Patient explanations for non-attendance at type 2 diabetes self-management education: a
qualitative study
Sammanfattning
Aim: To explore reasons for non-attendance at type 2 diabetes self-management education.
Methods: To elicit the main themes explaining non-attendance, 15 semi-structured interviews were
conducted with persons referred to, but not attending, self-management education. Systematic text
condensation was applied to code and generate themes subsequently organised under individual
and organisational factors.
Results: Individual (illness, lack of perceived benefit) and organisational factors relating to schedule
(four whole days, time of day, notification) and content (supermarket visit) were cited as reasons for
non-attendance.
Conclusions: In this study, patients cited both individual and organisational factors as explaining
non-attendance at type 2 diabetes self-management education. Further studies should take into
account the importance of timing and of tailoring schedules and content to individuals’ life situations
and resources. As organisational factors are likely to vary across programmes and settings, more
case studies are needed to further elucidate the dynamic relationship between individual and
organisational factors to explain non-attendance at type 2 diabetes self-management education.
Published by arrangement with John Wiley & Sons.