ArticleChronic illness2014
Barriers and facilitators to self-care communication during medical appointments in the United States for adults with type 2 diabetes.
Article in Chronic illness, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Shared Medical Appointments and Mindfulness for Type 2 Diabetes-A Mixed-Methods Feasibility Study.Frontiers in endocrinology · 2020Trial
- Evaluation of a person-centred, group-based, culturally appropriate diabetes education model for migrants with type 2 diabetes: a qualitative study.Primary health care research & development · 2025Article
- Patients and healthcare providers needs and challenges in diabetes self-management and support in Ethiopian primary healthcare context.BMC health services research · 2025Article
- Advancing Telemedicine Using Smart Insulin Pens with Continuous Glucose Monitoring and Telecommunication Systems: A Case Series.Journal of clinical medicine · 2025Article
- Article
- Exploring facilitators and barriers to patient-provider communication regarding diabetes self-management.PEC innovation · 2023Article
- Identifying the mechanisms of patient-centred communication in secure messages between clinicians and cancer patients.PEC innovation · 2023Article
- Patient and Healthcare Professional Insights of Home- and Remote-Based Clinical Assessment: A Qualitative Study from Spain and Brazil to Determine Implications for Clinical Trials and Current Practice.Advances in therapy · 2023Article
- Diabetes-related shame among people with type 2 diabetes: an internet-based cross-sectional study.BMJ open diabetes research & care · 2022Article
- Using social media data in diabetes care: bridging the conceptual gap between health providers and the network population.BMC primary care · 2022Article
- Digital Diabetes Management: A Literature Review of Smart Insulin Pens.Journal of diabetes science and technology · 2022Review
- "I'm Going to Be Good to Me": Exploring the Role of Shame and Guilt in Patients With Type 2 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2022Article
- Diabetes Care Provider Perceptions Regarding Emerging Adults' Diabetes Self-Management Influences and Patient-Provider Visit Interactions Within a Safety-Net Hospital.Clinical diabetes : a publication of the American Diabetes Association · 2022Article
- Increased Time in Range and Fewer Missed Bolus Injections After Introduction of a Smart Connected Insulin Pen.Diabetes technology & therapeutics · 2020Observational
- A Behavioral Perspective of Therapeutic Inertia: A Look at the Transition to Insulin Therapy.Diabetes spectrum : a publication of the American Diabetes Association · 2020Article
- Article
- People with type 2 diabetes struggling for self-management: A part study from the randomized controlled trial in RENEWING HEALTH.Nursing open · 2019Article
- Patient-centered communication in type 2 diabetes: The facilitating and constraining factors in clinical encounters.Health services research · 2019Article
- Rationale and study design of the MyHEART study: A young adult hypertension self-management randomized controlled trial.Contemporary clinical trials · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveDiabetes self-care is challenging and requires effective patient-provider communication to achieve optimal treatment outcomes. This study explored perceptions of barriers and facilitators to diabetes self-care communication during medical appointments.
designQualitative study using in-depth interviews with a semistructured interview guide.
participantsThirty-four patients with type 2 diabetes and 19 physicians who treat type 2 diabetes.
resultsPhysicians described some patients as reluctant to discuss their self-care behaviors primarily because of fear of being judged, guilt, and shame. Similarly, patients described reluctant communication resulting from fear of being judged and shame, particularly shame surrounding food intake and weight. Physicians and patients recommended trust, nonjudgmental acceptance, open/honest communication, and providing patients hope for living with diabetes as important factors for improving self-care communication. Further, patients stressed the clinical benefits of physicians directly addressing poor self-care behaviors while physicians described having few strategies to address these difficulties.
conclusionsPhysician-patient self-care communication barriers included patients' reluctance to discuss self-care behaviors and physicians' perceptions of few options to address this reluctance. Treatment recommendations stressed the importance of establishing trusting, nonjudgmental and open patient-provider communication for optimal diabetes treatment. Medical education is needed to improve physicians' strategies for addressing self-care communication during medical appointments.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.