ArticleDiabetic medicine : a journal of the British Diabetic Association2011
Perceived challenges and priorities in co-morbidity management of older patients with Type 2 diabetes.
Article in Diabetic medicine : a journal of the British Diabetic Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Patient capacity and constraints in the experience of chronic disease: a qualitative systematic review and thematic synthesis.BMC family practice · 2016Pooled it
- Challenges of self-management when living with multiple chronic conditions: systematic review of the qualitative literature.Canadian family physician Medecin de famille canadien · 2014Pooled it
- Trial
- Pre-Visit Prioritization for complex patients with diabetes: Randomized trial design and implementation within an integrated health care system.Contemporary clinical trials · 2016Trial
- A randomized controlled trial of a nurse-led case management programme for hospital-discharged older adults with co-morbidities.Journal of advanced nursing · 2014Trial
- Bridging the Digital Divide in Diabetes Care With an AI-Powered Health Coaching Intervention: Qualitative Formative Study.JMIR diabetes · 2026Article
- Socio-Clinical factors associated with Parkinson's disease-related specific self-management behaviours.Chronic illness · 2024Article
- Real-World Treatment Patterns Among Patients with Type 2 Diabetes Mellitus Initiating Treatment with Oral Semaglutide.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024Article
- Cinematic Virtual Reality for Educating Health Care Providers About Type 2 Diabetes, Disability, and Elder Abuse and Neglect: A Pilot Study.Journal of diabetes science and technology · 2023Article
- Factors associated with diabetes concordant comorbidities among adult diabetic patients in Central Ethiopia: a cross-sectional study.Frontiers in clinical diabetes and healthcare · 2023Article
- A qualitative study exploring the barriers to attending structured education programmes among adults with type 2 diabetes.BMC health services research · 2022Article
- Adherence, control of cardiometabolic factors and therapeutic inertia in patients with type 2 diabetes in the primary care setting.Endocrinology, diabetes & metabolism · 2022Observational
- Healthcare Professionals' Views of Factors Influencing Diabetes Self-Management and the Utility of a mHealth Application and Its Features to Support Self-Care.Frontiers in endocrinology · 2022Article
- Health information technology to improve care for people with multiple chronic conditions.Health services research · 2021Review
- Self-care of patients with type 2 diabetes mellitus over the course of illness: implications for tailoring support.Journal of diabetes and metabolic disorders · 2020Article
- Article
- A mixed analysis approach to elucidate the multiple chronic condition experience of English- and Spanish-speaking older adults.Clinical interventions in aging · 2019Article
- Identifying and understanding the health and social care needs of older adults with multiple chronic conditions and their caregivers: a scoping review.BMC geriatrics · 2018Article
- Exploring the experiences of older Chinese adults with comorbidities including diabetes: surmounting these challenges in order to live a normal life.Patient preference and adherence · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
aimsTo explore older patients' perceived impact of chronic co-morbid conditions on Type 2 diabetes self-management.
methodsWe used purposive sampling to select 32 mentally alert community-dwelling adults, aged 60 years or older, diagnosed with Type 2 diabetes and at least one other chronic health condition to participate in focus groups. We summarized the discussions following each focus group and identified codes to describe the overarching themes.
resultsWe conducted eight 90-min focus groups, each consisting of two to six patients. Three themes emerged. (i) Diabetes complications as a motivator: managing co-morbid conditions made health an important focal point in the lives of older patients. Most patients acknowledged the positive effect complications had on their diabetes self-management by motivating them to pay greater attention to their diabetes to diminish the progression of these complications. (ii) Prioritizing health conditions: patients reported prioritizing health conditions and selectively attending to the management of those conditions based on perceived severity or importance. Further, many patients perceived some conditions as more serious than others and admitted to prioritizing another health condition over their diabetes. (iii) Emotional impact of co-morbidity management: patients described feeling frustrated, confused, and overwhelmed in response to conflicting treatment recommendations, particularly for diet, physical activity and medication regimens.
conclusionsComplications and co-morbidities may have differential impacts on the diabetes self-management of older patients. Addressing the perceived impact of co-morbidity on diabetes self-management may improve patients' outcomes; however, the most effective method of utilizing this information in clinical practice needs to be examined.
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