Obstacles for self-management practices among diabetes patients: A facility-based study from Coastal South India. [version 3; peer review: 2 approved]
Background The management of diabetes mellitus (DM) extends beyond clinical care, with self-care being equally important to achieve optimal treatment outcomes and prevent complications. Self-care in diabetes includes appropriate diet, regular exercise, blood glucose monitoring, medication adherence...
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F1000 Research Ltd
2025-03-01
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| author | Murali Mohan R Rekha T Balanarayana Suma Nithin Kumar Kausthubh Hegde Bhaskaran Unnikrishnan Prasanna Mithra Ramesh Holla Aysha Roushida Sahama M Aadithya M Rao Patil Nikitha |
| author_facet | Murali Mohan R Rekha T Balanarayana Suma Nithin Kumar Kausthubh Hegde Bhaskaran Unnikrishnan Prasanna Mithra Ramesh Holla Aysha Roushida Sahama M Aadithya M Rao Patil Nikitha |
| author_sort | Murali Mohan R |
| collection | DOAJ |
| description | Background The management of diabetes mellitus (DM) extends beyond clinical care, with self-care being equally important to achieve optimal treatment outcomes and prevent complications. Self-care in diabetes includes appropriate diet, regular exercise, blood glucose monitoring, medication adherence and foot care. The purpose of the study was to assess the obstacles faced by diabetes patients for self-care practices and to determine the factors associated with these obstacles. Methods A facility-based cross-sectional study was conducted among 107 type 2 DM patients aged >18 years using the Diabetes Obstacles Questionnaire-30. Patients scoring a mean score >3 were considered to have an obstacle. We included age, gender, socioeconomic status (SES), duration of DM and blood glucose levels as factors for regression analysis and a p-value <0.05 was considered to be statistically significant. Results A large majority (64.5%, n = 69) of our participants were aged above 55 years and belonged to lower socioeconomic status (65.4%, n = 70). Family history of DM was present in 41% (n=44) of the participants. The median duration of DM among the participants was 10 (4 – 7) years. In our study, the participants faced obstacles for two items in the domains: Support from friends & family (mean score: 3.73) and knowledge of the disease (mean score: 3.58). A multinominal regression analysis revealed SES was a predictive factor for participants who could not understand information from literature with a p-value of 0.002 (OR: 3.65, CI: 1.60-8.338). Conclusion The two major obstacles to diabetes self-management practices were in the domains of support from friends and family, and knowledge of the disease. Socioeconomic status was identified as a predictive factor associated with the participants who could not understand information from the literature. |
| format | Article |
| id | doaj-art-7a92188c708e4bc09fd6679e00f6cd0d |
| institution | OA Journals |
| issn | 2046-1402 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | F1000Research |
| spelling | doaj-art-7a92188c708e4bc09fd6679e00f6cd0d2025-08-20T02:07:12ZengF1000 Research LtdF1000Research2046-14022025-03-011210.12688/f1000research.138146.3177922Obstacles for self-management practices among diabetes patients: A facility-based study from Coastal South India. [version 3; peer review: 2 approved]Murali Mohan R0https://orcid.org/0000-0002-6272-5694Rekha T1https://orcid.org/0000-0003-2278-1445Balanarayana Suma2Nithin Kumar3https://orcid.org/0000-0003-4665-9401Kausthubh Hegde4Bhaskaran Unnikrishnan5https://orcid.org/0000-0003-0892-8551Prasanna Mithra6https://orcid.org/0000-0002-7153-411XRamesh Holla7https://orcid.org/0000-0002-2296-3719Aysha Roushida Sahama M8Aadithya M Rao9Patil Nikitha10Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaBackground The management of diabetes mellitus (DM) extends beyond clinical care, with self-care being equally important to achieve optimal treatment outcomes and prevent complications. Self-care in diabetes includes appropriate diet, regular exercise, blood glucose monitoring, medication adherence and foot care. The purpose of the study was to assess the obstacles faced by diabetes patients for self-care practices and to determine the factors associated with these obstacles. Methods A facility-based cross-sectional study was conducted among 107 type 2 DM patients aged >18 years using the Diabetes Obstacles Questionnaire-30. Patients scoring a mean score >3 were considered to have an obstacle. We included age, gender, socioeconomic status (SES), duration of DM and blood glucose levels as factors for regression analysis and a p-value <0.05 was considered to be statistically significant. Results A large majority (64.5%, n = 69) of our participants were aged above 55 years and belonged to lower socioeconomic status (65.4%, n = 70). Family history of DM was present in 41% (n=44) of the participants. The median duration of DM among the participants was 10 (4 – 7) years. In our study, the participants faced obstacles for two items in the domains: Support from friends & family (mean score: 3.73) and knowledge of the disease (mean score: 3.58). A multinominal regression analysis revealed SES was a predictive factor for participants who could not understand information from literature with a p-value of 0.002 (OR: 3.65, CI: 1.60-8.338). Conclusion The two major obstacles to diabetes self-management practices were in the domains of support from friends and family, and knowledge of the disease. Socioeconomic status was identified as a predictive factor associated with the participants who could not understand information from the literature.https://f1000research.com/articles/12-839/v3Type 2 Diabetes mellitus Cross-sectional study Blood glucose self-monitoring Socioeconomic status Diabetes Obstacles Questionnaire-30eng |
| spellingShingle | Murali Mohan R Rekha T Balanarayana Suma Nithin Kumar Kausthubh Hegde Bhaskaran Unnikrishnan Prasanna Mithra Ramesh Holla Aysha Roushida Sahama M Aadithya M Rao Patil Nikitha Obstacles for self-management practices among diabetes patients: A facility-based study from Coastal South India. [version 3; peer review: 2 approved] F1000Research Type 2 Diabetes mellitus Cross-sectional study Blood glucose self-monitoring Socioeconomic status Diabetes Obstacles Questionnaire-30 eng |
| title | Obstacles for self-management practices among diabetes patients: A facility-based study from Coastal South India. [version 3; peer review: 2 approved] |
| title_full | Obstacles for self-management practices among diabetes patients: A facility-based study from Coastal South India. [version 3; peer review: 2 approved] |
| title_fullStr | Obstacles for self-management practices among diabetes patients: A facility-based study from Coastal South India. [version 3; peer review: 2 approved] |
| title_full_unstemmed | Obstacles for self-management practices among diabetes patients: A facility-based study from Coastal South India. [version 3; peer review: 2 approved] |
| title_short | Obstacles for self-management practices among diabetes patients: A facility-based study from Coastal South India. [version 3; peer review: 2 approved] |
| title_sort | obstacles for self management practices among diabetes patients a facility based study from coastal south india version 3 peer review 2 approved |
| topic | Type 2 Diabetes mellitus Cross-sectional study Blood glucose self-monitoring Socioeconomic status Diabetes Obstacles Questionnaire-30 eng |
| url | https://f1000research.com/articles/12-839/v3 |
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