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

Journal article


Mulligan, K, McBain, HB, Lamontagne-Godwin, F, Chapman, J, Haddad, M, Jones, J, Flood, C, Thomas, D and Simpson, A (2017). Barriers and enablers of type 2 diabetes self-management in people with severe mental illness. Health Expectations. 20 (5), pp. 1020-1030.
AuthorsMulligan, K, McBain, HB, Lamontagne-Godwin, F, Chapman, J, Haddad, M, Jones, J, Flood, C, Thomas, D and Simpson, A
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.

KeywordsHumans; Diabetes Mellitus, Type 2; Self Care; Severity of Illness Index; Health Knowledge, Attitudes, Practice; Patient Compliance; Mental Disorders; Qualitative Research; Adult; Aged; Middle Aged; Patient Care Planning; Female; Male; Interviews as Topic; Self-Management
Year2017
JournalHealth Expectations
Journal citation20 (5), pp. 1020-1030
PublisherBlackwell Publishing Inc.
ISSN1369-6513
Digital Object Identifier (DOI)doi:10.1111/hex.12543
Web address (URL)http://openaccess.city.ac.uk/16196/
Publication dates
Print17 Mar 2017
Publication process dates
Deposited22 May 2019
Accepted11 Jan 2017
Publisher's version
License
CC BY 4.0
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https://openresearch.lsbu.ac.uk/item/8700v

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