Primary Care Diabetes
Volume 1, Issue 1 , Pages 25-33 , February 2007

Obstacles to adherence in living with type-2 diabetes: An international qualitative study using meta-ethnography (EUROBSTACLE)

  • Etienne Vermeire

      Affiliations

    • Department of General Practice, University of Antwerp, Belgium
    • Corresponding Author InformationCorresponding author.
  • ,
  • Hilary Hearnshaw

      Affiliations

    • Warwick Medical School, University of Warwick, UK
  • ,
  • Anneli Rätsep

      Affiliations

    • Department of General Practice, University of Tartu, Estonia
  • ,
  • Gwenola Levasseur

      Affiliations

    • Department of General Practice, University of Rennes, France
  • ,
  • Davorina Petek

      Affiliations

    • Department of General Practice, University of Ljubljana, Slovenia
  • ,
  • Henk van Dam

      Affiliations

    • Department of General Practice, University of Maastricht, Netherlands
  • ,
  • Frans van der Horst

      Affiliations

    • Department of General Practice, University of Maastricht, Netherlands
  • ,
  • Nevenka Vinter-Repalust

      Affiliations

    • Department of General Practice, University of Zagreb, Croatia
  • ,
  • Johan Wens

      Affiliations

    • Department of General Practice, University of Antwerp, Belgium
  • ,
  • Jeremy Dale

      Affiliations

    • Warwick Medical School, University of Warwick, UK
  • ,
  • Paul Van Royen

      Affiliations

    • Department of General Practice, University of Antwerp, Belgium

Received 25 April 2006 ,Revised 18 July 2006 ,Accepted 24 July 2006.

References 

  1. Marinker M. From compliance to concordance. Achieving Shared Goals in Medicine Taking. London: Royal Pharmaceutical Society of Great Britain; 1997;
  2. Vermeire E, Hearnshaw H, Van Royen P, Denekens J. Patient adherence to treatment: three decades of research. A comprehensive review. J. Clin. Pharm. Ther. 2001;26:331–342
  3. International Diabetes Federation (IDF), 2004, facts and figures available at: http://www.idf.org/home/index.cfm?node=6.
  4. Amos AF, McCarty DJ, Zimmet P. The rising global burden of diabetes and its complications: estimates and projections to the year 2010. Diab. Med. 1997;14(Supp l5):S1–S85
  5. Audit Commission, Testing Times: A review of Diabetes Services in England and Wales, London, 2001.
  6. Schectman JM, Nadkarni MM, Voss JD. The association between diabetes metabolism control and drug adherence in an indigent population. Diab. Care. 2002;25:1015–1021
  7. Kinmonth AL, Griffin S, Wareham NJ. Implications of the United Kingdom prospective diabetes study for general practice care of type 2 diabetes. Br. J. Gen. Pract. 1999;692–694
  8. UK Prospective Diabetes Study (UKPDS) Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet. 1998;352:837–853
  9. UK Prospective Diabetes Study (UKPDS) Group. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). Lancet. 1998;352:854–865
  10. UK Prospective Diabetes Study (UKPDS) Group. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. BMJ. 1998;314:703–713
  11. National Institute of Clinical Excellence, Management of type 2 Diabetes: Blood Glucose (Guideline G), London, NICE, 2002.
  12. Krueger RA. Focus Groups: A Practical Guide for Applied Research. Newbury Park, Calif.: Sage Publications; 1988;
  13. Vermeire E, Van Royen P, Coenen S, Wens J, Denekens J. The adherence of type 2 diabetes patients to their therapeutic regimen: a qualitative study from the patient's perspective. Pract. Diab. Int. 2003;20(6):209–214
  14. European General Practice Research Network, available at http://www.egprn.org/info.htm.
  15. Creswell JW. Qualitative Inquiry and Research Design. Thousand Oaks, California: Sage; 1988;
  16. D. Petek, Attitudes and adherence to treatment of patients with diabetes mellitus, master's thesis, University of Ljubljana, Slovenia, 2004.
  17. Rätsep A. Teist tüüpi diabeediga haitege ravikuulekust mojutavad parsiendipoosed tegurid—kwalitatiivne uuring. Eesti Arst. 2003;5:353–356
  18. Vinter-Repalust N, Petriček G, Milica K. Obstacles which patients with type 2 diabetes meet while adhering to the therapeutic regimen in everyday life: qualitative study. Croat. Med. J. 2004;45(5):630–638
  19. Noblit GW, Hare RD. Meta-Ethnography: Synthesising Qualitative Studies. Newbury Park: Sage; 1988;
  20. Paterson B. Myth of empowerment in chronic illness. J. Adv. Nurs. 2001;574–581
  21. Britten N, Campbell R, Pope C, Donovan J, Morgan M, Pill R. Using meta-ethnography to synthesise qualitative research: a worked example. J. Health Serv. Res. Pol. 2002;7(4):209–215
  22. Campbell P, Pound P, Pope C, Britten N, Pill R, Morgan M, et al. Evaluating meta-ethnography: a synthesis of qualitative research on lay experiences of diabetes care. Soc. Sci. Med. 2003;56:671–684
  23. E. Vermeire, The study of research evidence synthesis, applied to adherence to treatment recommendations in people living with type 2 diabetes, Doctoral thesis, Faculty of Medicine, University of Antwerp, Belgium, 2005.
  24. Bury M. Chronic illness as a biographical disruption. Sociol. Health Illness. 1982;IV(2):
  25. Blaxter M. The causes of disease: women talking. Soc. Sci. Med. 1983;18:59–69
  26. Barber N, Parsons J, Clofford S, Darracott R, Horne R. Differences in treatment regimes, consultation frequency and referral patters of diabetes mellitus in general practice in five European countries. Fam. Pract. 2004;21:362–369
  27. E. Goffman, Les rites d‘ interaction, Paris: Les Editions de Minuit, 1998.
  28. Bandura A. Self-efficacy: toward a unifying theory of behavioural change. Psych. Rev. 1977;84:191–215
  29. Sandelowski M, Barroso J. Toward a meta-synthesis of qualitative findings on motherhood in HIV-positive women. Res. Nurs. Health. 2003;26(2):153–170
  30. Sandelowski M, Docherty S, Emden C. Qualitative metasynthesis: issues and techniques. Res. Nurs. Health. 1997;20:365–371
  31. Donovan JL. Patient decision making. The missing ingredient in compliance research. Int. J. Technol. Assess. Health Care. 1995;11:443–455
  32. Morris LS, Schulz RM. Patient compliance: an overview. J. Clin. Pharm. Ther. 1992;17:283–295
  33. Golin CE, DiMatteo MR, Gelberg L. The role of patient participation in the doctor visit. Implications for adherence to diabetes care. Diab. Care. 1996;19:1153–1164
  34. McCord EC, Brandenburg C. Beliefs and attitudes of persons with diabetes. Fam. Med. 1995;27:267–271
  35. Paterson BL, Sloan J. A phenomenological study of the decision-making experience of individuals with long-standing diabetes. Can. J. Diab. Care. 1994;18:10–19
  36. Walsh S, Hagan T, Gamsu D. Rescuer and rescued: applying a cognitive analytical perspective to explore the ‘mis-management’ of asthma. Br. J. Med. Psych. 2000;73:151–168

PII: S1751-9918(06)00004-0

doi: 10.1016/j.pcd.2006.07.002

Primary Care Diabetes
Volume 1, Issue 1 , Pages 25-33 , February 2007