Variation in Patient-Described Barriers to and Facilitators of Diabetes Management by Individual-Level Characteristics: A Cross-Sectional, Open-Ended Survey-Reference-Cited by-同舟云学术

Variation in Patient-Described Barriers to and Facilitators of Diabetes Management by Individual-Level Characteristics: A Cross-Sectional, Open-Ended Survey

Published:2022-07-01 Issue:3 Volume:40 Page:283-296
ISSN:0891-8929
Container-title:Clinical Diabetes
language:en
Short-container-title:

Author:

Campbell David J.T.¹²³^ORCID,Ghuttora Harleen¹,Mladenovic Ana⁴,Smith Jordan⁵,Leigh Ryan⁶,Desveaux Laura⁷,Ivers Noah⁷,Manns Braden¹²,Tonelli Marcello¹²,Naugler Christopher²⁸,Hemmelgarn Brenda⁹,McBrien Kerry A.²¹⁰^ORCID

Affiliation:

1. 1Department of Medicine, Cumming School of Medicine University of Calgary, Calgary, Alberta, Canada

2. 2Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

3. 3Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

4. 4Richmond Division of Family Practice, Port Coquitlam, British Columbia, Canada

5. 5Department of Physics, Faculty of Sciences, University of Calgary, Calgary, Alberta, Canada

6. 6Department of Emergency Medicine, Valley Regional Hospital, Nova Scotia Health, Nova Scotia, Canada

7. 7Women’s College Research Institute, Toronto, Ontario, Canada

8. 8Department of Pathology and Laboratory Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

9. 9Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada

10. 10Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

Abstract

This study analyzed patient-described barriers and facilitators related to diabetes management, focusing on how these differ by glycemia and across individual characteristics. A cross-sectional telephone survey was conducted with adult patients with diabetes in Alberta, Canada, asking two open-ended questions to describe the most helpful and difficult components of their diabetes management. Responses were analyzed using directed content analysis using the Theoretical Domains Framework as a template. The most frequently cited facilitator was care context and information, and the most frequently cited barriers were cognitive challenges and structural barriers, with patient-perceived barriers and facilitators varying by individual-level factors.

Publisher

American Diabetes Association

Subject

Endocrinology, Diabetes and Metabolism,Internal Medicine

Link

https://diabetesjournals.org/clinical/article-pdf/40/3/283/685530/diaclincd210060.pdf

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