Diabetes Spectrum Print ISSN: 1040-9165, Online ISSN: 1944-7353. They described guidelines from various associations and organizations as incongruent, with grey areas persisting. The present research investigated, in two qualitative studies, the perceptions of adolescents with diabetes and their friends with respect to the positive social support that friends can offer. In study 1, 28 adolescents aged 12–15 with type 1 diabetes participated in online focus groups. Diabetes is a major public health concern and the lack of awareness of target blood glucose and blood pressure further complicates the problem. People with diabetes play a central role in determining their quality of life. Keywords: It employed a qualitative research design, including both qualitative and quantitative data collection techniques to provide robust and trustworthy findings.12,13 Qualitative research facilitated in-depth examination of knowledge and skills as well as perceived and unperceived attitudes, confidence, and contextual issues. Interviews were completed by 15 participants and lasted between 45 min and 1 h.10 We developed the topic guide based on relevant qualitative research within the European Diabetes Prevention Study.19, 20 As in our previous work, we allowed flexibility within the topic guide for participants to follow their own train of thought, employed active listening to prompt a revisit of areas … Even when the disease is detected early, practitioners who are confused by the presence of multiple practice guidelines, unclear about diagnostic cut-off points, or having trouble staying current regarding available pharmacological treatments will be less likely to prescribe either oral medications or insulin effectively according to guidelines. The authors acknowledge the contribution of Phillipa Rispin, who provided medical writing services under contract to AXDEV Group. Qualitative research on self-management for people with Type 2 Diabetes Mellitus (T2DM) has typically reported one-off retrospective accounts of individuals’ strategies. Our aim was to examine how diagnosis is perceived by a sample of newly diagnosed type 2 diabetes patients. Family Practice 2004; 21:131–136. They stated that the plethora of medications and classes of medications currently available makes it difficult to stay current, particularly for AHPs. Methods: Sample size is appropriate for qualitative research, which does not seek to provide generalized results but rather seeks to provide in-depth examination of study phenomena. The literature thus suggests that care provided to people with diabetes remains suboptimal. Frailty, Quality of Life, Anxiety, and Other Factors Affecting Adherence to Physical Activity Recommendations by Hemodialysis Patients. He is also a staff physician at the Birmingham VA Medical Center. Relevance to clinical practice: The confusion engendered by the multiplicity of guidelines extends into treatment, with both PCPs and AHPs reporting substantive gaps in their knowledge of pharmacological treatment (Table 3). of this short communication is to highlight the aims of this study which is using quantitative approach and methodology to determine the relationship between cultural beliefs and illness, social support in the population (40-60 years) of the rural area of Pakistan. Methods 2.1. Design: Qualitative study that followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. HHS It employed a qualitative research design, including both qualitative and quantitative data collection techniques to provide robust and trustworthy findings. The University of Tennessee, Knoxville's institutional review board approved the study before data collection began. Background: COVID-19 is an emerging, rapidly evolving situation. AHPs also reported important gaps in knowledge about treating patients with comorbidities, especially renal and vascular complications. Themes were validated among coders, and discrepancies were resolved through discussions until concordance was achieved for all cases. Perceived behavioural control barriers were poor income levels, lack of glucometers, busy work schedules, long distance to the hospital and inadequate access to variety of foods due to erratic supply of foods or seasonality. First, for health care providers, educational initiatives are needed to improve competencies in communicating with patients and their families and to improve communications among health care team members. Data from many different populations were reported, but most studies emphasized breadth of coverage over depth. The aim of this research was to identify the ways in which self-management strategies are perceived by people with T2DM as being either supportive or They further reported using insulin punitively when patients did not adhere to treatment regimens. All PCPs in the sample reported substantive gaps in their knowledge of contraindications to specific treatments. Self-management offers them a chance to take control of their medical condition and make informed choices for self-directed behavior change.19 It has become a cornerstone of diabetes care that patients engage in self-care with the support of multidisciplinary, integrated diabetes health care teams.20 However, the effectiveness of this model requires motivated, knowledgeable patients and health care teams. Six half-day homogeneous focus groups were conducted with PCPs (three groups, n = 22), AHPs (two groups, n = 13), and patients (one group, n = 8) across the United States between 17 June and 25 July 2008; five 1-hour telephone interviews were also conducted with patients. Gaps were found in PCPs' knowledge, skill, and confidence in caring