Evidence map›Paper›PMID 40088007›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2025

Patient and Carer Understandings and Experiences of Living With Type 2 Diabetes in India.

Rahul Krishna Puvvada, Joanne Marcucci, Clarice Tang, Jency Thomas, Peter Higgs, Ramesh Madhan, Sabrina Gupta

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Maintaining Health in Later Life: Perspectives of Older Indian Migrants in Melbourne, Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Article
  2. Article
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

7 authors.

Rahul Krishna PuvvadaDepartment of Microbiology Anatomy Physiology and Pharmacology (MAPP), School of Agriculture Biomedicine and Environment (SABE), La Trobe University, Melbourne, Victoria, Australia.
Joanne MarcucciDepartment of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.ORCID 0009-0006-9600-0102
Clarice TangSchool of Health Sciences, Western Sydney University, Campbelltown, New South Wales, Australia.
Jency ThomasDepartment of Microbiology Anatomy Physiology and Pharmacology (MAPP), School of Agriculture Biomedicine and Environment (SABE), La Trobe University, Melbourne, Victoria, Australia.
Peter HiggsDepartment of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.
Ramesh MadhanDepartment of Pharmacy Practice, JSS College of Pharmacy, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
Sabrina GuptaDepartment of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

backgroundThe prevalence of type 2 diabetes (T2D) is rapidly increasing in India. Evidence suggests that adherence to both pharmacological and nonpharmacological treatment regimens combined with support from carers may help in the optimal management of T2D. However, adherence to treatment and the role of carers is not clearly understood in the management of T2D in India.

objectiveTo explore the perceptions of people living with T2D and the role of carers in the management of T2D.

methodsSemi-structured face-to-face interviews were conducted with people living with T2D in Mysuru, India, and their carers. A total of 22 participants were included, of which 12 were supported by carers. All interviews were conducted in the participant's home, were audio recorded, transcribed verbatim and thematically analyzed.

resultsTwo themes were identified (a) the illness journey of people living with T2D; (b) the role of carers in supporting the illness journey of their family members living with T2D. The beliefs and perceptions of people living with T2D impacted their adherence to T2D management. Lack of rapport and open-ended discussions regarding medication use with doctors are some factors that contributed to self-medication practices. In addition, there was little trust towards Western medicines, thereby increasing self-medication of traditional medicines. Carers provided support to their family members in managing T2D, however perceived a sense of powerlessness in their ability to effectively provide support for the management of the disease.

conclusionParticipants reported non-adherence to the T2D treatment regimen prescribed by their doctor despite support from carers. There were multiple individual and systemic factors that encouraged self-medication for people living with T2D. Strategies to garner trust between doctors and patients as well as inclusion of carers during consultations should be considered. This may allow for more open communication and disclosure of self-medicating and use of traditional forms of medicine. PATIENT CONTRIBUTION: Participants were interviewed by one researcher and contributed to recruitment of additional participants through snowball referral. Participation in the study was voluntary and no financial compensation was provided. Participants also provided feedback to the researcher by reviewing their own interview transcript to ensure clarity.

Indexed as

CaregiversDiabetes Mellitus, Type 2Health Knowledge, Attitudes, PracticeAdultAgedFemaleHumansIndiaInterviews as TopicMaleMedication AdherenceMiddle AgedQualitative Researchcarerspatientsperceptionsqualitativeself‐medicationtype 2 diabetes

Identifiers

PMID40088007
PMCPMC11909469

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.