Community-Based Intervention for Type 2 Diabetes Management in Developing Countries: A Systematic Review
Dublin Core
Title
Community-Based Intervention for Type 2 Diabetes Management in Developing Countries: A Systematic Review
Subject
community-based intervention, chronic disease, developing countries, healthy behavior, type 2 diabetes mellitus
Description
Type 2 Diabetes Mellitus (T2DM) poses a significant public health challenge, especially in developing countries with
limited healthcare resources. There is a critical need for community-based interventions (CBIs) to promote healthy
lifestyles for individuals with T2DM. This study explores CBIs to improve health behavior among T2DM patients in
developing countries. It systematically reviews articles from PubMed, Scopus, CENTRAL, and CINAHL databases. The
search strategy employed specific keywords following the PRISMA Extension for Systematic Reviews. The quality of
the included articles was appraised using the Joanna Briggs Institute (JBI). A narrative synthesis summarized the key
findings across the selected articles. The inclusion criteria were full-text primary research reporting randomized controlled
trials (RCTs) conducted in developing countries, focusing on community-based interventions, and published between
2014 and 2023. A review of twelve articles, with sample sizes ranging from 54 to 12,140 participants, explored interventions such as exercise, empowerment, peer support, and web-based programs. These interventions showed significant
effectiveness: six articles reported improvement in health behavior, two in medical adherence, three in physical activity,
four in positive attitudes, and two in quality of life (QoL). Five articles reported a consistent trend toward reduced HbA1c
levels. This review highlights the potential of CBIs as effective strategies for addressing the complex challenges of T2DM
in developing countries. Community health nurses may play a pivotal role in implementing and leading these interventions, particularly those involving technology-based approaches, to enhance self-care practices and improve glycaemic
outcomes among individuals with T2DM.
limited healthcare resources. There is a critical need for community-based interventions (CBIs) to promote healthy
lifestyles for individuals with T2DM. This study explores CBIs to improve health behavior among T2DM patients in
developing countries. It systematically reviews articles from PubMed, Scopus, CENTRAL, and CINAHL databases. The
search strategy employed specific keywords following the PRISMA Extension for Systematic Reviews. The quality of
the included articles was appraised using the Joanna Briggs Institute (JBI). A narrative synthesis summarized the key
findings across the selected articles. The inclusion criteria were full-text primary research reporting randomized controlled
trials (RCTs) conducted in developing countries, focusing on community-based interventions, and published between
2014 and 2023. A review of twelve articles, with sample sizes ranging from 54 to 12,140 participants, explored interventions such as exercise, empowerment, peer support, and web-based programs. These interventions showed significant
effectiveness: six articles reported improvement in health behavior, two in medical adherence, three in physical activity,
four in positive attitudes, and two in quality of life (QoL). Five articles reported a consistent trend toward reduced HbA1c
levels. This review highlights the potential of CBIs as effective strategies for addressing the complex challenges of T2DM
in developing countries. Community health nurses may play a pivotal role in implementing and leading these interventions, particularly those involving technology-based approaches, to enhance self-care practices and improve glycaemic
outcomes among individuals with T2DM.
Creator
Lutfian, Izdihar Javier Wardika, Aufa Azizah, Fahmi Wildana, Yusti Muzdalifa Taplo, Riki Wartakusumah
Source
DOI: 10.7454/jki.v28i2.1494
Publisher
Universitas Indonesia
Date
2025
Contributor
Sri Wahyuni
Rights
pISSN 1410-4490; eISSN 2354-9203
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Lutfian, Izdihar Javier Wardika, Aufa Azizah, Fahmi Wildana, Yusti Muzdalifa Taplo, Riki Wartakusumah, “Community-Based Intervention for Type 2 Diabetes Management in Developing Countries: A Systematic Review,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/10974.