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All Journal Journal of Educational, Health and Community Psychology
Januarso Setiawan
Faculty of Public Health, Diponegoro University
Education Public Health

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Psychosocial Determinants of Quality of Life in Patients with Type 2 Diabetes Mellitus: A Scoping Review Januarso Setiawan; Fadli delian Pangaribawa; Besar Tirto Husodo
Journal of Educational, Health and Community Psychology VOL 15 NO 2 JUNE 2026
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jehcp.vi.32213

Abstract

Psychosocial factors, particularly perceived social support, are increasingly recognised as important determinants of quality of life (QoL) among adults with Type 2 Diabetes Mellitus (T2DM). This scoping review mapped the breadth, nature, and distribution of evidence regarding psychosocial determinants associated with QoL in T2DM, following Arksey and O'Malley’s six-stage framework as updated by Peters et al., and reported in accordance with the PRISMA-ScR guidelines. Four electronic databases (PubMed, Scopus, PsycINFO, and Google Scholar) were systematically searched for peer-reviewed studies published between 2019 and 2025, resulting in 28 eligible studies from 847 initial records. To contextualise the review findings, a supplementary cross-sectional study involving 180 outpatients with T2DM in Central Java, Indonesia, was conducted. Thematic synthesis identified three overarching domains influencing QoL: glycemic-functional burden, psychosocial buffering, and cumulative chronicity. Across the reviewed evidence and the supplementary cohort, poor glycemic control (HbA1c ≥8%) consistently emerged as the strongest negative predictor of QoL (β = −0.362, p < .001), whereas perceived social support was the strongest positive predictor (β = 0.318, p < .001). Critical appraisal using the Mixed Methods Appraisal Tool (MMAT) indicated predominantly moderate-to-high methodological quality across included studies. The findings underscore the importance of integrating psychosocial screening and support into routine diabetes care, particularly in collectivist healthcare contexts where family and community support play central roles in chronic disease management.
Digital Health Interventions for Preventing Type 2 Diabetes in Adults Elevated Risk: A Scoping Review of Interventions, Outcomes, and Implementation Determinants Januarso Setiawan; Bagoes Widjanarko; Ayun Sriatmi
Journal of Educational, Health and Community Psychology VOL 15 NO 3 SEPTEMBER 2026
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jehcp.vi.32212

Abstract

Type 2 diabetes mellitus (T2DM) is preceded by a modifiable period of prediabetes, creating opportunities for scalable prevention through digital health interventions (DHIs). This scoping review mapped intervention types, study characteristics, outcomes, methodological limitations, and research gaps in DHIs for preventing T2DM among at-risk adults. Following Arksey and O’Malley’s framework, Joanna Briggs Institute guidance, and PRISMA-ScR, 52 records were identified through structured searches and citation tracking. After removing 16 duplicates, 36 records were screened using Population–Concept–Context criteria, yielding 13 eligible studies or trial protocols. The interventions comprised mobile application-based diabetes prevention programs, SMS/text messaging, telehealth or telecoaching, wearables and glucose monitoring, artificial intelligence-enabled coaching, and multicomponent hybrid platforms. Commonly assessed outcomes included weight, body mass index, HbA1c, fasting glucose, incident T2DM, behavioral change, and program engagement. Overall, DHIs showed short- to medium-term benefits for weight reduction and glycemic risk markers, while several landmark trials reported reductions in T2DM incidence. However, the evidence was constrained by short follow-up periods, small and homogeneous samples, high attrition, self-reported outcomes, and limited economic evaluation. No eligible Indonesian prevention study was identified. Future research should prioritize long-term, implementation-informed comparative effectiveness trials in underrepresented Southeast Asian populations, particularly Indonesia, while evaluating sustainability, scalability, equity, and cost-effectiveness.
Co-Authors Ayun Sriatmi Bagoes Widjanarko Besar Tirto Husodo Fadli delian Pangaribawa