4.6 Article

Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study

期刊

BMJ OPEN
卷 5, 期 1, 页码 -

出版社

BMJ PUBLISHING GROUP
DOI: 10.1136/bmjopen-2014-006407

关键词

-

资金

  1. University of Malaya, Malaysia [PV109-2012A]

向作者/读者索取更多资源

Objective: To explore factors influencing poor glycaemic control in people with type 2 diabetes using insulin. Research design: A qualitative method comprising in-depth individual interviews. A semistructured interview guide was used. The interviews were audiorecorded, transcribed verbatim and analysed using a thematic approach. Participants: Seventeen people with type 2 diabetes using insulin with glycated haemoglobin (HbA1c) >= 9% for >1 year. Setting: The Primary Care Clinic and Diabetes Clinic in the University of Malaya Medical Centre (UMMC), Malaysia. Results: Data analysis uncovered four themes: lifestyle challenges in adhering to medical recommendations; psychosocial and emotional hurdles; treatment-related factors; lack of knowledge about and self-efficacy in diabetes self-care. Conclusions: Factors that explain the poor glycaemic control in people with type 2 diabetes using insulin were identified. Healthcare providers could use these findings to address patients' concerns during consultations and help to improve glycaemic control.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Health Care Sciences & Services

What will make patients use a patient decision aid? A qualitative study on patients' perspectives on implementation barriers and facilitators

Wen Ting Tong, Chirk Jenn Ng, Yew Kong Lee, Ping Yein Lee

JOURNAL OF EVALUATION IN CLINICAL PRACTICE (2020)

Article Health Care Sciences & Services

Telemonitoring and Team-Based Management of Glycemic Control on People with Type 2 Diabetes: a Cluster-Randomized Controlled Trial

Jun Yang Lee, Carina Ka Yee Chan, Siew Siang Chua, Chirk Jenn Ng, Thomas Paraidathathu, Kenneth Kwing Chin Lee, Shaun Wen Huey Lee

JOURNAL OF GENERAL INTERNAL MEDICINE (2020)

Article Urology & Nephrology

Exploring patients' experience and perception of being diagnosed with bladder cancer: a mixed-methods approach

Wei Shen Tan, Chin Hai Teo, Delcos Chan, Kar Mun Ang, Malgorzata Heinrich, Andrew Feber, Rachael Sarpong, Norman Williams, Chris Brew-Graves, Chirk Jenn Ng, John Kelly, P. Khetrapal, A. Sridhar, H. Baker, F. Ocampo, J. D. Kelly, N. Whotton, K. Dent, S. Pearson, J. Hatton, M. Newton, E. Heeney, K. Green, S. Evans, M. Rogers, A. Dann, J. Cook, M. Cornwell, R. Mills, H. Knight, S. Maher, A. Rane, S. Thomas, S. Reyner, G. Vallejera, P. Adeniran, S. Masood, S. Ridgway, M. Coulding, H. Savill, J. Mccormick, M. Clark, G. Collins, K. Jewers, S. Keith, G. Bowen, J. Hargreaves, K. Riley, S. Srirangam, R. Mistry, J. Chadwick, S. Cocks, R. Hull, A. Loftus, L. Dawson, H. Roberts, C. Main, S. Jain, C. Waymont, J. Rogers, A. Grant, V. Carter, H. Heap, C. Lomas, P. Cooke, Y. Baird, S. Moore, S. Greenslade, J. Margalef, I. Chadbourn, M. Harris, J. Hicks, P. Clitheroe, S. Connolly, S. Hodgkinson, H. Haydock, A. Sinclair, E. Storr, L. Cogley, S. Natale, W. Lovegrove, S. Smith, K. Smith, D. Hewitt, R. Sriram, K. Atkinson, L. Royle, J. Madine, K. MacLean, J. Walsh, A. M. Guerdette, M. Hill, D. Payne, A. Power, J. Cannon, L. Devereaux, A. Thompson, L. Scarratt, T. Hodgkiss, D. Johnstone, J. Johnson, J. Allsop, J. Rothwell, K. Connolly, J. Cherian, H. Wardle, D. Wilson, A. Bayles, S. Pelluri, J. Pati, A. Gherman, C. Scott, S. Madaan, J. A. Taylor, E. Edmunds, J. Moore, A. Rees, S. Williams, S. Caddy, S. Dukes, A. Goffe, K. Buckhorn, L. Nichols, P. Acher, K. Baillie, K. Middleton, C. Proctor, J. Cresswell, A. Chilvers, M. Cain, A. Vaux, D. Watson, S. Bradfield, H. Gregory, H. Mostafid, L. Kehoe, S. Drakeley, J. A. Davies, L. Williamson, R. Krishnan, N. Lunt, P. Hill, H. Burns, B. Townley, L. Wilkinson, H. Wassall, A. Sinclair, J. Hunt, B. Holbrook, L. Stancombe, J. Morrison, L. Vankoutrik, S. Misra, G. Fossey, A. Richards, K. Mcdonald, A. Henderson, R. Fennelly, M. Tribbeck, K. Ames, J. Borwell, M. Kotze, K. Beesley, K. Rennie, T. Porter, A. Gipson, L. Piper, L. Bailey, A. Chrisopoulou, K. Slevin, F. McCartin, H. Warburton, S. Hathaway-Lees, K. Whetton, G. Delves, A. Day, T. Bankole, S. Broadhead, S. Malde, M. Oblak, D. Ellis, S. Bishara, T. Barias-Lara, I. Donkov, H. Thatcher, H. M. Morris, C. Culmsee, A. H. Menzies, C. Bartlett, C. Cutting, N. O'Brien, R. Jannapureddy, A. Kelkar, J. Fitzgerald, S. Longhurst, C. Worth, A. M. Peracha, S. Mzazi, C. Poile, L. Griffiths, A. Cook, N. Barber, N. Brar, A. Alty, B. Zelhof, R. Blades

