What are the self-management experiences of the elderly with diabetes? A systematic review of qualitative research

Table 3 Confidence in review findings: GRADE-confidence in the evidence from reviews of qualitative research assessment

Summary of review findings	Studies contributing to the review findings	Methodological limitations	Relevance	Coherence	Adequacy	Assessment of confidence in the evidence	Explanation of CERQual assessment
Need for knowledge about diabetes care	Eight Studies[27,29-33,35,36]	Minor methodological limitations (six no concerns; two minor concerns).	Minor concerns (one indirect; two partial; five relevant)	Very minor concerns (data very consistent within and across studies)	No concerns (eight studies that offered rich datal)	High confidence	Finding graded as high because of the range of studies, richness of data, and relative consistency of the finding in relation to the review question
Support system	Eight studies[27-29,31-33,35,36]	Minor methodological limitations (six no concerns; two minor concerns)	Minor concerns (one indirect, three partial, four relevant)	Minor concerns (data very consistent within and across studies)	Minor concerns (Eight studies that together offered data to the two sub-themes)	Moderate confidence	Finding graded as high because of the range of studies, the richness of the data and the relative consistency of the finding in relation to the review question
Function decline	Seven studies[27,30-33,36,37]	Minor methodological limitations (six no concerns; one moderate concerns)	Minor concerns (three partial; four relevant)	Minor concerns (data consistent within and across studies)	Minor concerns (seven studies that offered moderately rich data)	Moderate confidence	This finding was graded as moderate confidence because of minor concerns regarding methodological limitations, relevance, coherence, and adequacy
Attitudes toward diabetes	Six Studies[27,30,31,35-37]	Minor methodological limitations (five no concerns; one with moderate concerns)	Moderate concerns (one indirect; two partial; three relevant)	Minor concerns (data consistent within and across studies)	Minor concerns (six studies that offered moderately rich data)	Moderate confidence	This finding was graded as moderate confidence because of moderate methodological limitations and minor concerns regarding relevance, coherence, and adequacy
Healthy lifestyle challenges	Ten studies[27-37]	Minor methodological limitations (seven with no concerns; two minor concerns; one with moderate concerns)	Minor concerns (one indirect; four partial; five relevant)	Minor concerns (data consistent within and across studies)	No concerns (eight studies that offered rich data)	High confidence	This finding was graded as moderate confidence because of moderate methodological limitations and minor concerns regarding relevance and coherence

CERQual: Confidence in the Evidence from Reviews of Qualitative research.