Evidence map›Paper›PMID 27013595›Full record

ArticleBMJ open2016

What is important for you? A qualitative interview study of living with diabetes and experiences of diabetes care to establish a basis for a tailored Patient-Reported Outcome Measure for the Swedish National Diabetes Register.

Maria Svedbo Engström, Janeth Leksell, Unn-Britt Johansson, Soffia Gudbjörnsdottir

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04592263 (Patient Centered Care in Diabetes in Ecuador), which is not on this map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

NCT04592263 completednot on this mapstarted 2019, after this paper: background citation

Patient Centered Care in Diabetes in Ecuador: Mixed-methods Study.

TypeobservationalSponsorUniversidad Miguel Hernandez de ElcheRan2019 to 2021Enrolled524ConditionsPatient Satisfaction, Patient Engagement, Patient Empowerment, Health LiteracyArmsEPD Questionnaire
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross-sectional analysis.Health expectations : an international journal of public participation in health care and health policy · 2022
    Trial
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  13. Living with Type 1 Diabetes as Experienced by Adults with Prolonged Elevated HbA1c: A Qualitative Study.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Article
  14. Review
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  16. Development and validation in Ecuador of the EPD Questionnaire, a diabetes-specific patient-reported experience and outcome measure: A mixed-methods study.Health expectations : an international journal of public participation in health care and health policy · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Maria Svedbo EngströmUniversity of Gothenburg, Sahlgrenska Academy, Institute of Medicine, Gothenburg, Sweden Dalarna University, School of Education, Health and Social Studies, Falun, Sweden.ORCID http://orcid.org/0000-0002-8267-592X
Janeth LeksellDalarna University, School of Education, Health and Social Studies, Falun, Sweden Uppsala University, Department of Medical Sciences, Uppsala, Sweden.ORCID http://orcid.org/0000-0001-8682-2045
Unn-Britt JohanssonSophiahemmet University, Stockholm, Sweden Karolinska Intitutet, Department of Clinical Sciences and Education, Stockholm, Sweden.
Soffia GudbjörnsdottirUniversity of Gothenburg, Sahlgrenska Academy, Institute of Medicine, Gothenburg, Sweden Register Center Västra Götaland, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere is a growing emphasis on the perspective of individuals living with diabetes and the need for a more person-centred diabetes care. At present, the Swedish National Diabetes Register (NDR) lacks patient-reported outcome measures (PROMs) based on the perspective of the patient. As a basis for a new PROM, the aim of this study was to describe important aspects in life for adult individuals with diabetes.

designSemistructured qualitative interviews analysed using content analysis.

settingHospital-based outpatient clinics and primary healthcare clinics in Sweden.

participants29 adults with type 1 diabetes mellitus (DM) (n=15) and type 2 DM (n=14). INCLUSION CRITERIA: Swedish adults (≥ 18 years) living with type 1 DM or type 2 DM (duration ≥ 5 years) able to describe their situation in Swedish. Purposive sampling generated heterogeneous characteristics.

resultsTo live a good life with diabetes is demanding for the individual, but experienced barriers can be eased by support from others in the personal sphere, and by professional support from diabetes care. Diabetes care was a crucial resource to nurture the individual's ability and knowledge to manage diabetes, and to facilitate life with diabetes by supplying support, guidance, medical treatment and technical devices tailored to individual needs. The analysis resulted in the overarching theme 'To live a good life with diabetes' constituting the two main categories 'How I feel and how things are going with my diabetes' and 'Support from diabetes care in managing diabetes' including five different categories.

conclusionsCommon aspects were identified including the experience of living with diabetes and support from diabetes care. These will be used to establish a basis for a tailored PROM for the NDR.

Indexed as

Patient Reported Outcome MeasuresAdultAgedAged, 80 and overDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleHumansInterviews as TopicMaleMiddle AgedPrimary Health CareQualitative ResearchRegistriesSelf CareSwedenQUALITATIVE RESEARCH

Identifiers

PMID27013595
PMCPMC4809096

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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.