ArticleBMC health services research2022
A qualitative study exploring the barriers to attending structured education programmes among adults with type 2 diabetes.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed.
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- Acceptability and Feasibility of Implementing a Telehealth Kit for Older Adults with Diabetes in an FQHC Clinic.Research square · 2026Article
- Cognitive and Behavioral Transformation in Type 2 Diabetes Through a Self-Efficacy-Focused Structured Education Program: A Descriptive Qualitative Study.Patient preference and adherence · 2026Article
- Do Peer Support Groups Facilitate Nutrition Information Practice and Nutritional Self-Management in People Living With Type 2 Diabetes?Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Navigating Type 2 Diabetes Care: Asian American Perspectives on Self-Management Education and Support.The science of diabetes self-management and care · 2025Article
- Exploring the Role of Time in Diabetes Self-Management: A Scoping Review of Challenges, Intervention Strategies, and Implications for Clinical Care.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Patient and family engagement in culturally-tailored diabetes self-management education in a Hispanic community.Patient education and counseling · 2025Article
- Patient and Clinician Perspectives on the Effectiveness of Current Telemedicine Approaches in Endocrinology Care for Type 2 Diabetes: Qualitative Study.JMIR diabetes · 2025Article
- Factors associated with attendance at a pharmacist-led group diabetes self-management education class and impact on health outcomes.Exploratory research in clinical and social pharmacy · 2024Article
- Quality priorities related to the management of type 2 diabetes in primary care: results from the COMPAS + quality improvement collaborative.BMC primary care · 2024Article
- Accessibility of diabetes education in the United States: barriers, policy implications, and the road ahead.Health affairs scholar · 2024Article
- Article
- Author Response to Comment on: "Benefit-Risk Assessment of ChatGPT Applications in the Field of Diabetes and Metabolic Illnesses: A Qualitative Study".Clinical medicine insights. Endocrinology and diabetes · 2024Article
- Conditions for successful implementation of couple-based collaborative management model of diabetes among community-dwelling older Chinese: a qualitative comparative analysis.BMC geriatrics · 2023Article
- Improving Knowledge and Awareness of Diabetes-associated Skin Manifestations in a Resource Limited Setting: A Video Education Pilot Study.The Journal of clinical and aesthetic dermatologyArticle
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3 authors.
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Abstract
backgroundDiabetes self-management education, a universally recommended component of diabetes care, aims to support self-management in people with type 2 diabetes. However, attendance is low (approx. 10%). Previous research investigating the reasons for low attendance have not yet linked findings to theory, making it difficult to translate findings into practice. This study explores why some adults with type 2 diabetes do not attend diabetes self-management education and considers how services can be adapted accordingly, using Andersen's Behavioural Model of Health Service Utilisation as a framework.
methodsA cross-sectional semi-structured qualitative interview study was carried out. Semi-structured interviews were conducted by telephone with 14 adults with type 2 diabetes who had verbally declined their invitation to attend diabetes self-management education in Bath and North East Somerset, UK, within the last 2 years. Data were analysed using inductive thematic analysis before mapping the themes onto the factors of Andersen's Behavioural Model.
resultsTwo main themes were identified: 'perceived need' and 'practical barriers'. The former theme explored participants' tendency to decline diabetes education when they perceived they did not need the programme. This perception tended to arise from participants' high self-efficacy to manage their type 2 diabetes, the low priority they attributed to their condition and limited knowledge about the programme. The latter theme, 'practical barriers', explored the notion that some participants wanted to attend but were unable to due to other commitments and/or transportation issues in getting to the venue.
conclusionsAll sub-themes resonated with one or more factors of Andersen's Behavioural Model indicating that the model may help to elucidate attendance barriers and ways to improve services. To fully understand low attendance to diabetes education, the complex and individualised reasons for non-attendance must be recognised and a person-centred approach should be taken to understand people's experience, needs and capabilities.
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