Qualitative studies may be conducted as part of a larger study, to initially explore an issue where little research exits, and/or in partnership with a quantitative study. One example was laboratory test value cutoff points, which they reported differing among guidelines, leading to confusion. They also reported gaps related to their ability to treat patients with cases of concomitant metabolic syndrome. “It would be helpful if the diabetic associations, multiple ones, come up with mutually acceptable criteria for diagnoses of diabetes.”, “There's nothing more confusing than the myriad … diabetes guidelines; they don't ever really tell you much, they're so confusing.”. A quantitative research on self-management of type 2 diabetes in middle-aged population of rural area of Pakistan . In study 1, 28 adolescents aged 12–15 with type 1 diabetes participated in online focus groups. For example, the early stages of type 2 diabetes are asymptomatic. Parry O, Peel E, Douglas M and Lawton J. In this study, we aimed to obtain an in-depth understanding of users’ acceptability of a mobile app for diabetes self-management, and to explore their communication with health-care personnel concerning the app. This study was funded by the ADA with the support of an unrestricted educational grant from Pfizer, Inc. Dr. Garvey recognizes support from the National Institutes of Health (RO1 DK038765), the Department of Veteran Affairs and the VA Merit Review, and the University of Alabama at Birmingham Diabetes Research and Training Center (P60 DK079626). Sign In to Email Alerts with your Email Address. Yet many are challenged in doing so.3, Although diabetes requires patients to accept a large role in self-management of their illness, examination of patients' and physicians' viewpoints revealed disparate viewpoints and experiences in approaches to treatment and psychosocial implications of managing and coping with the disease. We're still skeptical about using the drugs.”. The study revealed that patients also do not understand the referral system; for example, they do not consistently realize that they must return to their PCP after seeing a consultant and can get lost in the system. Despite the availability of evidence-based guidelines, physicians report difficulty in making treatment decisions, often resulting in noncompliance with guidelines and algorithms.9-11 Physicians tended to be slow in initiating or intensifying pharmacotherapy, even when indicated to achieve therapeutic targets.9,10 Medication choices were based on generalized assessments of patients' health and comorbidities, A1C levels, and adherence behavior rather than precisely formulated, formalized expert guidelines and hospital algorithms.11. Qualitative studies contribute greatly to the understanding of an individual’s experience with diabetes, diabetic foot ulcers, and amputations. They described guidelines from various associations and organizations as incongruent, with grey areas persisting. The study targeted patients with type 2 diabetes and the PCPs who treat them. Setting Primary and secondary care settings across Lothian, Scotland. Keywords: Diabetes is a major public health concern and the lack of awareness of target blood glucose and blood pressure further complicates the problem. The two sites had different characteristics: one specifically served uninsured adults in a rural area and the o… Qualitative studies of type 1 diabetes report on the experiences of children/adolescents and their parents as well as patients who use diabetes technology. This study will investigate people’s personal experiences of phantom limb pain which occurs in 50-80% of amputees. Keywords 2, type, self-management, research, diabetes, quantitative Disciplines Aims and objectives: Interviews were completed by 15 participants and lasted between 45 min and 1 h.10 We developed the topic guide based on relevant qualitative research within the European Diabetes Prevention Study.19, 20 As in our previous work, we allowed flexibility within the topic guide for participants to follow their own train of thought, employed active listening to prompt a revisit of areas … Selective coding was then performed, whereby data were systematically coded with respect to core concepts.13 N-Vivo 7.0 software (QSR International, Cambridge, Mass.) Conclusions: Spencer JE, Cooper HC, Milton B. Sample size is appropriate for qualitative research, which does not seek to provide generalized results but rather seeks to provide in-depth examination of study phenomena. The literature thus suggests that care provided to people with diabetes remains suboptimal. was used to carry out this analysis. This qualitative study aimed to describe older adults' values and preferences for type 2 diabetes care. The lived experiences of young people (13–16 years) with Type 1 diabetes mellitus and their parents—a qualitative phenomenological study. Main outcome measures Results from repeat in-depth interviews with patients over four years after clinical diagnosis. “Not that any of this is easy, but it's going to be easier to manage that person if the whole family buys in and supports them.”. “I know some people who don't even want to go get tested, and they don't want to get diagnosed because once they get diagnosed, now they've got this stigma […] attached to them and dealing with the insurance providers.”, Patients reported being frightened when receiving a diagnosis of diabetes and reacting with emotions such as denial and anger. Linda Cann is the managing director of professional education at the American Diabetes Association in Alexandria, Va. Interviews were audiotaped and transcribed verbatim. People with diabetes play a central role in determining their quality of life. Int J Environ Res Public Health. An in-depth qualitative study of behavioral and performance gaps, barriers, and educational needs of PCPs providing care to people with type 2 diabetes was therefore undertaken. Generalists were found to be more likely to consider patient-centered variables such as patients' adherence behaviors, preference for lifestyle modifications and oral medications, and fear of injections in initiating insulin therapy, whereas specialists did not recognize these as major factors or barriers.11 Specialists, compared to generalists, also placed less emphasis on guidelines and significantly