ArticleJournal of education and health promotion2021
Restrictors of the effectiveness of diabetes self-management education: A qualitative content analysis.
Article in Journal of education and health promotion, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Expert patients improve health literacy, self-care attitudes, and practices in people with diabetes: a quasi-experimental study in Tanzania.Scientific reports · 2026Article
- The effectiveness of a literacy-sensitive educational program on glycemic control and clinical outcomes for illiterate individuals with diabetes: A quasi-experimental study.Journal of education and health promotion · 2026Article
- Investigating the effect of the 5A self-management care model on the caregiver's burden in the aged with peptic ulcers: Randomized controlled Trial (RCT).Journal of education and health promotion · 2025Article
- Correlation between health literacy and health-related quality of life in patients with diabetic peripheral neuropathy: The mediating role of self-management.Nursing open · 2023Article
- The effect of home care on readmission and mortality rate in patients with diabetes who underwent general surgeries.Journal of education and health promotion · 2021Article
- Perception of Nursing Students About Effective Clinical Teaching Environments: A Multi-Country Study.SAGE open nursingArticle
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Authors and funding
4 authors.
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Abstract
backgroundA key step for improving the effectiveness of diabetes self-management education (DSME) is to identify its restrictors.
objectivesThe aim of this study was to explore the restrictors of the effectiveness of DSME.
methodsThis descriptive qualitative study was conducted in March 2016-2017. Participants were 16 DSME providers (viz., physicians, nurses, nutritionists, and psychologists) and nine DSME receivers (viz., patients and their family members) - 25 in total. Semi-structured interviews were held for data collection. Interviews were transcribed word by word and analyzed through conventional content analysis approach proposed by Graneheim and Lundman.
resultsThe restrictors of the effectiveness of DSME were categorized into three main categories and 11 subcategories, namely patients' limited welcoming of DSME classes (allocating limited time for participation in DSME classes, inadequate knowledge about diabetes mellitus [DM] importance, inappropriate educational environment, and financial problems), unfavorable adherence to treatments: serious challenge (inattention to educations, poor motivation for adherence to medical recommendations, and inattention to the psychological aspects of DM), and the difficulty of adult education (the difficulty of changing health-related attitudes and behaviors, mere information delivery during education, adults' physical and perceptual limitations, and diabetes educators' limited competence in adult education).
conclusionThe findings of the present study provide an in-depth understanding about the restrictors of the effectiveness of DSME. DM management authorities and policymakers can use these findings to develop strategies for improving the effectiveness of DSME.
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