Understanding challenges, strategies, and the role of support networks in medication self-management among patients with type 2 diabetes: a qualitative study
PurposeThe purpose of this qualitative study was to investigate the challenges and strategies of patients with type 2 diabetes mellitus (T2DM) regarding daily management of their medication regimen focusing on the role of their support networks.MethodsA purposeful sample of 25 patients with T2DM was...
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| Main Authors: | , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
March 24, 2017
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| In: |
Diabetes educator
Year: 2017, Volume: 43, Issue: 2, Pages: 190-205 |
| ISSN: | 1554-6063 |
| DOI: | 10.1177/0145721717697243 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1177/0145721717697243 Verlag, Volltext: https://doi.org/10.1177/0145721717697243 
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| Author Notes: | Gerda Bernhard, Dominik Ose, Ines Baudendistel, Hanna M. Seidling, Marion Stützle, Joachim Szecsenyi, Michel Wensing, Cornelia Mahler |
| Summary: | PurposeThe purpose of this qualitative study was to investigate the challenges and strategies of patients with type 2 diabetes mellitus (T2DM) regarding daily management of their medication regimen focusing on the role of their support networks.MethodsA purposeful sample of 25 patients with T2DM was recruited from local self-help groups, general practitioner practices, and a university hospital in southwestern Germany. Four semi-structured focus groups were conducted to identify the challenges patients experienced, the strategies they used, and their collaboration with support networks to assist them in self-managing their medication regimen. Sessions were audio- and video-recorded, fully transcribed, and subjected to computer-aided qualitative content analysis, guided by the Self- and Family Management Framework (SFMF).ResultsPatients with T2DM experienced numerous challenges affecting medication self-management arising from their personal situation, health status and resources, characteristics of their regimen, and how health care is currently organized. Patients? self-initiated strategies included activating health care, community, social, and online resources; taking ownership of medication-related needs; and integrating medication-taking into daily life. Patients drew on self-help groups, family, and friends to discuss concerns regarding medication safety and receive experience-based information and advice for navigating within the health care system as well as practical hands-on support with daily medication self-management.ConclusionsUnderstanding the challenges and building on strategies patients with T2DM devised help diabetes educators to better address patients? needs and priorities and guide patient-centered interventions to support patients? self-management activities. Community and social support networks operating in patients? lives need to be engaged in the self-management support. |
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| Item Description: | Gesehen am 22.05.2018 |
| Physical Description: | Online Resource |
| ISSN: | 1554-6063 |
| DOI: | 10.1177/0145721717697243 |