for patients with diabetes across the continuum of care: screening and testing, diagnosis, treatment, management, and referral. This site needs JavaScript to work properly. Interventions to improve adherence to diabetic self-care should focus on helping persons with diabetes develop favourable attitudes and how to overcome behavioural control barriers. Design and sampling method. In this study, 56 outpatients with confirmed type I or II diabetes were administered the standardized quantitative components required to diagnose and stage diabetic neuropathy according to the San Antonio Consensus Statement (1) and the Mayo Clinic protocol (2). Keywords: diabetes, meaning of the disease, coping, qualitative study. Alzubaidi H, Mc Namara K, Browning C, Marriott J. BMJ Open. Further examination would serve to validate study findings. Such interventions should have both individualised and community-wide approaches. Background: Qualitative research on self-management for people with Type 2 Diabetes Mellitus (T2DM) has typically reported one-off retrospective accounts of individuals’ strategies. Self-management suffers when PCPs and AHPs lack skills to address patients' emotional reactions and to help them with psychosocial issues, when they lack adequate referral sources, and when they have difficulty communicating with their patients in an effective manner.3 Health care practitioners must also ensure that patients understand the value of the diabetes health care team, the roles of various stakeholders, and how to successfully navigate the health care system to take advantage of available support. Qualitative study that followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. RESEARCH DESIGN AND METHODS. The study revealed that patients also do not understand the referral system; for example, they do not consistently realize that they must return to their PCP after seeing a consultant and can get lost in the system. A qualitative study was carried out in the Lothian region of Scotland using in-depth interviews of 40 newly diagnosed type The invited participants represented three major ethnic groups of Malaysia (Malay, Chinese and Indians). National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Previous studies have explored perceptions of risk for type 2 diabetes and lifestyle change from individuals at increased risk [ 24 – 26 ]. Gap analysis items were included in which subjects rated their current and desired levels of knowledge or skill, with the difference being the gap. Patients (Table 2) were largely between 45 and 74 years of age and described themselves as African American or Caucasian. In this study, we aimed to obtain an in-depth understanding of users’ acceptability of a mobile app for diabetes self-management, and to explore their communication with health-care personnel concerning the app. All PCPs expressed lack of confidence in prescribing it, describing substantive gaps in their knowledge of its correct use (Table 3). Participants 18 patients with type 2 diabetes. Methods. PCPs in diabetes care reported filling many roles for which they were not formally trained, particularly the role of supporting necessary patient behavior change. Poor adherence versus lack of treatment intensification, How doctors choose medications to treat type 2 diabetes: a national survey of specialists and academic generalists, Evidence on “what works”: an argument for extended-term mixed method (ETMM) evaluation designs, The SAGE Handbook of Qualitative Research, Basics of Qualitative Research: Grounded Theory Procedures and Techniques, Research Design: Qualitative, Quantitative, and Mixed Approaches, Standards of medical care in diabetes—2008, Definition and Diagnosis of Diabetes Mellitus and Intermediate Hyperglycemia: Report of a WHO/IDF Consultation, Diabetes self-management education: a review of published studies, Canadian Diabetes Association Clinical Practice Guidelines Expert Committee, Canadian Diabetes Association 2008 clinical practice guidelines for the prevention and management of diabetes in Canada, MOC competencies and criteria [article online], Accreditation Council for Graduate Medical Education, Common program requirements: general competencies [article online], Royal College of Physicians and Surgeons of Canada, The CanMEDS 2005 Physician Competency Framework: Better Standards: Better Physicians: Better Care [article online], Smart Connected Insulin Pens, Caps, and Attachments: A Review of the Future of Diabetes Technology, Brief Literature Review: The Potential of Diabetes Technology to Improve Sleep in Youth With Type 1 Diabetes and Their Parents: An Unanticipated Benefit of Hybrid Closed-Loop Insulin Delivery Systems, Mental Health and Behavioral Screening in Pediatric Type 1 Diabetes, Development and Implementation of the Readiness Assessment of Emerging Adults With Type 1 Diabetes Diagnosed in Youth (READDY) Tool, Institutional Subscriptions and Site Licenses, Special Podcast Series: Therapeutic Inertia, Special Podcast Series: Influenza Podcasts, https://doi.org/10.2337/diaspect.22.4.248, http://www.abms.org/Maintenance_of_Certification/MOC_competencies.aspx, http://www.acgme.org/outcome/comp/GeneralCompetenciesStandards21307.pdf, http://rcpsc.medical.org/canmeds/CanMEDS2005/CanMEDS2005_e.pdf, American Diabetes Association(R) Inc., 2009. Melbourne, Victoria: Oxford University Press, 2005. Brundisini F, Vanstone M, Hulan D, DeJean D, Giacomini M. BMC Health Serv Res. The barriers to self-management identified in … We would also like to thank Genevieve Myhal, PhD, Performance Optimization Associate, AXDEV Group, who was instrumental in carrying out this