ArticlePatient preference and adherence2026
Blood Glucose Management Behaviour Among Haemodialysis Patients with Diabetes: A Qualitative Study Guided by the Theory of Planned Behaviour.
Article in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To utilise the Theory of Planned Behaviour as a theoretical framework, employing qualitative interviews to gain an in-depth understanding and analysis of the motivations and influencing factors of blood glucose management behaviours among haemodialysis patients with diabetes. Methods: Employing the phenomenological research method within qualitative research, in-depth semi-structured interviews were conducted with 12 haemodialysis patients with diabetes. Themes were then categorised using Colaizzi's seven-step content analysis method. Results: Themes were categorised according to the Theory of Planned Behaviour, yielding four categories: 1. Attitudes towards blood glucose management: perceived benefits and perceived burdens; 2. Subjective norms for blood glucose management: injunctive norms and descriptive norms; 3. Perceived behavioural control for blood glucose management: facilitating factors and impeding factors; 4. Behavioural intention versus actual behaviour: high intention-high execution, high intention-low execution, low intention-low execution, comprising nine themes in total. Conclusion: Using the Theory of Planned Behaviour, this study identifies key modifiable factors underlying glycaemic self-management among diabetic patients on maintenance haemodialysis, including conflicting attitudes, social-norm influences, and major perceived-behavioural-control barriers that produce intention-behaviour gaps. Interventions should shift from knowledge-only education towards enhancing patients' practical execution and perceived control. Individualised feasible management plans, together with integrated support from healthcare teams, families and social resources, are needed to address real-world barriers and improve glycaemic self-management outcomes for this patient group.
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