Accepted for/Published in: Interactive Journal of Medical Research
Date Submitted: Aug 15, 2022
Date Accepted: Sep 23, 2022
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Challenges in management of type 2 diabetes mellitus (T2DM) from the perspective of patients: A conventional content analysis
ABSTRACT
Background:
Type 2 diabetes mellitus (T2DM), as a common condition, requires a multidisciplinary care approach, in which patient is considered as a member of the care team.
Objective:
Given the effective role of patients in prevention and self-care, this study was conducted to explore challenges of diabetes management (i.e. both care and treatment) from the perspective of patients.
Methods:
In this qualitative study, two rounds of focus group discussions (FGDs) with patients with T2DM were conducted. The questions were designed to encourage patients to share their views on how the treatment team communicates, participates in treatment, how they are trained, and the health care system. The discussion continued until data saturation. During two rounds of FGDs, voices of the participants were recorded by two voice recorders, and one of the team members was as a note taker. After each FGDs, participants discussions were transcribed and common issues were identified, and categorized and reported as categories and subcategories.
Results:
At first, eighty-eight codes were extracted, which were then summarized and classified. After that, four categories and seven sub-categories were identified as follows: communication challenges (“poor medical staff communication’’, “lack of psychological support”), challenges of participation in the treatment (‘’lack of patient participation”), educational challenges (“training program bugs”, “inadequate training”), challenges of the health care system (“Inefficiency of the care system”, “inefficiency caregivers”).
Conclusions:
An effective educational program should be designed according to patients' views on the challenges of care and treatment, educational deficiencies and communication problems, inefficiency of the health care system, and their non-participation in treatment. Having proper communication and full support of patients is essential for the prevention and control of the diabetes.
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