PMID- 28340544
OWN - NLM
STAT- MEDLINE
DCOM- 20171228
LR  - 20180212
IS  - 1554-6063 (Electronic)
IS  - 0145-7217 (Linking)
VI  - 43
IP  - 2
DP  - 2017 Apr
TI  - Understanding Challenges, Strategies, and the Role of Support Networks in 
      Medication Self-management Among Patients With Type 2 Diabetes.
PG  - 190-205
LID - 10.1177/0145721717697243 [doi]
AB  - Purpose The purpose of this qualitative study was to investigate the challenges 
      and strategies of patients with type 2 diabetes mellitus (T2DM) regarding daily 
      management of their medication regimen focusing on the role of their support 
      networks. Methods A purposeful sample of 25 patients with T2DM was recruited from 
      local self-help groups, general practitioner practices, and a university hospital 
      in southwestern Germany. Four semi-structured focus groups were conducted to 
      identify the challenges patients experienced, the strategies they used, and their 
      collaboration with support networks to assist them in self-managing their 
      medication regimen. Sessions were audio- and video-recorded, fully transcribed, 
      and subjected to computer-aided qualitative content analysis, guided by the Self- 
      and Family Management Framework (SFMF). Results Patients with T2DM experienced 
      numerous challenges affecting medication self-management arising from their 
      personal situation, health status and resources, characteristics of their 
      regimen, and how health care is currently organized. Patients' self-initiated 
      strategies included activating health care, community, social, and online 
      resources; taking ownership of medication-related needs; and integrating 
      medication-taking into daily life. Patients drew on self-help groups, family, and 
      friends to discuss concerns regarding medication safety and receive 
      experience-based information and advice for navigating within the health care 
      system as well as practical hands-on support with daily medication 
      self-management. Conclusions Understanding the challenges and building on 
      strategies patients with T2DM devised help diabetes educators to better address 
      patients' needs and priorities and guide patient-centered interventions to 
      support patients' self-management activities. Community and social support 
      networks operating in patients' lives need to be engaged in the self-management 
      support.
FAU - Bernhard, Gerda
AU  - Bernhard G
AD  - Department of General Practice and Health Services Research, University Hospital 
      of Heidelberg, Heidelberg, Germany (Mrs Bernhard, Dr Ose, Dr Baudendistel, Prof 
      Szecsenyi, Prof Wensing, Dr Mahler).
FAU - Ose, Dominik
AU  - Ose D
AD  - Department of General Practice and Health Services Research, University Hospital 
      of Heidelberg, Heidelberg, Germany (Mrs Bernhard, Dr Ose, Dr Baudendistel, Prof 
      Szecsenyi, Prof Wensing, Dr Mahler).
AD  - Department of Population Health Sciences, Health System Innovation and Research, 
      University of Utah, Salt Lake City, Utah (Dr Ose).
FAU - Baudendistel, Ines
AU  - Baudendistel I
AD  - Department of General Practice and Health Services Research, University Hospital 
      of Heidelberg, Heidelberg, Germany (Mrs Bernhard, Dr Ose, Dr Baudendistel, Prof 
      Szecsenyi, Prof Wensing, Dr Mahler).
FAU - Seidling, Hanna M
AU  - Seidling HM
AD  - Cooperation Unit Clinical Pharmacy, University of Heidelberg, Heidelberg, Germany 
      (Dr Seidling, Dr Stutzle).
AD  - Department of Clinical Pharmacology and Pharmacoepidemiology, University of 
      Heidelberg, Heidelberg, Germany (Dr Seidling, Dr Stutzle).
FAU - Stutzle, Marion
AU  - Stutzle M
AD  - Cooperation Unit Clinical Pharmacy, University of Heidelberg, Heidelberg, Germany 
      (Dr Seidling, Dr Stutzle).
AD  - Department of Clinical Pharmacology and Pharmacoepidemiology, University of 
      Heidelberg, Heidelberg, Germany (Dr Seidling, Dr Stutzle).
FAU - Szecsenyi, Joachim
AU  - Szecsenyi J
AD  - Department of General Practice and Health Services Research, University Hospital 
      of Heidelberg, Heidelberg, Germany (Mrs Bernhard, Dr Ose, Dr Baudendistel, Prof 
      Szecsenyi, Prof Wensing, Dr Mahler).
FAU - Wensing, Michel
AU  - Wensing M
AD  - Department of General Practice and Health Services Research, University Hospital 
      of Heidelberg, Heidelberg, Germany (Mrs Bernhard, Dr Ose, Dr Baudendistel, Prof 
      Szecsenyi, Prof Wensing, Dr Mahler).
FAU - Mahler, Cornelia
AU  - Mahler C
AD  - Department of General Practice and Health Services Research, University Hospital 
      of Heidelberg, Heidelberg, Germany (Mrs Bernhard, Dr Ose, Dr Baudendistel, Prof 
      Szecsenyi, Prof Wensing, Dr Mahler).
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Diabetes Educ
JT  - The Diabetes educator
JID - 7701401
RN  - 0 (Hypoglycemic Agents)
MH  - Aged
MH  - Diabetes Mellitus, Type 2/*drug therapy
MH  - Female
MH  - Humans
MH  - Hypoglycemic Agents/*administration & dosage
MH  - Male
MH  - Middle Aged
MH  - Qualitative Research
MH  - Self Care/methods/*psychology
MH  - Self-Help Groups
MH  - Self-Management/methods/*psychology
MH  - *Social Support
EDAT- 2017/03/28 06:00
MHDA- 2017/12/29 06:00
CRDT- 2017/03/26 06:00
PHST- 2017/03/26 06:00 [entrez]
PHST- 2017/03/28 06:00 [pubmed]
PHST- 2017/12/29 06:00 [medline]
AID - 10.1177/0145721717697243 [doi]
PST - ppublish
SO  - Diabetes Educ. 2017 Apr;43(2):190-205. doi: 10.1177/0145721717697243.