- Title
- Barriers to self-care and their association with poor adherence to self-care behaviours in people with type 2 diabetes in Ghana: a cross sectional study
- Creator
- Mogre, Victor; Johnson, Natalie A.; Tzelepis, Flora; Hall, Alix; Paul, Christine
- Relation
- Obesity Medicine Vol. 18, Issue June 2020, no. 100222
- Publisher Link
- http://dx.doi.org/10.1016/j.obmed.2020.100222
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2020
- Description
- Aim: We evaluated the prevalence of barriers to self-care and associations between these barriers and adherence to self-care behaviours among people with type 2 diabetes. Methods: Cross-sectional study among people with type 2 diabetes recruited from the diabetes clinics of three hospitals. A survey assessed barriers to self-care conceptualised into the constructs of the theory of planned behaviour (TPB) (i.e. attitudes, subjective norms, perceived behavioural control). The Summary of Diabetes Self-care Activities scale was used to assess adherence to self-care. Results: The study included 252 (90% response rate) participants. Prevalent barriers included: lack of knowledge on how to use a glucometer (59.8%, n = 150); difficulty in changing dietary habits (58.7%, n = 148); and lack of money to purchase a glucometer (55.2%, n = 139). Attitudinal barriers were commonly reported for diet, exercise and foot care; perceived behavioural control barriers were frequently reported for self-monitoring of blood glucose (SMBG); and subjective norm barriers for medication taking. The only significant association was between adherence to foot care and subjective norms barriers. Conclusions: The commonly-reported types of barriers varied according to the type of self-care behaviour but no specific type of barrier was associated with poor adherence to diabetes self-care behaviours.
- Subject
- adherence to self-care; barriers to self-care; Ghana; quantile regression; self-care; type 2 diabetes; SDG 7; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1426474
- Identifier
- uon:38423
- Identifier
- ISSN:2451-8476
- Language
- eng
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Goal 7: Ensure access to affordable, reliable, sustainable and modern energy
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