| Title |
Identifying and Prioritizing the Barriers and Facilitators to the Self-Management of Type 2 Diabetes Mellitus: A Community-Centered Approach
|
|---|---|
| Published in |
The Patient - Patient-Centered Outcomes Research, May 2017
|
| DOI | 10.1007/s40271-017-0248-6 |
| Pubmed ID | |
| Authors |
Allison H. Oakes, Vincent S. Garmo, Lee R. Bone, Daniel R. Longo, Jodi B. Segal, John F. P. Bridges |
| Abstract |
Self-management of type 2 diabetes mellitus is crucial to controlling the disease and preventing harm. Multiple factors have been identified in the literature as potential barriers and facilitators to self-management, but the magnitude and directionality of these factors are seldom studied. We sought to develop and test an instrument to identify and quantify the barriers and facilitators to self-management of type 2 diabetes. A community-centered approach was used to design, implement, and interpret the results of a stated-preference study. All activities were guided by a diverse stakeholder board. Based on previously reported development work, a novel survey instrument consisting of 13 potential barriers and facilitators was pretested and piloted in our local community. Participants were asked to discuss, rate, and rank each factor. A simple self-explicated method was used to quantify the data and Z scores were used for hypothesis testing. In total, 25 patients with self-reported type 2 diabetes (64% female; 92% minorities) participated in the pretest and pilot. Time commitments (Z = -3.72), lack of active support groups (Z = -3.39) and other resources in the local community (Z = -2.96), and language/culture (Z = -2.69) were identified as barriers to self-management. Access to healthy food (Z = +5.68), personal understanding (Z = +4.81), and communication with healthcare providers (Z = +4.62) were identified as facilitators. We demonstrate that factors impacting self-management can be quantified and categorized as barriers and facilitators. While further refinement to some factors and investigation into alternative prioritization methods is necessary, our stakeholder board endorsed moving this to a large nationally representative study to see how these factors vary across different people. |
X Demographics
The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 33% |
| United Kingdom | 1 | 17% |
| New Zealand | 1 | 17% |
| Unknown | 2 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 5 | 83% |
| Scientists | 1 | 17% |
Mendeley readers
The data shown below were compiled from readership statistics for 94 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 94 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 13 | 14% |
| Researcher | 11 | 12% |
| Student > Ph. D. Student | 11 | 12% |
| Student > Bachelor | 11 | 12% |
| Student > Doctoral Student | 5 | 5% |
| Other | 16 | 17% |
| Unknown | 27 | 29% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 28 | 30% |
| Medicine and Dentistry | 14 | 15% |
| Psychology | 4 | 4% |
| Business, Management and Accounting | 3 | 3% |
| Sports and Recreations | 3 | 3% |
| Other | 11 | 12% |
| Unknown | 31 | 33% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 May 2017.
All research outputs
#7,438,006
of 23,999,200 outputs
Outputs from The Patient - Patient-Centered Outcomes Research
#271
of 549 outputs
Outputs of similar age
#112,521
of 313,818 outputs
Outputs of similar age from The Patient - Patient-Centered Outcomes Research
#12
of 26 outputs
Altmetric has tracked 23,999,200 research outputs across all sources so far. This one has received more attention than most of these and is in the 68th percentile.
So far Altmetric has tracked 549 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.9. This one is in the 49th percentile – i.e., 49% of its peers scored the same or lower than it.
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We're also able to compare this research output to 26 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.