Document Detail


Understanding information and education gaps among people with type 1 diabetes: A qualitative investigation.
MedLine Citation:
PMID:  20570079     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: Many patients with type 1 diabetes struggle to self-manage this chronic disease, often because they have a poor knowledge and understanding of the condition. However, little attention has been paid to examining the reasons for this poor knowledge/understanding. To inform future educational interventions, we explored patients' accounts of the education and information they had received since diagnosis, and the reasons behind gaps in their diabetes knowledge.
METHODS: Semi-structured interviews were conducted with 30 type 1 diabetes patients enrolled on a structured education programme in the UK. Data were analysed using an inductive, thematic approach.
RESULTS: Patients' accounts illustrated a number of knowledge deficits which were influenced by various lifecourse events. Reasons for deficits included: diagnosis at a young age and assumption of decision-making responsibility by parents; lack of engagement with information when feeling well; transitions in care; inconsistency in information provision; and, lack of awareness that knowledge was poor or incomplete.
CONCLUSION: Patients' knowledge deficits can arise for different reasons, at different points in the lifecourse, and may change over time.
PRACTICE IMPLICATIONS: The delivery of individualised education should take account of the origins of patients' knowledge gaps and be provided on a regular and on-going basis.
Authors:
David Rankin; Simon Heller; Julia Lawton
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Publication Detail:
Type:  Journal Article     Date:  2010-05-31
Journal Detail:
Title:  Patient education and counseling     Volume:  83     ISSN:  1873-5134     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  87-91     Citation Subset:  N    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Centre for Population Health Sciences, School of Clinical Science and Community Health, University of Edinburgh, UK.
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