Journal of Education and Health Promotion

Restrictors of the effectiveness of diabetes self‑management education: A qualitative content analysis

Document Type : Original Article

Authors

. Faridokht Yazdani 1
. Parvaneh Abazari 2
. Fariba Haghani 3
. Bijan Iraj 4

1 Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran, Nursing and Midwifery Sciences Development Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran

2 Nursing and Midwifery Sciences Development Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

3 Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

4 Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract
BACKGROUND: A key step for improving the effectiveness of diabetes self‑management
education (DSME) is to identify its restrictors.
OBJECTIVES: The aim of this study was to explore the restrictors of the effectiveness of DSME.
METHODS: This descriptive qualitative study was conducted in March 2016–2017. Participants
were 16 DSME providers (viz., physicians, nurses, nutritionists, and psychologists) and nine DSME
receivers (viz., patients and their family members) – 25 in total. Semi‑structured interviews were held
for data collection. Interviews were transcribed word by word and analyzed through conventional
content analysis approach proposed by Graneheim and Lundman.
RESULTS: The restrictors of the effectiveness of DSME were categorized into three main categories
and 11 subcategories, namely patients’ limited welcoming of DSME classes (allocating limited time
for participation in DSME classes, inadequate knowledge about diabetes mellitus [DM] importance,
inappropriate educational environment, and financial problems), unfavorable adherence to
treatments: serious challenge (inattention to educations, poor motivation for adherence to medical
recommendations, and inattention to the psychological aspects of DM), and the difficulty of adult
education (the difficulty of changing health‑related attitudes and behaviors, mere information
delivery during education, adults’ physical and perceptual limitations, and diabetes educators’ limited
competence in adult education).
CONCLUSION: The findings of the present study provide an in‑depth understanding about the
restrictors of the effectiveness of DSME. DM management authorities and policymakers can use
these findings to develop strategies for improving the effectiveness of DSME.

Keywords

Content analysis
diabetes educators
diabetes mellitus
patient education
self‑management 
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Journal of Education and Health Promotion
Volume 11, Issue 1
January 2021
Pages 1-10

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