abstract: 'Aims and objectives To explore patient and healthcare provider (HCP)

  perspectives about patients'' barriers to the performance of diabetic

  self-care behaviours in Ghana. Background Sub-Saharan African urban

  populations are increasingly affected by type 2 diabetes due to

  nutrition transition, sedentary lifestyles and ageing. Diabetic

  self-care is critical to improving clinical outcomes. However, little is

  known about barriers to diabetic self-care (diet, exercise, medication

  taking, self-monitoring of blood glucose and foot care) in sub-Saharan

  Africa. Design Qualitative study that followed the Consolidated Criteria

  for Reporting Qualitative Research (COREQ) guidelines. Methods

  Semi-structured interviews were conducted among 23 people living with

  type 2 diabetes and 14 HCPs recruited from the diabetes clinics of three

  hospitals in Tamale, Ghana. Interviews were audiotaped and transcribed

  verbatim. The constant comparative method of data analysis was used and

  identified themes classified according to constructs of the theory of

  planned behaviour (TPB): attitudes/behavioural beliefs, subjective norms

  and perceived behavioural control. Results Barriers relating to

  attitudes included misconceptions that diabetes was caused by spiritual

  forces or curses, use of herbal medicines, intentional nonadherence,

  difficulty changing old habits, and feeling or lacking motivation to

  exercise. Barriers relating to subjective norms were inadequate family

  support, social stigma (usually by spouses and other members of the

  community) and cultural beliefs. Perceived behavioural control barriers

  were poor income levels, lack of glucometers, busy work schedules, long

  distance to the hospital and inadequate access to variety of foods due

  to erratic supply of foods or seasonality. Conclusions Both patients and

  HCPs discussed similar barriers and those relating to attitude and

  behavioural control were commonly discussed. Relevance to Clinical

  Practice Interventions to improve adherence to diabetic self-care should

  focus on helping persons with diabetes develop favourable attitudes and

  how to overcome behavioural control barriers. Such interventions should

  have both individualised and community-wide approaches.'
affiliation: 'Mogre, V (Corresponding Author), Univ Dev Studies, Sch Med \& Hlth Sci,
  Dept Hlth Profess Educ \& Innovat Learning, Tamale, Ghana.

  Mogre, Victor, Univ Dev Studies, Sch Med \& Hlth Sci, Dept Hlth Profess Educ \&
  Innovat Learning, Tamale, Ghana.

  Mogre, Victor; Johnson, Natalie A.; Tzelepis, Flora; Paul, Christine, Univ Newcastle,
  Sch Med \& Publ Hlth, Callaghan, NSW, Australia.

  Johnson, Natalie A.; Tzelepis, Flora; Paul, Christine, Hunter Med Res Inst, New
  Lambton, NSW, Australia.

  Tzelepis, Flora, Hunter New England Local Hlth Dist, Hunter New England Populat
  Hlth, Wallsend, NSW, Australia.'
author: Mogre, Victor and Johnson, Natalie A. and Tzelepis, Flora and Paul, Christine
author-email: vmogre@uds.edu.gh
author_list:
- family: Mogre
  given: Victor
- family: Johnson
  given: Natalie A.
- family: Tzelepis
  given: Flora
- family: Paul
  given: Christine
da: '2023-09-28'
doi: 10.1111/jocn.14835
eissn: 1365-2702
files: []
issn: 0962-1067
journal: JOURNAL OF CLINICAL NURSING
keywords: 'barriers; diabetic patients; Ghana; qualitative; self-care; sub-Saharan

  Africa'
keywords-plus: 'PHYSICAL-ACTIVITY; BLOOD-GLUCOSE; MANAGEMENT; EXERCISE; ADHERENCE;

  IMPROVEMENTS; ASSOCIATION; GUIDELINES; OUTCOMES; SUPPORT'
language: English
month: JUN
number: 11-12
number-of-cited-references: '65'
orcid-numbers: 'TZELEPIS, FLORA/0000-0002-9914-2732

  Mogre, Victor/0000-0003-0230-5783'
pages: 2296-2308
papis_id: fec71082925e84ffbc1fcb066eac0fa5
ref: Mogre2019barriersdiabetic
researcherid-numbers: 'TZELEPIS, FLORA/GLN-2873-2022

  Mogre, Victor/H-2883-2019'
times-cited: '47'
title: 'Barriers to diabetic self-care: A qualitative study of patients'' and healthcare
  providers'' perspectives'
type: article
unique-id: WOS:000467448000025
usage-count-last-180-days: '3'
usage-count-since-2013: '37'
volume: '28'
web-of-science-categories: Nursing
year: '2019'