Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Restrictors of the Effectiveness of Diabetes Self-Management Education: A Qualitative Content Analysis Publisher



Yazdani F1, 2 ; Abazari P2, 3 ; Haghani F4 ; Iraj B5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Nursing and Midwifery Sciences Development Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran
  3. 3. Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Education and Health Promotion Published:2021


Abstract

BACKGROUND: A key step for improving the effectiveness of diabetes self-management education (DSME) is to identify its restrictors. OBJECTIVES: The aim of this study was to explore the restrictors of the effectiveness of DSME. METHODS: This descriptive qualitative study was conducted in March 2016-2017. Participants were 16 DSME providers (viz., physicians, nurses, nutritionists, and psychologists) and nine DSME receivers (viz., patients and their family members)-25 in total. Semi-structured interviews were held for data collection. Interviews were transcribed word by word and analyzed through conventional content analysis approach proposed by Graneheim and Lundman. RESULTS: The restrictors of the effectiveness of DSME were categorized into three main categories and 11 subcategories, namely patients' limited welcoming of DSME classes (allocating limited time for participation in DSME classes, inadequate knowledge about diabetes mellitus [DM] importance, inappropriate educational environment, and financial problems), unfavorable adherence to treatments: Serious challenge (inattention to educations, poor motivation for adherence to medical recommendations, and inattention to the psychological aspects of DM), and the difficulty of adult education (the difficulty of changing health-related attitudes and behaviors, mere information delivery during education, adults' physical and perceptual limitations, and diabetes educators' limited competence in adult education). CONCLUSION: The findings of the present study provide an in-depth understanding about the restrictors of the effectiveness of DSME. DM management authorities and policymakers can use these findings to develop strategies for improving the effectiveness of DSME. © 2021 Wolters Kluwer Medknow Publications. All rights reserved.
Related Docs
View other Related Docs
1. The Components of Diabetes Educator's Competence in Diabetes Self-Management Education in Iran: A Qualitative Study, Journal of Education and Health Promotion (2021)
2. Is Web-Based Program Effective on Self-Care Behaviors and Glycated Hemoglobin in Patients With Type 2 Diabetes: A Randomized Controlled Trial, Iranian Journal of Nursing and Midwifery Research (2023)
3. The Effect of Self-Care Training Based on E-Learning and Teach-Back Methods on the Performance of Patients With Type 2 Diabetes, Journal of Diabetes and Metabolic Disorders (2024)
4. Describing the Process and Outcome of Diabetes Self-Management Education and Support in Comprehensive Health Service Centers and Diabetes Clinics in Isfahan Province, Iranian Journal of Diabetes and Metabolism (2023)
5. Appraisal the Structure of Diabetes Self-Management Education and Support in Diabetes Education Units of Isfahan, Iran, Journal of Education and Health Promotion (2024)
6. Effect of Telephone Follow-Up by Nurses on Self-Care in Children With Diabetes, Iranian Journal of Nursing and Midwifery Research (2018)
7. The Most Prominent Problems of Diabetes Education in Iran: A Qualitative Content Analysis, Journal of Education and Health Promotion (2021)
8. Assessment of Some Predicting Factors of Self-Efficacy in Patients With Type 2 Diabetes, Iranian Journal of Endocrinology and Metabolism (2015)
Experts (# of related papers)
View all Related Experts
Ahmadali Eslami (9)
Mansour Siavash Dastjerdi (8)
Other Related Docs
9. Challenges and Strategies of Needs Assessment Implementing in Diabetes Self-Management Education in Iran: A Qualitative Study, Iranian Journal of Nursing and Midwifery Research (2020)
10. Lived Experiences of Diabetes Team and Patients About Diabetes Care System After Redesigning Delivery System and Supporting Self-Management in Iran: A Qualitative Research, International Journal of Preventive Medicine (2022)
11. Facilitators of Adherence to Self-Management in Type 2 Diabetic Patients: A Phenomenological Study, Iranian Journal of Endocrinology and Metabolism (2009)
12. Group Education and Nurse-Telephone Follow-Up Effects on Blood Glucose Control and Adherence to Treatment in Type 2 Diabetes Patients, International Journal of Preventive Medicine (2013)
13. Effectiveness of Educational Intervention Based on Psychological Factors on Achieving Health Outcomes in Patients With Type 2 Diabetes, Diabetology and Metabolic Syndrome (2018)
14. Effectiveness of a Web‑Based Program on Self‑Care Behaviors and Glycated Hemoglobin in Patients With Type 2 Diabetes: Study Protocol of a Randomized Controlled Trial, Journal of Education and Health Promotion (2023)
15. Effect of Education Based on Health Belief Model on Self-Care Behavior and Metabolic Indices in Patients With Type 2 Diabetes: A Clinical Research Trial, Journal of Mazandaran University of Medical Sciences (2021)
16. Impact of Short Message System Education on Blood Sugar Control and Treatment Adherence in Patients With Type 2 Diabetes, Iranian Rehabilitation Journal (2022)
