SGLT2 Inhibitors Through the Windows of EMPA-REG and CANVAS Trials: A Review

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Socio-demographic characteristics of FGD participants (N = 54).

Socio-demographic characteristics of FGD participants (N = 54).</p

Number of FGDs in different sociodemographic subgroups (total FGDs = 8).

Number of FGDs in different sociodemographic subgroups (total FGDs = 8).</p

Focus group discussion and in-depth interview guide.

Focus group discussion and in-depth interview guide.</p

Consolidated criteria for reporting qualitative studies (COREQ): 32-item checklist.

Consolidated criteria for reporting qualitative studies (COREQ): 32-item checklist.</p

Flow diagram of selection of study area.

BackgroundDiabetes self-care behaviour plays a crucial role in managing the diabetes effectively and preventing complications. Patients with type 2 diabetes mellitus (T2DM) and health care professionals (HCPs) of rural areas often face unique challenges when it comes to diabetes self-care practices (SCPs). Therefore, this study aim to explore the perspectives of patients with T2DM and HCPs on diabetes SCPs.MethodsEight focus group discussions (FGDs) among individuals with T2DM and In-depth interviews (IDIs) with 15 HCPs were conducted in rural areas of Punjab, North India. Capability, Opportunity, Motivation, and Behaviour model (COM-B) was employed for thematic framework analyses.ResultsThe study participants perceived that a limited understanding of diabetes mellitus (DM), beliefs in alternative therapies, drug side effects, attitudes towards DM (psychological capability), comorbidities (physical capability), family support (social opportunity), financial and time constraints, and weather conditions (physical opportunity) contributed to lack of DM SCPs. Physicians’ guidance and support were motivating them to adhere to SCPs, especially when aligned with their sense of self-efficacy (reflective motivation). HCPs constraints in providing patient-centred care are due to training limitations (psychological capability) and a lack of essential resources (physical opportunities). Participants expressed need for comprehensive diabetes care (automatic motivation) through structured diabetes education intervention to improve diabetes SCPs.ConclusionsThe study findings indicate that various factors influence diabetes SCPs from the perspectives of both patients with T2DM and HCPs and emphasizes the need for a multi-faceted approach to improve diabetes SCPs in rural areas. Implementing a structured diabetes self-care intervention strategy in rural areas may help for preventing and mitigating the impact of diabetes-related complications in rural areas.</div

Factors influencing diabetes self-care behaviour among people living with T2DM: Applying the COM-B model.

Factors influencing diabetes self-care behaviour among people living with T2DM: Applying the COM-B model.</p