Evidence map›Paper›PMID 28306182›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2017

Barriers and enablers of type 2 diabetes self-management in people with severe mental illness.

Kathleen Mulligan, Hayley McBain, Frederique Lamontagne-Godwin, Jacqui Chapman, Mark Haddad, Julia Jones, Chris Flood, David Thomas, Alan Simpson

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% of its field
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  7. Taking a Pause: Co-Designing a Reflection Tool for Meaning Creation in Patients With Type 2 Diabetes.Health expectations : an international journal of public participation in health care and health policy · 2025
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  16. Barriers and enablers of type 2 diabetes self-management in people with severe mental illness.Health expectations : an international journal of public participation in health care and health policy · 2017
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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

9 authors at 3 institutions in 1 country.

Kathleen MulliganCentre for Health Services Research, School of Health Sciences, City, University of London, London, UK.ORCID 0000-0002-6003-3029
Hayley McBainCentre for Health Services Research, School of Health Sciences, City, University of London, London, UK.
Frederique Lamontagne-GodwinCentre for Health Services Research, School of Health Sciences, City, University of London, London, UK.
Jacqui ChapmanEast London NHS Foundation Trust, London, UK.
Mark HaddadEast London NHS Foundation Trust, London, UK.
Julia JonesCentre for Research in Primary and Community Care (CRIPACC), School of Health and Social Work, University of Hertfordshire, Hatfield, UK.
Chris FloodEast London NHS Foundation Trust, London, UK.
David ThomasEast London NHS Foundation Trust, London, UK.
Alan SimpsonEast London NHS Foundation Trust, London, UK.
City, University of London · GBEast London NHS Foundation Trust · GBUniversity of Hertfordshire · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with diabetes and severe mental illness (SMI) experience poorer outcomes than those with diabetes alone. To improve outcomes, it is necessary to understand the difficulties that people with SMI experience in managing their diabetes.

aimsTo identify barriers and enablers to effective diabetes self-management experienced by people with SMI and type 2 diabetes.

methodQualitative methodology using semi-structured interviews was employed. Development of the interview topic guide and analysis of the transcripts were informed by the Theoretical Domains Framework for behaviour change, which consists of fourteen theoretical domains that have been found to influence behaviour.

resultsFourteen people with SMI and type 2 diabetes took part in the study. Participants considered diabetes self-management to be important, were aware of the risks of poor diabetes control but struggled to follow recommended advice, particularly if their mental health was poor. Support from family and health professionals was considered an important enabler of diabetes self-management.

conclusionsNew approaches are required to support diabetes self-management in people with SMI. This study identified some of the important domains that may be targeted in new interventions.

Indexed as

AdultAgedDiabetes Mellitus, Type 2FemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMental DisordersMiddle AgedPatient Care PlanningPatient ComplianceQualitative ResearchSelf CareSelf-ManagementSeverity of Illness Indexdiabetesself-managementservice userssevere mental illnessTheoretical Domains Framework

Identifiers

PMID28306182
PMCPMC5600230
OpenAlexW2586576783

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.