Evidence map›Paper›PMID 39289601›Full record

ArticleBMC primary care2024

Lived experiences of diabetes self-management among persons with disabilities in rural Tamil Nadu - a case study approach.

Rajeswaran Thiagesan, Vijayaprasad Gopichandran, Hilaria Soundari, Kalpana Kosalram

Abstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Rajeswaran ThiagesanCentre for Applied Research, The Gandhigram Rural Institute - Deemed to be University, Gandhigram, Dindigul, Tamil Nadu, 624302, India.ORCID 0000-0003-0116-9724
Vijayaprasad GopichandranIndependent Community Health Consultant, Freelance, 24 Jaishankar Street, West Mambalam, Chennai, 600033, India. vijay.gopichandran@gmail.com.ORCID 0000-0003-2635-9583
Hilaria SoundariCentre for Applied Research, The Gandhigram Rural Institute - Deemed to be University, Gandhigram, Dindigul, Tamil Nadu, 624302, India.ORCID 0000-0001-5449-0023
Kalpana KosalramSchool of Public Health, SRM Medical College & Hospital, SRM Institute of Science and Technology, SRM Nagar, Potheri, Chengalpattu, 603203, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with disabilities have numerous challenges in diabetes self-management. Poor self-management leads to the worsening of disability and secondary complications of diabetes. This study was conducted to explore the challenges in diabetes self-management and the factors influencing diabetes self-management among people with disabilities.

methodsWe conducted 16 case studies among people with physical, neurological, visual, hearing, and multiple disabilities who were affected by diabetes. We adopted a thematic content analysis approach to analyse the data.

resultsPeople with disabilities have challenges in adopting healthy diets as they are unable to purchase and consume fruits and vegetables which are costly, unavailable, and inaccessible. They have difficulty in doing physical activity due to lack of inclusive public spaces which are inaccessible, lack of motivation, and dependence on others for their mobility. Irregular drug supply in the public health system and unaffordable cost of drugs hamper adherence to medications. Laboratories are inaccessible to people with disabilities thus preventing monitoring of blood sugars. They have poor quality of life, life with pain and mental health issues, which prevent adoption of self-management behaviors. The intersectionality of age and gender with disability worsens self-management behaviors. Inaccessible health system, poor quality of health care and insensitive health care providers further complicate self-management.

conclusionThis study documents the challenges faced by persons with disabilities in practicing diabetes self management. There is a need for public health policy and planning that is inclusive of persons with disabilities to make access to diabetes care universal.

Indexed as

Persons with DisabilitiesRural PopulationSelf-ManagementAdultAgedDiabetes MellitusExerciseFemaleHealth Services AccessibilityHumansIndiaMaleMiddle AgedQuality of LifeYoung AdultChallenges and lived experiencesDiabetes self-managementMental healthPeople with disabilityPoor quality of life

Identifiers

PMID39289601
PMCPMC11409530

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.