Corabian P, Harstall C; International Society of Technology Assessment in Health Care. Meeting (19th : 2003 : Canmore, Alta.).

Annu Meet Int Soc Technol Assess Health Care Int Soc Technol Assess Health Care Meet. 2003; 19: abstract no. 128.

Alberta Heritage Foundation for Medical Research, Suite 1500, 10104 - 103 Avenue, Edmonton, AB T5J 4A7 Canada Tel: (780) 423-5727, Fax: (780) 429-3509, E-mail: Paula.Corabian@ahfmr.ab.ca

OBJECTIVES: Major requirements in type 2 diabetes management are patient compliance with the regimen and adherence to self-management behaviors to achieve long-term diabetes control. Many bio-psycho-social factors may influence and determine the extent to which patients are able and willing to contribute to their own care. A systematic review of published qualitative research was conducted to determine whether their findings can be used as a source of patient input when planning and restructuring a formal patient diabetes education program (PDE) to help adults successfully self-manage their disease and achieve long-term control. METHODS: Nine electronic databases were searched for primary qualitative research studies published from 1990 to 1999. The methodological quality of included studies was assessed according to specific criteria. RESULTS: Eight studies were included. Their findings described important variables, particularly in terms of social dynamics and patients' subjective realities of living with diabetes which are factors that potentially influence the impact of PDE on long-term outcomes. However, no study met all the criteria for methodological quality. Issues of rigor need to be considered in relation to the credibility, validity and transferability of these results. DISCUSSION: Development of an effective PDE should be based on both quantitative and qualitative research findings. Qualitative research findings were useful in illuminating quantitative research findings. They added an understanding of patient-perceived barriers to diabetes self-care and their effects on outcomes. This type of information may be helpful in planning and restructuring of PDE. This information is also useful for evaluating existing educational programs.

Publication Types:

• Meeting Abstracts

Keywords:

• Adult
• Diabetes Mellitus
• Diabetes Mellitus, Type 2
• Humans
• Patient Compliance
• Patient Education as Topic
• Qualitative Research
• Self Care
• hsrmtgs

Other ID:

• GWHSR0004361

UI: 102276046

From Meeting Abstracts