Barriers to T2D Complications: Research Findings and Implications

ARTICLE THEORY(S) METHODOLOGY/
METHODS
METHODOLOGY/
METHODS
RESULTS/
FINDINGS
REPORTED
POSSIBLE
THEMES
EMERGING
MY VOICE AND
CRITICAL
VIEWAS A
RESEARCHER
Author
Date and Source
(using Harvard
referencing
system)
Aims:
Any theoretical
points? Any particular
epistemological
approach
Are the authors using
Positivist theories?
Phenomenological
theories?
Social constructionist
theories?
Critical theory?
Any
research question
(s)?
What are the research
methods used?
Qualitative: tools?
Design?
Main Results or
Outcomes
achieved by the
research?
Theme (s) Any critical
comments about the
theoretical points?
Research methods?
Results
Findings?
Any research
implications for your
change in practice?
Sina, Graffy and
Simmons (2018)
To determine
the barriers
related to T2D
complications
Phenomenological
research
What are the
barriers related to
T2D
complications?
Postal invitation to
3649 T2D patients
across 62 general
practice subjected to
Barriers-to-Diabetes-
Care Survey (BDCS)
Statistical
analysis and
grouping the
barriers into 5
categories
Major identified
were physical
health barriers,
systems barriers,
psychological
barriers, financial
difficulties,
presence of
comorbidities ,
feeling worried,
and lack of
readiness
No causal-
relationship was
established.
Systematic
identification of
the barriers will
help in
personalising
diabetes care
services in future.
Booth et al.
(2013)
To determine
the perceptions
of people
diagnosed with
Phenomenological
research
What are the
barriers and
facilitators to
self-management
of exercise and
diet in T2D
6 focus group with 16
patients and semi-
structured interviews
with providers
Changing lifetime
habits, not liking
foods
recommended,
unappealing diet,
routine rigidity,
Lack of
representativeness
of patient group
and small sample
size
Barrier

T2D, with
regards to
physical activity
and dietary
intake self-
management
patients? eating different
from others, social
situations, lack of
awareness, lack of
motivation,
sufficiency of
medication, and
costs of diet
identification will
increase
understanding of
patient needs, and
refine the
intervention
strategies
Hu et al. (2013)
To discover
apparent
barriers among
Hispanic settlers
with diabetes
Phenomenological
research
What barriers are
perceived by
Hispanic
migrants and
their family, in
relation to
diabetes care?
Qualitative study with
focus groups among
73 T2D affected
Hispanic immigrants
37 family
members and
36 immigrants
were recruited
and asked
questions
Patient identified
themes- suffering
from diabetes,
lack of support
and resources, and
problem in
managing diabetes
Family identified
themes- Lack of
knowledge and
they can offer
support
Lack of
representativeness
of target
population, and
small convenience
sample reduced
reliability of
results
The barrier
recognition would
facilitate
implementation of
culturally
appropriate
intervention and
education to
diabetes patients
in future
Mogre et al.
(2019)
To explore the
healthcare
provider and
patient
Phenomenological
research
What are the
barriers to
diabetes self-care
performance
behaviour?
Semi‐structured
interviews of T2D
patients and healthcare
providers
Verbatim
transcription
followed by
thematic
analysis
Barriers include
misconception
s on diabetes,
inadequate
family
support, trouble
The research
failed to explore
perception of
diabetes patients
who do not seek
clinical care.