Evidence map›Paper›PMID 30135373›Full record

ArticleInternational journal of environmental research and public health2018

Patient and Provider Dilemmas of Type 2 Diabetes Self-Management: A Qualitative Study in Socioeconomically Disadvantaged Communities in Stockholm.

Juliet Aweko, Jeroen De Man, Pilvikki Absetz, Claes-Göran Östenson, Stefan Swartling Peterson, Helle Mölsted Alvesson, Meena Daivadanam

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Barriers and facilitators of self-management of diabetes amongst people experiencing socioeconomic deprivation: A systematic review and qualitative synthesis.Health expectations : an international journal of public participation in health care and health policy · 2024
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  5. Co-producing shared wound care education: experiences of service users and healthcare professionals.International journal of qualitative studies on health and well-being · 2026
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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.

Juliet AwekoDepartment of Public Health Sciences, Karolinska Institutet, SE-171 76 Stockholm, Sweden. Juliet.aweko@ki.se.ORCID 0000-0001-7448-6726
Jeroen De ManDepartment of Public Health, Institute of Tropical Medicine, 43, 2000 Antwerp, Belgium. jdeman@itg.be.ORCID 0000-0002-3196-8757
Pilvikki AbsetzInstitute of Public Health and Clinical Nutrition, University of Eastern Finland, P.O. Box 111, FI-80101 Joensuu, Finland. ccsfinland@gmail.com.
Claes-Göran ÖstensonDepartment of Molecular Medicine and Surgery, Karolinska University Hospital, SE-171 77 Stockholm, Sweden. claes-goran.ostenson@ki.se.
Stefan Swartling PetersonDepartment of Women's and Children's Health, International Maternal and Child Health, Uppsala University, 751 85 Uppsala, Sweden. stefan.peterson@kbh.uu.se.ORCID 0000-0001-7203-3096
Helle Mölsted AlvessonDepartment of Public Health Sciences, Karolinska Institutet, SE-171 76 Stockholm, Sweden. helle.molsted-alvesson@ki.se.
Meena DaivadanamDepartment of Public Health Sciences, Karolinska Institutet, SE-171 76 Stockholm, Sweden. meena.daivadanam@ikv.uu.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studies comparing provider and patient views and experiences of self-management within primary healthcare are particularly scarce in disadvantaged settings. In this qualitative study, patient and provider perceptions of self-management were investigated in five socio-economically disadvantaged communities in Stockholm. Twelve individual interviews and four group interviews were conducted. Semi-structured interview guides included questions on perceptions of diabetes diagnosis, diabetes care services available at primary health care centers, patient and provider interactions, and self-management support. Data was analyzed using thematic analysis. Two overarching themes were identified: adopting and maintaining new routines through practical and appropriate lifestyle choices (patients), and balancing expectations and pre-conceptions of self-management (providers). The themes were characterized by inherent dilemmas representing confusions and conflicts that patients and providers experienced in their daily life or practice. Patients found it difficult to tailor information and lifestyle advice to fit their daily life. Healthcare providers recognized that patients needed support to change behavior, but saw themselves as inadequately equipped to deal with the different cultural and social aspects of self-management. This study highlights patient and provider dilemmas that influence the interaction and collaboration between patients and providers and hinder uptake of self-management advice.

Indexed as

Primary Health CareSelf CareAgedDiabetes Mellitus, Type 2FemaleHealthcare DisparitiesHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient Education as TopicPovertyQualitative ResearchRisk Reduction BehaviorSwedenchronic diseaseshealth systemsimmigrantslifestyle changequalitative studySelf-managementsocioeconomically disadvantagedSwedenthematic analysistype 2 diabetes

Identifiers

PMID30135373
PMCPMC6164476

What OpenQuestion holds

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LicenceCC BY
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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.