17. Diabetes Diagnosis; Disrupter Identity?, Iranian Journal of Endocrinology and Metabolism (2011)
18. The Perceived Self-Efficacy and Its Interrelation With Communication in Family and Glycemic Control in Adolescents With Type 1 Diabetes, Pakistan Journal of Medical Sciences (2013)
19. The Psychosocial Barriers to Medication Adherence of Patients With Type 2 Diabetes: A Qualitative Study, BioPsychoSocial Medicine (2021)
20. Effects of Blended Self-Management Training on Knowledge and Self-Care Behaviors of Patients With Type 2 Diabetes: A Randomized Clinical Trial, Clinical Diabetology (2023)
21. Inadequate Investment on Management of Diabetes Education, Journal of Research in Medical Sciences (2012)
22. Unsuccessful Diabetes Management: A Qualitative Study, Clinical Diabetology (2021)
23. Developing a Program to Enhance Health Professionals′ Readiness to Evidence Utilization in Diabetes Care: A Mixed-Methods Protocol Study, Journal of Education and Health Promotion (2021)
24. Evaluation of an Urban Phase of the Specialized Care Program for Diabetes in Iran: Providers' Perspectives, International Journal of Preventive Medicine (2014)
25. Developing “Aryan:” Diabetes Self‑Care Mobile Application, International Journal of Preventive Medicine (2019)
26. The Effectiveness of Nutritional Education on the Knowledge of Diabetic Patients Using the Health Belief Model, Journal of Research in Medical Sciences (2009)
27. The Effect of Home Visit Program on Self-Management Behaviors and Glycemic Control in Patients With Type 2 Diabetes Treated With Insulin, Journal of Isfahan Medical School (2020)
28. Impact of Health Literacy, Self-Efficacy, and Outcome Expectations on Adherence to Self-Care Behaviors in Iranians With Type 2 Diabetes, Oman Medical Journal (2016)
29. Diabetes Management Challenges in Iran: A Qualitative Content Analysis, Journal of Nursing Management (2019)
30. The Effect of Educational Program Walking Based on Health Belief Model on Control Suger in Woman by Type 2 Diabetics, Iranian Journal of Endocrinology and Metabolism (2010)
31. Determination of Empowerment Score in Type 2 Diabetes Patients and Its Related Factors, Journal of the Pakistan Medical Association (2012)
32. Exploring the Barriers of Adherence to Dietary Recommendations Among Patients With Type 2 Diabetes: A Qualitative Study in Iran, Nursing Open (2020)
33. Assessment of Diabetic Distress and Disease Related Factors in Patients With Type 2 Diabetes in Isfahan: A Way to Tailor an Effective Intervention Planning in Isfahan-Iran, Journal of Diabetes and Metabolic Disorders (2012)
34. Overcoming Challenges of Implementing Chronic Care Model in Diabetes Management: An Action Research Approach, International Journal of Preventive Medicine (2019)
35. Effect of Theory Based Education on Blood Sugar Control in Type-2 Diabetic Patients, Iranian Journal of Endocrinology and Metabolism (2017)
36. Evaluation of Patients With Type 2 Diabetes and Their Families Understand the Relationship of Continuous Care by Type of Care, Advances in Environmental Biology (2014)
37. Influence of Walking Training on Haemoglobin Glucosile and Fasting Blood Sugar Levels in Women With Type 2 Diabetes, Koomesh (2010)
38. Comparison of Dietary Intake Between Children With Type1 Diabetes Mellitus and Control Group, Iranian Journal of Diabetes and Lipid Disorders (2005)
39. Descriptive Phenomenology Study of the Reasons for the Low Uptake of Free Health Service Package Among Type Ii Diabetic Patients, BMC Health Services Research (2022)
40. Insulin Adherence in Patients With Diabetes: Risk Factors for Injection Omission, Primary Care Diabetes (2014)
41. The Effect of Peer Support on Foot Care in Patients With Type 2 Diabetes, Iranian Journal of Nursing and Midwifery Research (2021)
42. Impact of Pharmaceutical Care on Quality of Life in Patients With Type 2 Diabetes Mellitus, Journal of Research in Medical Sciences (2011)
43. The Effectiveness of Stress Management Training on Blood Glucose Control in Patients With Type 2 Diabetes, Diabetology and Metabolic Syndrome (2018)
44. Barriers to Blood Glucose Level Management in the Health Care System: View Points of Patients, Families and Medical Personnel, Iranian Journal of Endocrinology and Metabolism (2012)
45. Comparing the Quality of Life in Insulin Recipient and Refusal Patients With Type 2 Diabetes, Iranian Journal of Nursing and Midwifery Research (2016)
46. Effect of Nutrition Education on Nutritional Behaviors and Glycemic Control Indices Based on Basnef Model Among Elderly With Type 2 Diabetes, Journal of Isfahan Medical School (2011)
47. The Prevalence of Comorbid Depression in Patients With Type 2 Diabetes: An Updated Systematic Review and Meta-Analysis on Huge Number of Observational Studies, Acta Diabetologica (2019)
48. Prevalence of Uncontrolled Diabetes and Its Predictors in Patients With Type 2 Diabetes Covered by Comprehensive Health Care Centers of Isfahan, Iranian Journal of Endocrinology and Metabolism (2022)
49. Effect of Pharmacist-Led Patient Education on Glycemic Control of Type 2 Diabetics: A Randomized Controlled Trial, Journal of Research in Medical Sciences (2010)
50. Development and Psychometric Evaluation of the Diabetic Men's Dietary Behaviors Inventory Based on the Theory of Reasoned Action, Archives of Public Health (2019)