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      Being tested but not educated - a qualitative focus group study exploring patients' perceptions of diabetic dietary advice.

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          Abstract

          Diet is a key component of the management of diabetes. Several studies suggest that patients receive insufficient and inadequate information. As a first step for developing an intervention for improving dietary advice in primary care, we aimed to explore patients' experience of receiving dietary advice; their attitudes towards that advice; their perceived dietary advice needs, and any barriers faced in adopting a diet that supports the management of their diabetes.

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          Perceived barriers and effective strategies to diabetes self-management.

          Jean Nagelkerk, Camille K. Adkins-Reick, William L Meengs (2006)
          This paper reports the perceived barriers to and effective strategies for self-management of adults with type 2 diabetes in a rural setting. Worldwide, diabetes is a major public health concern and financial burden. Research shows that, for people with diabetes, adhering to programs of self-care is often problematic. Despite the potential for improved metabolic control and quality of life, little is published on the barriers and effective strategies that people with diabetes successfully use to incorporate plans of care into their lifestyles. Twenty-four adults diagnosed with type 2 diabetes were recruited from a rural primary care practice to participate in one of three audiotaped focus groups. Content analysis was conducted on the focus group transcripts and validity was strengthened through independent rankings of barriers and strategies by an expert panel and by the nurse researchers. The data were collected 2002. The most frequently reported barriers were lack of knowledge of a specific diet plan, lack of understanding of the plan of care and helplessness and frustration from lack of glycaemic control and continued disease progression despite adherence. Effective strategies identified were developing a collaborative relationship with a provider, maintaining a positive attitude that prompts proactive learning and having a support person who provides encouragement and promotes accountability. These data highlight the importance of barrier and strategy identification in developing and implementing realistic self-management plans and the significance of collaborative alliances between patients and practitioners. Awareness of barriers, identification of strategies to overcome obstacles and the opportunity to problem solve with practitioners assists patients in managing a chronic illness that requires numerous daily decisions.
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            Diabetes mellitus: a major risk factor for cardiovascular disease. A joint editorial statement by the American Diabetes Association; The National Heart, Lung, and Blood Institute; The Juvenile Diabetes Foundation International; The National Institute of Diabetes and Digestive and Kidney Diseases; and The American Heart Association.

            (1999)
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              Patients' perceptions of nutrition care provided by general practitioners: focus on Type 2 diabetes.

              John Leveritt, R. Hughes, B Desbrow … (2012)
              In Australia, GPs are central to managing individuals with chronic disease. Due to the influence of lifestyle behaviour on chronic disease health outcomes, GPs may counsel an individual about nutrition to assist the individual to improve their nutrition behaviour. Patients with a positive regard for their health care are more likely to adhere to lifestyle changes which have been recommended by a health professional. It is unclear whether this relationship extends to the context of nutrition and general practice. The management of Type 2 diabetes presents as a relevant scenario to investigate patients' perceptions of nutrition care provided by Australian GPs. This study examines the perceptions of individuals with Type 2 diabetes regarding the nutrition care they have received from GPs. Nine hundred and thirty-nine individuals with Type 2 diabetes completed a 54-item online survey. Individual survey items related to demographic information, health-related attributes, perspectives on ideal care and reflections on previous care. Eighty-four per cent of respondents perceived that ideal management of Type 2 diabetes by GPs includes nutrition care, however, only 43% of respondents report to have received this care from a GP. Over 91% of respondents are satisfied with their GP regarding nutrition care, but only 34% of respondents believe this care has been effective in improving their personal nutrition behaviour. Patients do not receive nutrition care from GPs as often as they would like, and despite being satisfied with the overall care received, are concerned about the effectiveness of the nutrition care component.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): BMC Fam Pract
                Title: BMC family practice
                Publisher: Springer Science and Business Media LLC
                ISSN (Electronic): 1471-2296
                ISSN (Print): 1471-2296
                Publication date (Electronic): January 03 2019
                Volume: 20
                Issue: 1
                Affiliations
                [1 ] Health Services and Policy Research, University of Exeter Medical School, Exeter, UK.
                [2 ] Faculty of Health and Life Sciences, De Montfort University, Leicester, UK. jsolomon@dmu.ac.uk.
                Article
                Publisher Item ID: 10.1186/s12875-018-0892-5
                DOI: 10.1186/s12875-018-0892-5
                PMC ID: 6317200
                PubMed ID: 30606122
                SO-VID: e0e98a36-e16c-4f1e-b0dc-ec459a45070c
                History

                Keywords: Diabetes,Diet,Dietary advice,Patient education,Patients’ perspectives,Qualitative study,Type 2 diabetes
                Data availability:
                Keywords: Diabetes, Diet, Dietary advice, Patient education, Patients’ perspectives, Qualitative study, Type 2 diabetes

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