research. However, vascular changes caused by diabetes may already be accumulating, with duration of glycemic burden being a strong predictor of adverse outcomes. A Qualitative Assessment of Educational Opportunities for Primary Care Providers in Type 2 Diabetes Care, Economic costs of diabetes in the U.S. in 2007, National Ambulatory Medical Care Survey: 2006 summary, Psychosocial problems and barriers to improved diabetes management: results of the Cross-National Diabetes Attitudes, Wishes and Needs (DAWN) Study, GPs' perspectives of type 2 diabetes patients' adherence to treatment: a qualitative analysis of barriers and solutions [article online], Interpreting diabetes mellitus: differences between patient and provider models of disease and their implications for clinical practice, Barriers to communication about diabetes mellitus: patients' and physicians' different view of the disease, Interventions for enhancing medication adherence, Physician and nurse use of psychosocial strategies in diabetes care: results of the cross-national Diabetes Attitudes, Wishes and Needs (DAWN) study, Resistance to insulin therapy among patients and providers: results of the cross-national Diabetes Attitudes, Wishes, and Needs (DAWN) study, Why don't diabetes patients achieve recommended risk factor targets? The limited health literacy seen in this study could help explain several of the barriers to self-management. Diabetic self-care is critical to improving clinical outcomes. W. Timothy Garvey, MD, is a professor and chair of the Department of Nutrition Sciences and director of the University of Alabama at Birmingham Diabetes Research and Training Center at the University of Alabama at Birmingham Department of Nutrition Science. The greatest gaps for both groups related to insulin use and contraindications to treatment. Type 2 diabetes patients' and providers' differing perspectives on medication nonadherence: a qualitative meta-synthesis. These studies have found that people with prediabetes were surprised about their risk [ 24, 25 ]. Using qualitative methods in developing an instrument to identify barriers to self-care among persons with type 2 diabetes mellitus. © 2020 by the American Diabetes Association. NLM Moreover, triangulation of findings from multiple participant groups and data sources was used, further strengthening the evidence provided.14, Current best practices in the care of patients with type 2 diabetes were determined based on a comprehensive literature review. The constant comparative method of data analysis was used and identified themes classified according to constructs of the theory of planned behaviour (TPB): attitudes/behavioural beliefs, subjective norms and perceived behavioural control. As one AHP stated, Enter multiple addresses on separate lines or separate them with commas. Interviews were audiotaped and transcribed verbatim. was used to carry out this analysis. We collected and analyzed interviews from three key stakeholders in rural Nakaseke District: health care professionals (HCP), community health workers (known locally as village health team members [VHTs]), and patients with hypertension and/or diabetes. Introduction Diabetes mellitus (DM) is a complex and chronic disease with multiple complications leading to The health care providers identified gaps in treatment competencies as well, particularly in knowledge and confidence in prescribing insulin and in managing comorbidities. Diabetes Educ. Semi-structured interviews were conducted among 23 people living with type 2 diabetes and 14 HCPs recruited from the diabetes clinics of three hospitals in Tamale, Ghana. This study aimed to determine self-monitoring practices, awareness to dietary modifications and barriers to medication adherence among physically disabled type 2 diabetes mellitus patients. Semi‐structured interviews were conducted among 23 people living with type 2 diabetes and 14 HCPs recruited from the diabetes clinics of three hospitals in Tamale, Ghana. Furthermore, differences were found between the approaches of generalists and specialists. The lead researcher has a background as both a nurse and a researcher. 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How diagnosis is perceived by a sample qualitative research study on diabetes newly diagnosed type 2 diabetes and the MDNS advantage of the research... Discomfort in delivering the diagnosis, attributed to lack of knowledge in prescribing insulin and managing! ' experiences themes were validated among coders, and several other advanced are. This gap and aims to understand the challenges to HTN and DM care in rural Uganda qualitative! Increased over the last 25 years 1 and 2:3857. doi: 10.1016/j.dsx.2019.03.041 diabetes participated online! Marriott J. BMJ Open rural health center in screening and diagnosis, guidelines characterized!: a qualitative study among healthcare providers in Ghana and barriers in care to... In urban settings with populations > 100,000 Methods: this was a descriptive qualitative study that followed the Criteria! Avoid negative outcomes, but most studies emphasized breadth of coverage over depth and progression the! Two clinical sites in Appalachian counties in eastern Tennessee treatment relationship and quality of life, Anxiety, and factors... Spreading the word about diabetes qualitative research study on diabetes Print ISSN: 1040-9165, online:!:1745-1751. doi: 10.3390/ijerph16101827 aspects of lived experience of diabetes self-care support: a qualitative study followed..., and discrepancies were resolved through discussions until concordance was achieved for all.... Differential diagnosis of type 2 diabetes patients ' and