Enablers and barriers to effective diabetes self-management: A multi-national investigation
| العنوان: | Enablers and barriers to effective diabetes self-management: A multi-national investigation |
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| المؤلفون: | Usman H. Malabu, Mary D. Adu, Bunmi S. Malau-Aduli, Aduli E. O. Malau-Aduli |
| المصدر: | PLoS ONE PLoS ONE, Vol 14, Iss 6, p e0217771 (2019) |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Gerontology, Male, Coping (psychology), Physiology, Economics, Social Sciences, Type 2 diabetes, Biochemistry, 0302 clinical medicine, Endocrinology, Cost of Illness, Sociology, Medicine and Health Sciences, Medicine, Insulin, Public and Occupational Health, 030212 general & internal medicine, Multidisciplinary, Self-management, Middle Aged, Self Efficacy, Blood Sugar, Sports Science, Body Fluids, Type 2 Diabetes, Distress, Blood, Female, Thematic analysis, Anatomy, Research Article, Adult, Adolescent, Patients, Endocrine Disorders, Science, 030209 endocrinology & metabolism, Education, 03 medical and health sciences, Young Adult, Diabetes mellitus, Diabetes Mellitus, Humans, Sports and Exercise Medicine, Exercise, Aged, Self-efficacy, Diabetic Endocrinology, Type 1 diabetes, Analysis of Variance, business.industry, Self-Management, Biology and Life Sciences, Physical Activity, medicine.disease, Hormones, Health Care, Medical Education, Physical Fitness, Metabolic Disorders, business, Medical Humanities, Finance |
| الوصف: | ObjectiveThe study aimed to identify the common gaps in skills and self-efficacy for diabetes self-management and explore other factors which serve as enablers of, and barriers to, achieving optimal diabetes self-management. The information gathered could provide health professionals with valuable insights to achieving better health outcomes with self-management education and support for diabetes patients.MethodsInternational online survey and telephone interviews were conducted on adults who have type 1 or type 2 diabetes. The survey inquired about their skills and self-efficacy in diabetes self-management, while the interviews assessed other enablers of, and barriers to, diabetes self-management. Surveys were analysed using descriptive and inferential statistics. Interviews were analysed using inductive thematic analysis.ResultsSurvey participants (N = 217) had type 1 diabetes (38.2%) or type 2 diabetes (61.8%), with a mean age of 44.56 SD 11.51 and were from 4 continents (Europe, Australia, Asia, America). Identified gaps in diabetes self-management skills included the ability to: recognize and manage the impact of stress on diabetes, exercise planning to avoid hypoglycemia and interpreting blood glucose pattern levels. Self-efficacy for healthy coping with stress and adjusting medications or food intake to reach ideal blood glucose levels were minimal. Sixteen participants were interviewed. Common enablers of diabetes self-management included: (i) the will to prevent the development of diabetes complications and (ii) the use of technological devices. Issues regarding: (i) frustration due to dynamic and chronic nature of diabetes (ii) financial constraints (iii) unrealistic expectations and (iv) work and environment-related factors limited patients' effective self-management of diabetes.ConclusionsEducational reinforcement using technological devices such as mobile application has been highlighted as an enabler of diabetes self-management and it could be employed as an intervention to alleviate identified gaps in diabetes self-management. Furthermore, improved approaches that address financial burden, work and environment-related factors as well as diabetes distress are essential for enhancing diabetes self-management. |
| تدمد: | 1932-6203 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2496ad2b17d3bc276b976b92d30a5d9eTest https://pubmed.ncbi.nlm.nih.gov/31166971Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2496ad2b17d3bc276b976b92d30a5d9e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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