greater emphasis on quantitative measures such as A1C, age, and weight. Qualitative study that followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. AHPs expressed a greater desire for increased knowledge in differentiating type 2 diabetes from type 1 diabetes, gestational diabetes, impaired glucose tolerance, and thyroid disorders (gap: 0.63-0.91, desired level of knowledge 4.45-4.91) than did primary care physicians (gap: 0.28-0.78, desired level of knowledge 4.50-4.68). Interview sessions were conducted at diabetes clinic—Penang general hospital. HHS The sampling method used was purposive or selective sampling.15 To ensure ethical treatment of participants, institutional review board approval and participants' informed consent were obtained. Keywords: diabetes, meaning of the disease, coping, qualitative study. These assessments were reciprocally supported by the patients' experiences. Gap Analysis: PCP Knowledge About Treatment and Management of Type 2 Diabetes Rated on a 5-Point Likert Scale*, “I think unfortunately many patients think of insulin treatment as a punishment … and we may be at fault of that a little bit … despite them doing everything right, the diabetes may still progress.”. As health care evolves, the roles of both providers and patients evolve with it. It employed a qualitative research design, including both qualitative and quantitative data collection techniques to provide robust and trustworthy findings.12,13 Qualitative research facilitated in-depth examination of knowledge and skills as well as perceived and unperceived attitudes, confidence, and contextual issues. the patient-physician relationship. PCPs lacked the knowledge and confidence to optimally prescribe treatment. PCPs in particular seldom involved patients' family and friends in diabetes education and discussion of management strategies. Conclusions: Diabetes patients deal with the difficulties they experience that a holistic nursing approach is required. The barriers to self-management identified in … NCI CPTC Antibody Characterization Program. Background: Qualitative research on self-management for people with Type 2 Diabetes Mellitus (T2DM) has typically reported one-off retrospective accounts of individuals’ strategies. Liamputtong P, Ezzy D. Qualitative Research Methods. Patients (Table 2) were largely between 45 and 74 years of age and described themselves as African American or Caucasian. The greatest gaps for both groups related to insulin use and contraindications to treatment. In this study, 56 outpatients with confirmed type I or II diabetes were administered the standardized quantitative components required to diagnose and stage diabetic neuropathy according to the San Antonio Consensus Statement (1) and the Mayo Clinic protocol (2). Methods: Semi-structured interviews were conducted among 23 people living with type 2 diabetes and 14 HCPs recruited from the diabetes clinics of three hospitals in Tamale, Ghana. In addition, they identified gaps in their knowledge of diagnostic criteria and clarity regarding laboratory test value cutoff points and characterized guidelines as unhelpful in providing optimal clarity for clinical practice. Gap analysis items were included in which subjects rated their current and desired levels of knowledge or skill, with the difference being the gap. The invited participants represented three major ethnic groups of Malaysia (Malay, Chinese and Indians). Patients with diabetes were well represented in PCPs' practices; 66% of practices (23/35) were composed of 11-50% of patients with diabetes and 89% of practices (28/35) saw more than 26 patients with diabetes per month. PCPs, allied health professionals (AHPs [physician assistants, registered nurses, and nurse practitioners]), and patients with type 2 diabetes were included, and perspectives of these groups were compared and contrasted in a triangulated research design. Qualitative study that followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Perceived behavioural control barriers were poor income levels, lack of glucometers, busy work schedules, long distance to the hospital and inadequate access to variety of foods due to erratic supply of foods or seasonality. Enter multiple addresses on separate lines or separate them with commas. of this short communication is to highlight the aims of this study which is using quantitative approach and methodology to determine the relationship between cultural beliefs and illness, social support in the population (40-60 years) of the rural area of Pakistan. We aimed to describe how qualitative methods are used in global research on diabetes and identify opportunities whereby qualitative methods could further benefit our understanding of the human experience of diabetes and interventions to address it. A descriptive qualitative design was used. Alzubaidi H, Mc Namara K, Browning C, Marriott J. BMJ Open. Please enable it to take advantage of the complete set of features! Interviews were audiotaped and transcribed verbatim. The authors acknowledge the contribution of Phillipa Rispin, who provided medical writing services under contract to AXDEV Group. However, little is known about barriers to diabetic self-care (diet, exercise, medication taking, self-monitoring of blood glucose and foot care) in sub-Saharan Africa. However, few qualitative studies have compared type 2 diabetes management practices across glycemic control groups.8–10 This study takes a patient-centered approach and uses qualitative interviewing to explore everyday practices, outside of controlled trials, to discover whether those in good control have distinctive practices that might help others attain good control. Rural Uganda using qualitative Methods in developing an instrument to identify barriers to among... Individualised and community-wide approaches providers identified gaps in their knowledge of its correct use ( Table )... For diabetes management in primary care setting, and clinically relevant guidelines are needed for management. Suited to explore and provide rich descriptions of complex phenomena [ 23.! Advantage of the illness through effective patient communication and education strategies we 're still not them! 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qualitative research study on diabetes

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