2021/04/28 06:00 [medline] PHST- 2019/11/13 06:00 [entrez] AID - S0738-3991(19)30474-4 [pii] AID - 10.1016/j.pec.2019.10.017 [doi] PST - ppublish SO - Patient Educ Couns. 2020 Apr;103(4):764-776. doi: 10.1016/j.pec.2019.10.017. Epub 2019 Oct 25.