Variation in Patient-Described Barriers to and Facilitators of Diabetes Management by Individual-Level
David J T Campbell1,2,3, Harleen Ghuttora1, Ana Mladenovic4
1Department of Medicine, Cumming School of Medicine University of Calgary, Calgary, Alberta, Canada.
Abstract:
This study analyzed patient-described barriers and facilitators related to diabetes management, focusing on how these differ by glycemia and across individual characteristics. A cross-sectional telephone survey was conducted with adult patients with diabetes in Alberta, Canada, asking two open-ended questions to describe the most helpful and difficult components of their diabetes management. Responses were analyzed using directed content analysis using the Theoretical Domains Framework as a template. The most frequently cited facilitator was care context and information, and the most frequently cited barriers were cognitive challenges and structural barriers, with patient-perceived barriers and facilitators varying by individual-level factors.
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