Evidence map›Paper›PMID 27877024›Full record

ArticlePatient preference and adherence2016

Understanding the physical, social, and emotional experiences of people with uncontrolled Type 2 diabetes: a qualitative study.

Anna Berenguera, Àngels Molló-Inesta, Manel Mata-Cases, Josep Franch-Nadal, Bonaventura Bolíbar, Esther Rubinat, Dídac Mauricio

Abstract read
In one paragraph

Article in Patient preference and adherence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Observational
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  4. Review
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  6. Therapeutic Inertia in the Management of Type 2 Diabetes: A Narrative Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Review
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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

7 authors.

Anna BerengueraScientific Department, Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Cerdanyola del Vallès, Spain; Primary Care Department, Universitat Autònoma de Barcelona, Barcelona, Spain.
Àngels Molló-InestaScientific Department, Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Cerdanyola del Vallès, Spain; Cervera Primary Health Care Centre, Ileida, Spain; Diabetes Association in Primary Health Care (RedGDPS), Institut Català de la Salut, Barcelona, Spain.
Manel Mata-CasesScientific Department, Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Cerdanyola del Vallès, Spain; Diabetes Association in Primary Health Care (RedGDPS), Institut Català de la Salut, Barcelona, Spain; La Mina Primary Health Care Centre, Barcelona, Spain; CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), Barcelona, Spain.
Josep Franch-NadalScientific Department, Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Cerdanyola del Vallès, Spain; Primary Care Department, Universitat Autònoma de Barcelona, Barcelona, Spain; CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), Barcelona, Spain; Raval Sud Primary Health Care Centre, Barcelona, Spain; Primary Health Care Department, Institut Català de la Salut, Barcelona, Spain.
Bonaventura BolíbarScientific Department, Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Cerdanyola del Vallès, Spain.
Esther RubinatScientific Department, Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Cerdanyola del Vallès, Spain; Nursery Department, Univeristat de Lleida, Lleida, Spain; Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ISCIII), Barcelona, Spain.
Dídac MauricioScientific Department, Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Cerdanyola del Vallès, Spain; Endocrinology & Nutrition Department, CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), Health Sciences Research Institute and Hospital Germans Trias i Pujol, Badalona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to identify the perceptions, barriers, and facilitators of self-management of Type 2 diabetes mellitus (T2DM) to determine the factors to consider when developing and implementing a person-centered intervention in patients with poor glycemic control attending primary care.

methodsThis was a qualitative study conducted in 6 primary care health centers in Catalonia. Patients who had been diagnosed with T2DM and had glycated hemoglobin of 9% or more were included. The sampling method was opportunistic, accounting for gender, age, duration of diabetes, and type of treatment. Forty-three semi-structured interviews were conducted. Thematic content analysis was performed.

resultsThe patients perceived the diagnosis of T2DM as a threat to their health, and the diagnosis generated cognitive and emotional representations of T2DM. The emotions associated with the diagnosis included fear of the future, worry, denial, sadness, and dejection. The patients also wondered if there could have been an error in their test results because they did not present any symptoms. These representations, both cognitive and emotional, can produce specific effects in adaptation processes and require different approach strategies, specifically regarding diet, physical activity, and pharmacological treatment. Finally, specific aspects regarding the acceptability and adaptability of the implementation of a new intervention were expressed.

conclusionPatients with T2DM and very poor glycemic control expressed difficulty achieving a balance between the needs and demands of managing and controlling T2DM because they felt it strongly interfered in their daily lives.

Indexed as

interviews as a topicqualitative researchself-managementType 2 diabetes

Identifiers

PMID27877024
PMCPMC5108597

What OpenQuestion holds

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Registered trials

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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.