Barriers and enablers of type 2 diabetes self-management in people with severe mental illness

Mulligan, K., McBain, H. B., Lamontagne-Godwin, F., Chapman, J., Haddad, M., Jones, J., Flood, C., Thomas, D. & Simpson, A. (2017). Barriers and enablers of type 2 diabetes self-management in people with severe mental illness. Health Expectations, doi: 10.1111/hex.12543

[img]
Preview
Text - Published Version
Available under License Creative Commons Attribution.

Download (354kB) | Preview

Abstract

Background
People with diabetes and severe mental illness (SMI) experience poorer outcomes than those with diabetes alone. To improve outcomes, it is necessary to understand the difficulties that people with SMI experience in managing their diabetes.

Aims
To identify barriers and enablers to effective diabetes self-management experienced by people with SMI and type 2 diabetes.

Method
Qualitative methodology using semi-structured interviews was employed. Development of the interview topic guide and analysis of the transcripts was informed by the Theoretical Domains Framework (TDF) for behaviour change, which consists of fourteen theoretical domains that have been found to influence behaviour.

Results
Fourteen people with SMI and type 2 diabetes took part in the study. Participants considered diabetes self-management to be important, were aware of the risks of poor diabetes control but struggled to follow recommended advice, particularly if their mental health was poor. Support from family and health professionals was considered an important enabler of diabetes self-management.

Conclusions
New approaches are required to support diabetes self-management in people with SMI. This study identified some of the important domains that may be targeted in new interventions.

Item Type: Article
Uncontrolled Keywords: Diabetes; Severe mental illness; Self-management; Service Users; Theoretical Domains Framework
Subjects: R Medicine > RC Internal medicine
Divisions: School of Health Sciences
URI: http://openaccess.city.ac.uk/id/eprint/16196

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics