Strategies for Improving Participation in Diabetes Education. A Qualitative Study

Autor: Claudia Küver, Hanna Kaduszkiewicz, Ingmar Schäfer, Hendrik van den Bussche, Martin Scherer, Marc Pawels, Nadine Janis Pohontsch
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Male
Health Knowledge
Attitudes
Practice
General Practice
lcsh:Medicine
Type 2 diabetes
Endocrinology
Germany
Medicine and Health Sciences
Public and Occupational Health
lcsh:Science
Health Education
Qualitative Research
Aged
80 and over
Multidisciplinary
Health services research
Qualitative Studies
Middle Aged
Socioeconomic Aspects of Health
Type 2 Diabetes
Health Education and Awareness
Research Design
Health education
Female
Health Services Research
Psychosocial
Research Article
medicine.medical_specialty
Clinical Research Design
Attitude of Health Personnel
Research and Analysis Methods
Interviews as Topic
Nursing
Physicians
medicine
Diabetes Mellitus
Humans
Patient participation
Cities
Primary Care
Aged
Demography
Diabetic Endocrinology
Health Care Policy
business.industry
lcsh:R
medicine.disease
Comorbidity
Health Care
Family medicine
Metabolic Disorders
Patient Compliance
lcsh:Q
Patient Participation
business
Qualitative research
Patient education
Zdroj: PLoS ONE
PLoS ONE, Vol 9, Iss 4, p e95035 (2014)
ISSN: 1932-6203
Popis: Objective Diabetes mellitus is highly prevalent and can lead to serious complications and mortality. Patient education can help to avoid negative outcomes, but up to half of the patients do not participate. The aim of this study was to analyze patients' attitudes towards diabetes education in order to identify barriers to participation and develop strategies for better patient education. Methods We conducted a qualitative study. Seven GP practices were purposively selected based on socio-demographic data of city districts in Hamburg, Germany. Study participants were selected by their GPs in order to increase participation. Semi-structured face-to-face interviews were conducted with 14 patients. Interviews were audiotaped and transcribed verbatim. The sample size was determined by data saturation. Data were analysed by qualitative content analysis. Categories were determined deductively and inductively. Results The interviews yielded four types of barriers: 1) Statements and behaviour of the attending physician influence the patients' decisions about diabetes education. 2) Both, a good state of health related to diabetes and physical/psychosocial comorbidity can be reasons for non-participation. 3) Manifold motivational factors were discussed. They ranged from giving low priority to diabetes to avoidance of implications of diabetes education as being confronted with illness narratives of others. 4) Barriers also include aspects of the patients' knowledge and activity. Conclusions First, physicians should encourage patients to participate in diabetes education and argue that they can profit even if actual treatment and examination results are promising. Second, patients with other priorities, psychic comorbidity or functional limitations might profit more from continuous individualized education adapted to their specific situation instead of group education. Third, it might be justified that patients do not participate in diabetes education if they have slightly increased blood sugar values only and no risk for harmful consequences or if they already have sufficient knowledge on diabetes.
Databáze: OpenAIRE
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