ArticleBMJ open2019
Health care professionals' views towards self-management and self-management education for people with type 2 diabetes.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Educational Processes for Health and Disease Self-Management in Public Health: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Primary care providers' perspectives on the implementation of couple-based collaborative management for Chinese older adults with type 2 diabetes: a mixed-methods study.Frontiers in public health · 2026Trial
- Enhancing gestational diabetes mellitus education: a randomized controlled trial of King's theory and FMEA-PDCA integration for improved patient outcomes.BMC pregnancy and childbirth · 2025Trial
- An Evaluation of Digital Health Tools to Support Multidisciplinary Teams in Managing Patients with Type 2 Diabetes.Journal of multidisciplinary healthcare · 2026Review
- Quality of diabetes health education provided by healthcare professionals to patients with type 1 and type 2 diabetes mellitus across different healthcare settings: a scoping review protocol.Frontiers in health services · 2026Article
- Use of a digital application to enhance communication and triage between care homes and national health service community services in the United Kingdom: a qualitative evaluation.BMC geriatrics · 2025Article
- Knowledge attitudes and practices of healthcare professionals regarding diabetes self management education and support.Scientific reports · 2025Article
- Acceptability and implementation of a comprehensive digital diabetes self-management platform (MyWay Diabetes): a qualitative protocol.BMJ open · 2025Article
- Transforming healthcare: A pilot study to improve primary healthcare professionals' self-management support behaviour through blended learning.BMC medical education · 2024Article
- Influences on Patient Uptake of and Engagement With the National Health Service Digital Diabetes Prevention Programme: Qualitative Interview Study.Journal of medical Internet research · 2023Article
- Protocol for a hybrid II study exploring the feasibility of delivering, evaluating, and implementing a self-management programme for people with neuromuscular diseases at a specialist neuromuscular centre.Pilot and feasibility studies · 2023Article
- A qualitative study exploring the barriers to attending structured education programmes among adults with type 2 diabetes.BMC health services research · 2022Article
- Knowledge, attitude and practice of diabetes among secondary school-going children in Bangladesh.Frontiers in public health · 2022Article
- It Is "All About Relationships" in Lifestyle Programmes for Adults Living With Type Two Diabetes Underpinned by a Person/Whānau-Centred Care Approach.Frontiers in rehabilitation sciences · 2022Article
- Exploring the perspectives of primary care providers on use of the electronic Patient Reported Outcomes tool to support goal-oriented care: a qualitative study.BMC medical informatics and decision making · 2021Article
- Glycemic control outcome in patients with type 2 diabetes mellitus: chronic care management support of family care team in Thailand.Journal of diabetes and metabolic disorders · 2021Article
- Qualitative analysis of reasons for hospitalization for severe hypoglycemia among older adults with diabetes.BMC geriatrics · 2021Article
- Perspectives of deprived patients on diabetes self-management programmes delivered by the local primary care team: a qualitative study on facilitators and barriers for participation, in France.BMC health services research · 2020Article
- Using Intervention Mapping to Develop a Digital Self-Management Program for People With Type 2 Diabetes: Tutorial on MyDESMOND.Journal of medical Internet research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSignificant problems with patients engaging with diabetes self-management education (DSME) exist. The role of healthcare professionals (HCPs) has been highlighted, with a lack of enthusiasm, inadequate information provision and poor promotion of available programmes all cited as affecting patients' decisions to attend. However, little is known about HCPs' views towards DSME. This study investigates the views of HCPs towards self-management generally and self-management in the context of DSME more specifically.
designA qualitative study using semi-structured interviews to investigate HCPs views of type 2 diabetes self-management and DSME. Data were analysed thematically and emergent themes were mapped on to the constructs of Normalisation Process Theory (NPT).
settingTwo boroughs in London, UK.
participantsSampling was purposive to recruit a diverse range of professional roles including GPs, practice nurses, diabetes specialist nurses, healthcare assistants (HCAs), receptionists and commissioners of care.
resultsInterviews were conducted with 22 participants. The NPT analysis demonstrated that while a self-management approach to diabetes care was viewed by HCPs as necessary and, in principle, valuable, the reality is much more complex. HCPs expressed ambivalence about pushing certain patients into self-managing, preferring to retain responsibility. There was a lack of awareness among HCPs about the content of DSME and benefits to patients. Commitment to and engagement with DSME was tempered by concerns about suitability for some patients. There was little evidence of communication between providers of group-based DSME and HCPs or of HCPs engaging in work to follow-up non-attenders.
conclusionsHCPs have concerns about the appropriateness of DSME for all patients and discussed challenges to engaging with and performing the tasks required to embed the approach within practice. DSME, as a means of supporting self-management, was considered important in theory, but there was little evidence of HCPs seeing their role as extending beyond providing referrals.
Indexed as
Identifiers
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.