Community-based type 2 diabetes screening programmes designed for priority populations: a scoping review protocol

Background Type 2 diabetes is a growing public health concern, and it continues to disproportionately impact priority populations. Although earlier and more frequent screening of diabetes promotes early detection to prevent adverse outcomes, this is a significant barrier for priority populations due...

Full description

Saved in:
Bibliographic Details
Main Authors: Ghazal S Fazli, Muhanad Ahmed Ali, David Gerstle, Fatema Mahad Ali, Aimen Zehra
Format: Article
Language:English
Published: BMJ Publishing Group 2025-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/6/e090787.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849431107352657920
author Ghazal S Fazli
Muhanad Ahmed Ali
David Gerstle
Fatema Mahad Ali
Aimen Zehra
author_facet Ghazal S Fazli
Muhanad Ahmed Ali
David Gerstle
Fatema Mahad Ali
Aimen Zehra
author_sort Ghazal S Fazli
collection DOAJ
description Background Type 2 diabetes is a growing public health concern, and it continues to disproportionately impact priority populations. Although earlier and more frequent screening of diabetes promotes early detection to prevent adverse outcomes, this is a significant barrier for priority populations due to inequities that hinder access to critical preventive screening in primary care settings. The purpose of this scoping review is to better understand the design and implementation of screening and early detection of type 2 diabetes in community settings for priority populations to reduce missed or delayed diagnoses and future potential adverse outcomes.Methods This scoping review will adopt the methodological framework of Arksey and O’Malley and be enhanced using Levac et al recommendations. A search strategy was designed using insights from experienced librarians through the Peer Review for Electronic Search Strategies to conduct a comprehensive search using the following databases: Medline, Embase, PsycINFO, Web of Science, Scopus, CINAHL and Google. The search will capture studies focused on community-based diabetes screening using point-of-care testing and deployed in community settings serving priority populations with undiagnosed diabetes. Studies will be excluded if priority populations were not a focus, individuals living with diabetes, the intervention is not implemented in a community setting and did not use point-of-care screening. Two authors will independently review and screen the articles (title, abstract and full-text), while a team-based approach will be applied to chart the data. A thematic analysis will be used to identify emerging themes and subthemes according to barriers and enablers of implementing an equitable community-based diabetes screening intervention.Ethics and dissemination The findings from this review will inform future diabetes screening interventions in community settings to enable an equity-informed approach in the design, planning and implementation of such strategies. Equally important, it will inform a larger project, in which the team plans to implement a community-based diabetes screening programme in Ontario, Canada.
format Article
id doaj-art-3c7d23a441284f4eac2aa5c2b1b5b255
institution Kabale University
issn 2044-6055
language English
publishDate 2025-06-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-3c7d23a441284f4eac2aa5c2b1b5b2552025-08-20T03:27:44ZengBMJ Publishing GroupBMJ Open2044-60552025-06-0115610.1136/bmjopen-2024-090787Community-based type 2 diabetes screening programmes designed for priority populations: a scoping review protocolGhazal S Fazli0Muhanad Ahmed Ali1David Gerstle2Fatema Mahad Ali3Aimen Zehra4Novo Nordisk Network for Healthy Population, University of Toronto Mississauga, Mississauga, Ontario, CanadaDepartment of Geography, Geometrics, and Environment, University of Toronto Mississauga, Mississauga, Ontario, CanadaUniversity of Toronto Mississauga Library, Mississauga, Ontario, Ontario, CanadaNovo Nordisk Network for Healthy Population, University of Toronto Mississauga, Mississauga, Ontario, CanadaDepartment of Anthropology, University of Toronto Mississauga, Mississauga, Ontario, CanadaBackground Type 2 diabetes is a growing public health concern, and it continues to disproportionately impact priority populations. Although earlier and more frequent screening of diabetes promotes early detection to prevent adverse outcomes, this is a significant barrier for priority populations due to inequities that hinder access to critical preventive screening in primary care settings. The purpose of this scoping review is to better understand the design and implementation of screening and early detection of type 2 diabetes in community settings for priority populations to reduce missed or delayed diagnoses and future potential adverse outcomes.Methods This scoping review will adopt the methodological framework of Arksey and O’Malley and be enhanced using Levac et al recommendations. A search strategy was designed using insights from experienced librarians through the Peer Review for Electronic Search Strategies to conduct a comprehensive search using the following databases: Medline, Embase, PsycINFO, Web of Science, Scopus, CINAHL and Google. The search will capture studies focused on community-based diabetes screening using point-of-care testing and deployed in community settings serving priority populations with undiagnosed diabetes. Studies will be excluded if priority populations were not a focus, individuals living with diabetes, the intervention is not implemented in a community setting and did not use point-of-care screening. Two authors will independently review and screen the articles (title, abstract and full-text), while a team-based approach will be applied to chart the data. A thematic analysis will be used to identify emerging themes and subthemes according to barriers and enablers of implementing an equitable community-based diabetes screening intervention.Ethics and dissemination The findings from this review will inform future diabetes screening interventions in community settings to enable an equity-informed approach in the design, planning and implementation of such strategies. Equally important, it will inform a larger project, in which the team plans to implement a community-based diabetes screening programme in Ontario, Canada.https://bmjopen.bmj.com/content/15/6/e090787.full
spellingShingle Ghazal S Fazli
Muhanad Ahmed Ali
David Gerstle
Fatema Mahad Ali
Aimen Zehra
Community-based type 2 diabetes screening programmes designed for priority populations: a scoping review protocol
BMJ Open
title Community-based type 2 diabetes screening programmes designed for priority populations: a scoping review protocol
title_full Community-based type 2 diabetes screening programmes designed for priority populations: a scoping review protocol
title_fullStr Community-based type 2 diabetes screening programmes designed for priority populations: a scoping review protocol
title_full_unstemmed Community-based type 2 diabetes screening programmes designed for priority populations: a scoping review protocol
title_short Community-based type 2 diabetes screening programmes designed for priority populations: a scoping review protocol
title_sort community based type 2 diabetes screening programmes designed for priority populations a scoping review protocol
url https://bmjopen.bmj.com/content/15/6/e090787.full
work_keys_str_mv AT ghazalsfazli communitybasedtype2diabetesscreeningprogrammesdesignedforprioritypopulationsascopingreviewprotocol
AT muhanadahmedali communitybasedtype2diabetesscreeningprogrammesdesignedforprioritypopulationsascopingreviewprotocol
AT davidgerstle communitybasedtype2diabetesscreeningprogrammesdesignedforprioritypopulationsascopingreviewprotocol
AT fatemamahadali communitybasedtype2diabetesscreeningprogrammesdesignedforprioritypopulationsascopingreviewprotocol
AT aimenzehra communitybasedtype2diabetesscreeningprogrammesdesignedforprioritypopulationsascopingreviewprotocol