BJU INTERNATIONAL (2020)

Review Health Care Sciences & Services

Implementation Strategies for Web-Based Apps for Screening: Scoping Review

Chor Yau Ooi, Chirk Jenn Ng, Anne E. Sales, Hooi Min Lim

JOURNAL OF MEDICAL INTERNET RESEARCH (2020)

Article Medical Informatics

An Automated Patient Self-Monitoring System to Reduce Health Care System Burden During the COVID-19 Pandemic in Malaysia: Development and Implementation Study

Hooi Min Lim, Chin Hai Teo, Chirk Jenn Ng, Thiam Kian Chiew, Wei Leik Ng, Adina Abdullah, Haireen Abdul Hadi, Chee Sun Liew, Chee Seng Chan

Summary: The development process of the COVID-19 Symptom Monitoring System (CoSMoS) was successfully completed in three phases, focusing on clinical problems, agile software development, and effective clinical workflow design. The system architecture involved Telegram, clinician dashboard, system administration, database, and infrastructure. Time factors and communication were identified as main challenges during the development process, and the lessons learned can guide the future development of digital monitoring systems in developing countries during pandemics.

JMIR MEDICAL INFORMATICS (2021)

Article Ethics

Developing a competency framework for health research ethics education and training

Sean Tackett, Jeremy Sugarman, Chirk Jenn Ng, Adeeba Kamarulzaman, Joseph Ali

Summary: Health research ethics training programmes are being developed and implemented globally, but there is currently no consensus on outcomes they should achieve. This article suggests a six-step process for developing competency frameworks for HRE training programmes to define outcomes suited to their contexts.Developing such frameworks can contribute to programmatic advancement.

JOURNAL OF MEDICAL ETHICS (2022)

Article Multidisciplinary Sciences

Prioritising topics for developing e-learning resources in healthcare curricula: A comparison between students and educators using a modified Delphi survey

Hooi Min Lim, Chirk Jenn Ng, Chin Hai Teo, Ping Yein Lee, Puteri Shanaz Jahn Kassim, Nurul Amelina Nasharuddin, Phelim Voon Chen Yong, Renukha Sellappans, Wei Hsum Yap, Yew Kong Lee, Zahiruddin Fitri Abu Hassan, Kuhan Krishnan, Sazlina Shariff Ghazali, Faridah Idris, Nurhanim Hassan, Enna Ayub, Stathis Konstantinidis, Michael Taylor, Cherry Poussa, Klas Karlgren, Natalia Stathakarou, Petter Mordt, Arne Thomas Nilsen, Heather Wharrad

Summary: Engaging students in the e-learning development process enhances effective implementation, however, this study found differences in prioritising topics between students and educators in healthcare curricula. Mismatches were identified in the prioritised topics for UM and TU Pharmacy, while UPM showed alignment. Conducting needs assessment at the beginning of eLearning resources development is highlighted as important.

PLOS ONE (2021)

Article Health Policy & Services

Shared decision-making in Malaysia: Legislation, patient involvement, implementation and the impact of COVID-19

Yew Kong Lee, Chirk Jenn Ng, Ping Yein Lee, Wen Ting Tong, Hamizah Sa'at

Summary: The practice of Shared Decision Making (SDM) in Malaysia started in 2010 to meet the increasing needs of patients with chronic diseases. It emphasizes patient-centered care and has been applied in medical professionalism guidelines and legal judgments on informed consent. Research on SDM in Malaysia includes patient and public involvement, incorporation of local cultural values, and implementation in the healthcare system and organizational culture.

ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN (2022)

Review Multidisciplinary Sciences

Summary and application of the WHO 2020 physical activity guidelines for patients with essential hypertension in primary care

Apichai Wattanapisit, Chirk Jenn Ng, Chaisiri Angkurawaranon, Sanhapan Wattanapisit, Sirawee Chaovalit, Mark Stoutenberg

Summary: The World Health Organization has released new guidelines on physical activity and sedentary behavior in 2020, which provide recommendations for individuals with chronic conditions. This article summarizes the guidelines and offers suggestions on applying them to primary care patients with essential hypertension.

HELIYON (2022)

Article Ethics

Defining Malaysia's health research ethics system through a stakeholder driven approach

Sean Tackett, Chirk Jenn Ng, Jeremy Sugarman, Esther Gnanamalar Sarojini Daniel, Nishakanthi Gopalan, Tivyashinee Tivyashinee, Adeeba Kamarulzaman, Joseph Ali

Summary: Using participatory network mapping methods, Malaysia's HRE system was empirically defined, identifying system functions and actors that could be targeted to increase system capacity.

DEVELOPING WORLD BIOETHICS (2023)

Article Primary Health Care

Innovation workshop using design thinking framework and involving stakeholders to co-create ideas for management of asthma

Mabel Qi He Leow, Aminath Shiwaza Moosa, Hani Salim, Adina Abdullah, Yew Kong Lee, Chirk Jenn Ng, Ngiap Chuan Tan

Summary: This paper uses the method of photovoice and design thinking to empathize with the challenges of asthma management and create innovative solutions. A one-day workshop was organized by SingHealth Polyclinics in Singapore, where healthcare providers discussed and ideated on the challenges and enablers of good asthma care. The study found that the use of photovoice and a multidisciplinary team format with patient involvement were highly favored. Participants' feedback indicated that the workshop effectively generated ideas and drove innovation in asthma care.

NPJ PRIMARY CARE RESPIRATORY MEDICINE (2023)

Article Primary Health Care

Experiences and influences of online health information-seeking about statin use in patients with high cardiovascular risk: a qualitative study

Hooi Min Lim, Chirk Jenn Ng, Adam G. Dunn, Adina Abdullah

Summary: This study explores the views and experiences of patients with high cardiovascular risk on online health information-seeking about statins, and how this information influences their decisions. The results suggest that patients need different types of online health information throughout their disease trajectory, and unintentional passive exposure to online health information has an influence on patients' adherence to statins. The quality of patient-doctor communication in relation to online health information-seeking behavior remains critical for patient decision-making.

FAMILY PRACTICE (2023)

Article Primary Health Care

Online health information-seeking behaviour of patients attending a primary care clinic in Malaysia: a cross-sectional study

Hooi Min Lim, Swee Shiuan Wong, Kah Chun Yip, Felicia Wen Si Chang, Adrian Jian Zhi Chin, Chin Hai Teo, Adina Abdullah, Chirk Jenn Ng

Summary: This study aimed to examine the prevalence and factors associated with online health information-seeking behavior among primary care patients in Malaysia. The findings showed that 54.7% of the patients used the internet to search for health information. Higher education levels, longer duration of internet use, and higher eHealth literacy were significantly associated with online health information-seeking behavior. Patients had lower trust in websites and social media compared to healthcare professionals.

FAMILY PRACTICE (2022)

Article Primary Health Care

mHealth adoption among primary care physicians in Malaysia and its associated factors: a cross-sectional study

Hooi Min Lim, Adam G. Dunn, Sakinah Muhammad Firdaus Ooi, Chin Hai Teo, Adina Abdullah, Wing Jun Woo, Chirk Jenn Ng

Summary: The study in Malaysia found that over two-thirds of primary care physicians frequently use mHealth apps for medical reference and calculations, but only a minority recommend them to patients. Performance expectancy is identified as a key factor influencing mHealth adoption.

FAMILY PRACTICE (2021)

Article Medicine, General & Internal

Prevalence of limited health literacy and its associated factors in patients with type 2 diabetes mellitus in Perak, Malaysia: a cross-sectional study

Adina Abdullah, Chirk Jenn Ng, Su May Liew, Subashini Ambigapathy, V Paranthaman, Karuthan Chinna

BMJ OPEN (2020)

暂无数据