Barriers to Attaining Diabetes Care Goals: A Theoretical Exploration

This article explores and enumerates the occurrence of barriers for attaining diabetes care goals in community-dwelling adults with diabetes. The study uses a positivist theoretical approach and focuses on the population of adults with diabetes in Calgary. The research outcomes highlight the major barriers to diabetes care, such as lack of coordination, unmet healthcare needs, and absence of social support. The findings have implications for devising appropriate strategies to overcome these barriers in the future.

ARTICLE THEORY(S) POPULATION
AND SETTING
METHOD OF
ALLOCATION TO
INTERVENTION/CONTROL
OUTCOMES
AND
METHDOS OF
ANALYSIS
RESULTS MY VOICE AND
CRITICAL VIEWAS
A RESEARCHER
Author
Date and
Source (using
Harvard
referencing
system)
Aims:
Countries
Any theoretical
points? Any
particular
epistemological
approach
Are the authors
using
Positivist
theories?
Phenomenological
theories?
Social
constructionist
theories?
Critical theory?
Source
populations/s
Setting?
Location?
Sample
characteristics?
Selection of individuals?
Cofounding minimised?
Intervention?
Outcomes?
Method of
analysis?
Research Outcomes? Any critical comments
about the theoretical
points?
Research methods?
Results
Findings?
Any research
implications for your
change in practice?
McBrien et
al. (2017)
To explore
and
enumerate
the
occurrence
of barriers
for attaining
diabetes
care goals
Positivism
theory
Community-
dwelling adults
having diabetes;
Calgary; those
who had been
diagnosed with
HbA1c>10% or
between 7-8%.
Participants were selected
from Alberta Calgary
through telephonic
interviews
Survey was administered
over telephone in order to
determine the patient
reported facilitators and
barriers to diabetes care
Responses
between
participants
were analysed
with the help
of summary
statistics
Good access to
diabetes care were
reported by
participants having
HbA1c>10%. Lack of
coordination of
diabetes care, unmet
healthcare needs,
absence of confidence
and lack of social
support were major
barriers
Underrepresentation
of participants,
restricted
generalizability of
the findings
Identification of the
barriers will help in
overcoming them
by devising
appropriate
strategies in future
Mayberry et
al. (2018)
Positivism
theory
Adult patients
with T2D
Participants were selected
from 4 community primary
Baseline
characteristics,
Higher CarePartner
closeness with
Single point
measure collection

To
determine
the role of
out-of-home
diabetes
support in
well-being
and self-
management
(HbA1c > 7.5%) care clinics located in
Michigan and had to
recognise adult relative or
close friends living outside
their home, with a
willingness to get enrolled
as a Care Partner
carepartner
association
characteristics,
diabetes
distress, self-
management,
HbA1c
increased medication
adherence odds (AOR
= 1.19, p = .029),
reduced diabetes
distress (β = − 0.14, p
= .012), and greater
fruit/vegetable intake
(β = 0.14, p = .018)
was a major
limitation.
Development of
more emotional
closeness with care
partners will help in
effective diabetes
management.
Van Eijk et
al. (2012)
To explore
the barriers
and
incentives to
screening
attendance
in diabetic
retinopathy
Positivism
theory
Adult diabetes
patients
recruited from
20 Dutch
general
practices
Questionnaire assessing
attendance rates and effect
of numerous factors sent to
3236 patients, of which
2363 responded
3 parts in
questionnaire:
1- clinical and
socio-
demographic
characters
2- attendance
at screening
3- presence of
barriers and
incentives
SPSS software
used for
statistical
analysis
Low educational
attainment, recent
diabetes diagnosis, and
less usage of insulin
were the major
barriers.
No significant
differences observed in
screening rates
between T1D and T2D
Current opinion of
patients prevented
gaining an insight
into their future
perceptions
Healthcare
providers will be
able to increase the
incentives and
eliminate barriers in
a way that increases
screening rates
Matrix for quantitative studies