Open AccessDiabetes self‐management support for patients with low health literacy: Perceptions of patients and providers针对低健康素养患者的糖尿病自我管理支持：患者与提供者的观念
Author(s) -
Fransen Mirjam P.,
Beune Erik J.A.J.,
BaimLance Abigail M.,
Bruessing Raynold C.,
EssinkBot MarieLouise
Publication year - 2015
Publication title -
journal of diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.949
H-Index - 43
eISSN - 1753-0407
pISSN - 1753-0393
DOI - 10.1111/1753-0407.12191
Subject(s) - medicine , health literacy , self management , nursing , qualitative research , focus group , intervention (counseling) , diabetes mellitus , health care , diabetes management , medline , patient education , family medicine , type 2 diabetes , social science , business , marketing , machine learning , endocrinology , sociology , computer science , political science , law , economics , economic growth
Background The aim of the present study was to explore perceptions and strategies of health care providers regarding diabetes self‐management support for patients with low health literacy ( LHL ), and to compare their self‐management support with the needs of patients with LHL and type 2 diabetes. This study serves as a problem analysis for systematic intervention development to improve diabetes self‐management among patients with LHL . Methods This qualitative study used in‐depth interviews with general practitioners (n = 4), nurse practitioners (n = 5), and patients with LHL (n = 31). The results of the interviews with health care providers guided the patient interviews. In addition, we observed 10 general practice consultations. Results Providers described patients with LHL as uninvolved and less motivated patients who do not understand self‐management. Their main strategy to improve self‐management was to provide standard information on a repeated basis. Patients with LHL seemed to have a different view of diabetes self‐management than their providers. Most demonstrated a low awareness of what self‐management involves, but did not express needing more information. They reported several practical barriers to self‐management, although they seemed reluctant to use the information provided to overcome them. Conclusions Providing and repeating information does not fit the needs of patients with LHL regarding diabetes self‐management support. Health care providers do not seem to have the insight or the tools to systematically support diabetes self‐management in this group. Systematic intervention development with a focus on skills‐based approaches rather than cognition development may improve diabetes self‐management support of patients with LHL .