Investigating Patient Perceptions of Factors That May Optimize Diabetes Self-Management - March 30, 2021

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In this session researchers present interim results from a qualitative survey designed to:

  • Identify facilitators and barriers to optimal diabetes self-management in adults with Type 2 diabetes in the Temple University Hospital service area.
  • Generate testable interventions based on qualitative data analyses.

Study framework: An Extended Parallel Processing Model (EPPM) incorporating a perceived risk tool and a diabetes empowerment scale was utilized to identify top thematic codes.

Thematic results: Perceived barriers and facilitators fall into 2 broad categories – external (e.g., transportation) and internal (e.g., apathy).

  • Patients with high perceived threat from their diabetes and high self-efficacy tend to be able and willing to problem-solve and take ownership in managing their condition. “Triggers” (e.g., diabetes complications experienced by a relative) are associated with taking better care of themselves.
  • Patients with low perceived threat from their diabetes and low self-efficacy tend to rely on others (e.g., providers) to manage their diabetes. Reasons given for non-adherence to treatment are generally external factors.

Conclusions and Future Plans: The EPPM model is a valuable process for grouping patients with Type 2 diabetes. The analyses show that patients who perceive a low threat from their condition and have low self-efficacy are less likely to take part in managing their diabetes care. This underscores the importance of identifying and helping such patients to translate care plans into action. A pilot intervention will be developed to provide more appropriate services (e.g., specific instruction, home care, diabetes education) and peer support for these patients


Daniel J. Rubin, MD, MSc, FACE
Associate Professor of Medicine
Director of Clinical Research, Deputy Chief
Section of Endocrinology, Diabetes, and Metabolism
Lewis Katz School of Medicine at Temple University

Deborah Swavely, DNP, RN
Senior Director, Nursing Inquiry and Research
Tower Health

Sarah Bass, PhD, MPH
Associate Professor of Social and Behavioral Sciences and Director of the Risk Communication Laboratory
Temple University College of Public Health


Gregory S. Liptak
Vice President, Quality Improvement Services
American Diabetes Association

Presentation: 41:53



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