PMID- 37011763 OWN - NLM STAT- MEDLINE DCOM- 20230804 LR - 20230804 IS - 2352-3840 (Electronic) IS - 1499-2671 (Linking) VI - 47 IP - 5 DP - 2023 Jul TI - Exploring the Lived Experience of Self-management Practices of Indigenous Men, Women and Two-spirited Individuals Living With Type 2 Diabetes in Canada, the United States, Australia, and New Zealand: A Scoping Review. PG - 455-472.e15 LID - S1499-2671(23)00062-X [pii] LID - 10.1016/j.jcjd.2023.03.007 [doi] AB - OBJECTIVES: Indigenous men, women and two-spirted individuals have been significantly impacted by type 2 diabetes mellitus (T2DM) and its complications. It is believed that T2DM in Indigenous peoples is a direct result of colonization and the introduction of changes to traditional Indigenous ways of knowing, being, and living. The broader question will guide the aim of this scoping review: What is currently known about the lived experience of self-managing diabetes in Indigenous men, women, and two-spirited individuals living with T2DM in Canada, the United States, Australia and New Zealand? Specific objectives of this scoping review include 1) exploring the lived experience of self-management practices of Indigenous men, women, and two-spirited individuals living with T2DM; and 2) describing how self-management experiences differ from physical, emotional, mental, and spiritual perspectives. METHODS: A total of 6 databases were searched, including Ovid MEDLINE, Embase, PsychINFO, CINAHL, Cochrane, and the Native Health Database. An example of keywords searched included "self-management," "Indigenous," and "type 2 diabetes mellitus." A total of 37 articles were included in the synthesis of results, and the 4 quadrants of the Medicine Wheel were used to organize and interpret data. RESULTS: The use of culture within self-management practices was important for Indigenous peoples. Demographic data were collected for many of the studies, including sex and gender characteristics, but only a small number of studies addressed the influence of sex and gender on outcomes. CONCLUSION: Our findings inform future Indigenous diabetes education and health-care service delivery and future research. CI - Copyright (c) 2023 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Burnside, Heather AU - Burnside H AD - Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. Electronic address: heather.kewageshig@mail.utoronto.ca. FAU - Firestone, Michelle AU - Firestone M AD - Well Living House, Centre for Urban Health Solutions, Toronto, Ontario, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. FAU - Downey, Bernice AU - Downey B AD - Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada; School of Nursing, McMaster University, Hamilton, Ontario, Canada. FAU - Ayaz, Basnama AU - Ayaz B AD - Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. FAU - Parry, Monica AU - Parry M AD - Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. LA - eng PT - Journal Article PT - Review DEP - 20230401 PL - Canada TA - Can J Diabetes JT - Canadian journal of diabetes JID - 101148810 SB - IM MH - Male MH - United States/epidemiology MH - Humans MH - Female MH - *Self-Management MH - *Diabetes Mellitus, Type 2/therapy MH - New Zealand/epidemiology MH - Canada/epidemiology MH - Australia/epidemiology OTO - NOTNLM OT - Indigenous health OT - Indigenous research methodologies OT - chronic disease OT - diabetes OT - diabete OT - gender OT - genre OT - maladie chronique OT - methodologies autochtones en matiere de recherche OT - sante autochtone OT - sex OT - sexe EDAT- 2023/04/04 06:00 MHDA- 2023/08/04 06:43 CRDT- 2023/04/03 19:22 PHST- 2022/07/18 00:00 [received] PHST- 2023/03/27 00:00 [revised] PHST- 2023/03/27 00:00 [accepted] PHST- 2023/08/04 06:43 [medline] PHST- 2023/04/04 06:00 [pubmed] PHST- 2023/04/03 19:22 [entrez] AID - S1499-2671(23)00062-X [pii] AID - 10.1016/j.jcjd.2023.03.007 [doi] PST - ppublish SO - Can J Diabetes. 2023 Jul;47(5):455-472.e15. doi: 10.1016/j.jcjd.2023.03.007. Epub 2023 Apr 1.