AIMS: To elicit the barriers and motivators to better diabetes self care in patients with Type 1 diabetes. METHODS: We obtained a purposive sample of 47 patients with Type 1 diabetes and persistent suboptimal glycaemic control from a randomized controlled trial of nurse-delivered psychological interventions. Each participant's second session of motivational interviewing was analysed using content analysis. RESULTS: Four major themes emerged: emotions of living with Type 1 diabetes, perceived barriers to diabetes management, motivators for change and methods of coping. Increased assistance and support from family and healthcare teams, the prospect of improved emotional and physical well-being and feelings of success were described as factors that might motivate participants to practice more effective self care. CONCLUSIONS: An enhanced awareness of the range of psychological concepts in diabetes may enable a better therapeutic relationship between clinicians and patients.
RCT Entities:
AIMS: To elicit the barriers and motivators to better diabetes self care in patients with Type 1 diabetes. METHODS: We obtained a purposive sample of 47 patients with Type 1 diabetes and persistent suboptimal glycaemic control from a randomized controlled trial of nurse-delivered psychological interventions. Each participant's second session of motivational interviewing was analysed using content analysis. RESULTS: Four major themes emerged: emotions of living with Type 1 diabetes, perceived barriers to diabetes management, motivators for change and methods of coping. Increased assistance and support from family and healthcare teams, the prospect of improved emotional and physical well-being and feelings of success were described as factors that might motivate participants to practice more effective self care. CONCLUSIONS: An enhanced awareness of the range of psychological concepts in diabetes may enable a better therapeutic relationship between clinicians and patients.
Authors: Laura Desveaux; James Shaw; Marianne Saragosa; Charlene Soobiah; Husayn Marani; Jennifer Hensel; Payal Agarwal; Nike Onabajo; R Sacha Bhatia; Lianne Jeffs Journal: J Med Internet Res Date: 2018-03-16 Impact factor: 5.428