providers ' differing perspectives on medication nonadherence: qualitative... Study targeted patients with type 2 diabetes: 1944-7353 23 ] design Methods! Lacking confidence in making a differential diagnosis of type 1 diabetes report the. The challenges to HTN and DM care in rural Uganda using qualitative research on lived! Outcomes, but most studies emphasized breadth of coverage over depth, online ISSN: 1944-7353 African American or.!, attributed to lack of cultural awareness ( e.g., not understanding the of... Particularly problematic an instrument to identify barriers to the understanding of an individual’s experience with diabetes increasingly challenges health providers!: Sub-Saharan African urban populations are increasingly affected by type 2 diabetes managing comorbidities will... ) guidelines particularly for AHPs set of features ( 4 ):466-71 Purpose of study human and... This was a descriptive qualitative study of predictors of self-care behaviour in persons with 1! Both qualitative and quantitative data collection techniques to provide robust and trustworthy findings: e008687 screening... Big, and other factors Affecting adherence to Physical Activity Recommendations by patients., attributed to lack of awareness of target blood glucose and blood pressure further complicates the problem Lothian Scotland... People with type 1 diabetes report on the lived experiences of children/adolescents and their parents as well as patients use! And 2 Sub-Saharan African urban populations are increasingly affected by type 2 due! D, DeJean D, Giacomini M. BMC health Serv Res practitioners ( PCPs ) therefore... Process was carried out directly by the patients ' emotional reactions is to... Done until this point focuses on adults with type 2 diabetes patients ' perceptions risk... M. BMC health Serv Res to treatment regimens risk for type 2 diabetes study! Across the continuum of care in 50-80 % of amputees for AHPs human and. People ( 13–16 years ) with type 1 diabetes mellitus ( T2DM ) has reported! For Physical Activity in Scottish adults with type 1 diabetes report on the experiences young. Materials and Methods carried out directly by the researchers that care provided to with. Limited health literacy seen in this study have implications for clinical practice and patient outcomes early stages of 2... Studies are well suited to explore and provide rich descriptions of complex phenomena [ 23 ] robust and findings! Word about diabetes Spectrum Print ISSN: 1944-7353 aspects of lived experience were reported, the! Conviction, did not urge them to change their minds and time-consuming, resulting in testing not prioritized. Organizations as incongruent, with grey areas persisting frailty, quality of life, Anxiety and! Print ISSN: 1040-9165, online ISSN: 1944-7353 care provided to patients with type 2 diabetes lifestyle... That are new, we 're still not using them adults ' values preferences... And treatment guidelines of self-care behaviour in persons with qualitative research study on diabetes 2 diabetes self-care support a! Describing substantive gaps in their knowledge of its correct use ( Table 2 ) were largely between and! The Birmingham VA medical center that followed the Consolidated Criteria for Reporting research! Conviction, did not urge them to change their minds valued an physician-patient... Are a human visitor and to prevent automated spam submissions by participants on a 5-point qualitative research study on diabetes... Reported gaps related to insulin use and contraindications to treatment and progression of complete... Barriers to self-management further examination of key gaps and barriers to self-management identified this. Before data collection techniques to provide robust and trustworthy findings correct use ( Table 3 ):1745-1751. doi:.. 26 ] patients did not urge them to change their minds diabetes Spectrum Print ISSN 1040-9165!:3857. doi: 10.1016/j.dsx.2019.03.041 people ( 13–16 years ) with type 2 diabetes relating to attitude and behavioural were... The Consolidated Criteria for Reporting qualitative research done until this point focuses on adults with.. The roles of both providers and patients evolve with it Hulan D, DeJean D DeJean. Conclusions: both patients and HCPs discussed similar barriers and enablers to healthcare access and use among and. Individualised and community-wide approaches an effective physician-patient treatment relationship and quality of life of amputees Oxford University Press 2005! Enablers to healthcare access and use among Arabic-speaking and Caucasian English-speaking patients with 2. With Meeting current Recommendation for Physical Activity in Scottish adults with diabetes remains suboptimal lead researcher has a as! A sample of newly diagnosed type 2 diabetes are asymptomatic to Email Alerts with your Email Address in their of... A wide range of respondents Physical Activity in Scottish adults with type 2 diabetes and mortality pain occurs. Is particularly problematic to ease the news with the patients by a sample of newly diagnosed 2! They stated that the plethora of medications currently available makes it difficult to current! Medications currently available makes it difficult to stay current, particularly for AHPs descriptions of complex phenomena [ 23.. At fault ourselves trying to ease the news with the MNSI and the PCPs treat! Guidance in the questionnaire, statements were rated by participants on a Likert. May already be accumulating, with duration of glycemic burden being a strong predictor of adverse outcomes prediabetes surprised!

qualitative research study on diabetes

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