Barriers and facilitators to diabetes self-management: Perspectives of older community dwellers and health professionals in China

Shen, Huixia, Edwards, Helen E., Courtney, Mary D., McDowell, Jan K., & Wei, Juan (2013) Barriers and facilitators to diabetes self-management: Perspectives of older community dwellers and health professionals in China. International Journal Of Nursing Practice, 19(6), pp. 627-635.

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Little is known about self-management among people with Type 2 diabetes living in mainland China. Understanding the experiences of this target population is needed to provide socioculturally relevant education to effectively promote self-management. The aim of this study was to explore perceived barriers and facilitators to diabetes self-management from both older community dwellers and health professionals in China. Four focus groups, two for older people with diabetes and two for health professionals, were conducted. All participants were purposively sampled from two communities in Shanghai, China. Six barriers were identified: overdependence on but dislike of western medicine, family role expectations, cuisine culture, lack of trustworthy information sources, deficits in communication between clients and health professionals, and restriction of reimbursement regulations. Facilitators included family and peer support, good relationships with health professionals, simple and practical instruction and a favourable community environment. The findings provide valuable information for diabetes self-management intervention development in China, and have implications for programmes tailored to populations in similar sociocultural circumstance.

Impact and interest:

9 citations in Scopus
10 citations in Web of Science®
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ID Code: 54502
Item Type: Journal Article
Refereed: Yes
Keywords: barriers, Chinese, diabetes, facilitators, self-management
DOI: 10.1111/ijn.12114
ISSN: 1322-7114
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2013 Blackwell Publishing
Copyright Statement: The definitive version is available at
Deposited On: 06 Nov 2012 23:04
Last Modified: 23 Jun 2017 17:12

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