Barriers and facilitators to effective type 2 diabetes management in a rural context: a qualitative study with diabetic patients and health professionals

Date

2014

Authors

Jones, L.
Crabb, S.
Turnbull, D.
Oxlad, M.

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Journal article

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Journal of Health Psychology, 2014; 19(3):441-453

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Laura Jones, Shona Crabb, Deborah Turnbull and Melissa Oxlad

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Abstract

Although effective type 2 diabetes management is essential for the prevention of complications, it is rarely carried out. Type 2 diabetes deaths in rural areas are higher than in metropolitan areas. A focus group (n = 8) and telephone interviews with patients (n = 10), and telephone interviews with health professionals (n = 18) in rural areas were conducted to examine this issue in a rural context. Inductive thematic analysis was used to generate 13 themes of barriers and facilitators to type 2 diabetes management at intrapersonal (denial of the illness, motivation, knowledge and skills and lack of time), interpersonal (stress and relationships), organisational (access to recommended foods, transport, health professionals, and exercise options) and societal (engagement and societal attitudes) levels of influence. Across all themes, participants highlighted the difficulty of maintaining management behaviours.

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Published online before print March 14, 2013

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© The Author(s) 2013

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