ArticleBMC public health2021
Barriers to and facilitators of diabetes self-management practices in Rupandehi, Nepal- multiple stakeholders' perspective.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.
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Who cites it
52 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.
- Exploring barriers and enablers to diabetes self-care practice in Ethiopia, 2025: A qualitative systematic review.PloS one · 2026Pooled 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
- Barriers and facilitators to primary care management of type 2 diabetes in Shijiazhuang City, China: a mixed methods study.BMC primary care · 2024Trial
- Article
- The Relationship Between Health Literacy Level and Metabolic Control Variables in People with Diabetes: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Evaluation of Diabetes Self-Care Activities and Glycemic Control Profiles in People With Type 2 Diabetes Mellitus.Health science reports · 2026Article
- Barriers to diabetes self-management in the North Shoa Zone, Ethiopia: a qualitative study with patients and healthcare providers.BMC public health · 2026Article
- Lived experiences of Type 1 diabetes patients visiting a tertiary care hospital of Nepal: A descriptive phenomenological study.PLOS global public health · 2026Article
- A latent profile analysis of resourcefulness among patients with colorectal cancer and intestinal ostomy.Frontiers in psychology · 2026Article
- A randomized controlled trial protocol comparing low-calorie Mediterranean and low-carbohydrate diets for diabetes remission in individuals with type 2 diabetes in northern Lebanon: an intervention mapping-based approach.Frontiers in public health · 2026Article
- Lived experiences of diabetes self-management in North Shoa, Ethiopia: A phenomenological inquiry.PloS one · 2026Article
- Perceived stress profiles, resourcefulness, and quality of life among patients with colorectal cancer and intestinal ostomy: a cross-sectional latent profile and mediation study.Frontiers in psychiatry · 2026Article
- Health-seeking behaviours and sociocultural factors influencing self-management of diabetes mellitus type 2 among women: a descriptive qualitative study from Islamabad, Pakistan.BMJ public health · 2026Article
- Article
- Insulin Injection Technique Education and Associated Knowledge Factors Among Physicians: Cross-Sectional Survey Study.JMIR diabetes · 2025Article
- Self-management of patients with type 2 diabetes in Chaoyang District, Beijing, and challenges in utilizing family and community resources: a mixed-methods study.BMC primary care · 2025Article
- Co-design of pathway and manual for a dietitian-led approach to the management of type 2 diabetes in Nepal.BMC nutrition · 2025Article
- Psychosocial interventions for diabetes distress in culturally diverse populations: a systematic scoping review.BMJ open · 2025Article
- Exploring Self-Management Among Adolescents With Type 2 Diabetes Mellitus: A Descriptive-Qualitative Study.Nursing open · 2025Article
- Barriers and facilitators of self-care in adults with pre-diabetes: a directed qualitative content analysis.BMC health services research · 2025Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-management of diabetes is associated with glycaemic control and adherence to medication and healthy lifestyle practices. There is lack of information on the barriers to and facilitators of diabetes self-management practices in low income country, Nepal. This study aimed to explore the barriers to and facilitators of Type 2 diabetes self-management practices taking multiple stakeholders' perspectives in Nepal.
methodsFour focus group discussions and 16 semi-structured interviews with people with Type 2 diabetes, caregivers, health care providers and health managers were conducted from April to May 2018 in Rupandehi district of Western Nepal. They were audio-recorded, transcribed, and analysed using a thematic approach.
resultsFive main themes emerged that influenced diabetes self-management practices: individual factors, socio-cultural and economic factors, health system and policy factors, availability and accessibility of resources, and environmental factors. The important barriers were: lack of knowledge about diabetes self-management practices, cultural practices, insufficient counselling, lack of guidelines and protocols for counselling, and financial problems. The major facilitators were: motivation; support from family, peers, and doctors; and availability of resources in the community.
conclusionBased on our findings, a multilevel approach is needed to address these barriers and facilitators. These findings will help guide strategies to develop programs that impart knowledge and skills to improve the diabetes self-management practices of people with Type 2 diabetes.
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