Characterization of Adults With Type 1 Diabetes Not Attending Self-Management Education Courses: The Barriers to Uptake of Type 1 Diabetes Education (BUD1E) Study

被引：9

作者：

Harris, Sophie ^{[1
]}

Miller, Ari ^{[1
]}

Amiel, Stephanie ^{[1
]}

Mulnier, Henrietta ^{[1
]}

机构：

[1] Kings Coll London, London, England

来源：

QUALITATIVE HEALTH RESEARCH | 2019年 / 29卷 / 08期

关键词：

education; self-care; psychology; numeracy; health literacy; self-management; type; 1; diabetes; insulin dose adjustment; qualitative; STRUCTURED EDUCATION; HEALTH LITERACY; ATTENDANCE; RESILIENCE; PREDICTORS; ADJUSTMENT; DEPRESSION; DISTRESS; NUMERACY; PEOPLE;

D O I：

10.1177/1049732318823718

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

People with type 1 diabetes mellitus (T1DM) are offered attendance at diabetes self-management education courses to provide them with skills for self-management of flexible insulin dose adjustment. Attendance is poor, even when courses are evidence-based and nationally available. To understand barriers to attendance, we sought common characteristics of nonattenders from adults with T1DM living in south London. Twenty-five in person semistructured interviews were carried out until thematic saturation occurred. Thematic framework analysis identified six themes: psychological capability, numerical capability, internal/external judgment, confidence in self, thirst for knowledge, and barriers to attendance. Characterization of response profiles according to the themes identified four different typologies. These identified typologies and themes for barriers to attending diabetes self-management courses suggest strategies to improve attendance and extend the benefit of such courses more widely.

引用

页码：1174 / 1185

页数：12

共 45 条

[1] Training in flexible, intensive insulin management to enable dietary freedom in people with type 1 diabetes: dose adjustment for normal eating (DAFNE) randomised controlled trial [J].

Amiel, S ;

Beveridge, S ;

Bradley, C ;

Gianfrancesco, C ;

Heller, S ;

James, P ;

McKeown, N ;

Newton, D ;

Newton, L ;

Oliver, L ;

Reid, H ;

Roberts, S ;

Robson, S ;

Rollingson, J ;

Scott, V ;

Speight, J ;

Taylor, C ;

Thompson, G ;

Turner, E ;

Wright, F .

BRITISH MEDICAL JOURNAL, 2002, 325 (7367) :746-749

[2]

[Anonymous], FAST FACTSDATA STAT

[3]

[Anonymous], SOUTHW DEM FACTSH

[4]

[Anonymous], GUID US PAT ED MOD D

[5]

[Anonymous], NAT DIAB AUD 2013 20

[6]

[Anonymous], 2015, TYP 1 DIAB AD DIAGN

[7] Introducing a telemonitoring platform for diabetic patients in primary care: Will it increase the socio-digital divide? [J].

Buysse, Heidi E. C. ;

de Moor, Georges J. E. ;

de Maeseneer, Jan .

PRIMARY CARE DIABETES, 2013, 7 (02) :119-127

[8] Addressing Literacy and Numeracy to Improve Diabetes Care Two randomized controlled trials [J].

Cavanaugh, Kerri ;

Wallston, Kenneth A. ;

Gebretsadik, Tebeb ;

Shintani, Ayumi ;

Huizinga, Mary Margaret ;

Davis, Dianne ;

Gregory, Rebecca Pratt ;

Malone, Robb ;

Pignone, Michael ;

DeWalt, Darren ;

Elasy, Tom A. ;

Rothman, Russell L. .

DIABETES CARE, 2009, 32 (12) :2149-2155

[9] Barriers to participation in cardiac rehabilitation [J].

Dunlay, Shannon M. ;

Witt, Brandi J. ;

Allison, Thomas G. ;

Hayes, Sharonne N. ;

Weston, Susan A. ;

Koepsell, Ellen ;

Roger, Veronique L. .

AMERICAN HEART JOURNAL, 2009, 158 (05) :852-859

[10] Substantial reductions in the number of diabetic ketoacidosis and severe hypoglycaemia episodes requiring emergency treatment lead to reduced costs after structured education in adults with Type 1 diabetes [J].

Elliott, J. ;

Jacques, R. M. ;

Kruger, J. ;

Campbell, M. J. ;

Amiel, S. A. ;

Mansell, P. ;

Speight, J. ;

Brennan, A. ;

Heller, S. R. .

DIABETIC MEDICINE, 2014, 31 (07) :847-853

← 1 2 3 4 5 →