Interventions to improve diabetes care and self-management for individuals experiencing homelessness: a scoping review with systematic search of qualitative and quantitative literature
Authors' conclusion
A broad spectrum of interventions have been implemented with the goal of improving diabetes care in people experiencing homelessness. There is an ongoing need for more structured evaluations of programmes that provide care for this population.
Study context
- Population
- People experiencing homelessness with diabetes; English and French studies up to 24 September 2024documents included
- Participants
- 269 people
- Outcome
- Interventions to improve diabetes care for people experiencing homelessness
Methodological details11 databases, grey-literature search, two reviewers, descriptive analysis
- 11 databases
- Grey-literature search
- Two reviewers
- Descriptive analysis
Main finding
As reported in the abstract
- Documents included (75 published, 194 grey literature)
- 269
- Interventions conducted in the USA
- 186
- Simple programme descriptions
- 173
- Intervention categories identified
- 16
- Mobile clinics, street medicine and outreach
- 68
- Multidisciplinary care
- 35
- Recommendations for providers
- 29
- Foot care/assessment programmes
- 31
Further findings
Effect of interventions on HbA1c (quantitative studies)
- Quantitative studies
- 51
- Studies examining HbA1c
- 11
- Studies showing HbA1c reductions
- 7
- Statistically significant reductions
- 3
- Overall high risk of bias, mainly secondary to attrition
Qualitative studies
- Qualitative studies emphasising need for specialised diabetes care (multidisciplinary teams, longer appointment times)
- 15
Original publication
Interventions to improve diabetes care and self-management for individuals experiencing homelessness: a scoping review with systematic search of qualitative and quantitative literature. Diabetologia. Published 3 June 2025. doi:10.
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