PMID- 34423363 OWN - NLM STAT- MEDLINE DCOM- 20220126 LR - 20220531 IS - 1460-2229 (Electronic) IS - 0263-2136 (Linking) VI - 39 IP - 1 DP - 2022 Jan 19 TI - Effect and quality of couple-based interventions of middle-aged and older adults with type 2 diabetes mellitus: a scoping review. PG - 183-189 LID - 10.1093/fampra/cmab093 [doi] AB - BACKGROUND: Studies have shown the existence of health concordance between patients with type 2 diabetes mellitus (T2DM) and their spouses, and also that spouses could influence the effect of self-management, benefiting patients' health. However, these studies are heterogeneous and the evidence is inconclusive. OBJECTIVE: To synthesize evidence from published randomized controlled trials: the interventional effects and the quality of study performance, also to identify the research gap and the directions for future studies. METHODS: We performed the scoping review by following the PRISMA-ScR guidance. We searched and examined the reports from MEDLINE, EMBASE, PsychInfo, CINAHL Plus by the pre-specified criteria. Key characteristics and information of eligible reports were extracted, analysed and synthesized comprehensively, and the results were presented in the form of words and diagrams. RESULTS: We identified 5 reports from 4 studies out of 3479 records included. Qualified studies indicated a positive effect of couple-based interventions on couples' distress. Insufficient evidence on physiological health or health behaviours was identified owing to the small number of included studies and inconsistent assessment outcomes. The methodological quality across these studies was generally low due to inadequate reporting of study process and substantial biases. CONCLUSIONS: Couple-based interventions for patients with T2DM showed small effects on the couple's distress while the effects of other outcomes were inconclusive. Future studies should strengthen methodologies by using standard measures of core diabetic outcomes, including detailed assessments of implementation process, and taking a dyadic approach to systematically examine the effects. CI - (c) The Author(s) 2021. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Wang, Caixuan AU - Wang C AD - Department of Medical Statistics & Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, PR China. FAU - Wu, Min AU - Wu M AD - Department of Medical Statistics & Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, PR China. FAU - Yang, Yung-Jen AU - Yang YJ AD - UCL Social Research Institute, Institute of Education, University College London, London, UK. FAU - Liao, Jing AU - Liao J AUID- ORCID: 0000-0001-6370-3430 AD - Department of Medical Statistics & Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, PR China. AD - Sun Yat-sen Global Health Institute, Institute of State Governance, Sun Yat-sen University, Guangzhou, PR China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Systematic Review PL - England TA - Fam Pract JT - Family practice JID - 8500875 SB - IM MH - Aged MH - *Diabetes Mellitus, Type 2/therapy MH - Humans MH - Middle Aged MH - *Self-Management MH - Spouses OTO - NOTNLM OT - Chronic disease OT - couple-based intervention OT - health promotion OT - scoping review OT - self-management OT - type 2 diabetes mellitus EDAT- 2021/08/24 06:00 MHDA- 2022/01/27 06:00 CRDT- 2021/08/23 06:45 PHST- 2021/08/24 06:00 [pubmed] PHST- 2022/01/27 06:00 [medline] PHST- 2021/08/23 06:45 [entrez] AID - 6356358 [pii] AID - 10.1093/fampra/cmab093 [doi] PST - ppublish SO - Fam Pract. 2022 Jan 19;39(1):183-189. doi: 10.1093/fampra/cmab093.