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Obstacles to adherence in living with type-2 diabetes: an international qualitative study using meta-ethnography (EUROBSTACLE).

Authors :
Vermeire E
Hearnshaw H
Rätsep A
Levasseur G
Petek D
van Dam H
van der Horst F
Vinter-Repalust N
Wens J
Dale J
Van Royen P
Source :
Primary care diabetes [Prim Care Diabetes] 2007 Feb; Vol. 1 (1), pp. 25-33. Date of Electronic Publication: 2006 Dec 19.
Publication Year :
2007

Abstract

Quantitative studies failed to determine variables which consistently explain adherence or non-adherence to treatment recommendations. Qualitative studies identified issues such as the quality of the health provider-health receiver relationship and the patient's health beliefs. According to these findings, 39 focus groups of 246 people living with type-2 diabetes were conducted in seven European countries, assessing health beliefs, communication with caregivers and problems encountered in adhering to treatment regimens. Meta-ethnography was later applied to make a qualitative meta-analysis. Obstacles to adherence are common across countries, and seem to be related less to issues of the health-care system and more to patient's knowledge about diabetes, beliefs and attitudes and the relationship with health-care professionals. The resulting key themes are course of diabetes, information, person and context, body awareness and relationship with the health care provider. Meta-ethnography is a feasible tool for the meta-analysis of multilingual qualitative data and leads to a richer account.

Details

Language :
English
ISSN :
1878-0210
Volume :
1
Issue :
1
Database :
MEDLINE
Journal :
Primary care diabetes
Publication Type :
Academic Journal
Accession number :
18632016
Full Text :
https://doi.org/10.1016/j.pcd.2006.07.002