Context: Eliciting patients' views of type 2 diabetes self-management provides insights on how policy and services might better support the needs of this population.
Objective: To synthesize black and ethnic minority patients' views on the barriers and facilitators influencing the self-management of type 2 diabetes.
Search strategy: A systematic search of international literature published in nine electronic databases was undertaken in 2008. Search strategies used both MeSH and free-text terms. Two relevant journals were also hand searched.
Inclusion criteria: Any primary empirical study published in the English language since 1986 that reported black and ethnic minority patients' views on type 2 diabetes self-management.
Data extraction and synthesis: Data were extracted and study quality was formally assessed. Data were analysed using thematic synthesis.
Main results: Fifty-seven studies were included, of qualitative (n = 54), mixed-method (n = 2) or quantitative (n = 1) design. Studies were from North America (n = 41), Europe (n = 14) and Australia (n = 2), including 1735 participants in total. Three analytical themes emerged: 'Importance of identity'; 'Being understood by others' and 'Making sense of condition', all linked conceptually under the overarching theme 'Sense of self'. The quality of the studies varied.
Discussion and conclusions: The findings provide insight into what black and minority ethnic people regard as the barriers to, and facilitators of self-management, as opposed to what health professionals, policy makers and trial researchers may have assumed. Recognition of the views of people with diabetes is essential for the design and delivery of patient-centred care and policies.
Keywords: ethnicity; minority; qualitative; self-management; systematic review; type 2 diabetes.
© 2013 John Wiley & Sons Ltd.