Vallis Michael, Jin Susie, Klimek-Abercrombie Agnieszka, Ng Ginnie, Ivers Noah M
Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Consultant Pharmacist, Coburg, Ontario, Canada.
Diabetes Spectr. 2024 Mar 5;37(3):264-272. doi: 10.2337/ds23-0038. eCollection 2024 Summer.
We aimed to better understand the challenges related to type 2 diabetes medication-taking through Theoretical Domains Framework (TDF)-guided interviews with people with type 2 diabetes with varying degrees of medication-taking.
One-on-one qualitative interviews following a semistructured discussion guide informed by the TDF were conducted. Thirty people with type 2 diabetes in Canada were interviewed, with representation from across the country, of both sexes (47% female), of people with various diabetes durations (mean 12.9 ± 7.9 years), with different types of medication plans ( = 15 on polypharmacy), and with various medication-taking levels ( = 10 each for low-, medium-, and high-engagement groups).
Themes related to medication-taking from interviews mapped to 12 of the 14 TDF theme domains, with the exclusion of the knowledge and skills domains. The most prominent domains, as determined by high-frequency themes or themes for which people with low and high medication-taking had contrasting perspectives, were ) emotion; ) memory, attention, and decision processes; ) behavioral regulation; ) beliefs about consequences; ) goals; and ) environmental context and resources.
Through our interviews, several areas of focus emerged that may help efforts to increase medication-taking. To validate these findings, future quantitative research is warranted to help support people with type 2 diabetes in overcoming psychological and behavioral barriers to medication-taking.
我们旨在通过理论领域框架（TDF）指导的访谈，更好地了解2型糖尿病患者服药相关的挑战，访谈对象为不同服药程度的2型糖尿病患者。
采用基于TDF的半结构化讨论指南进行一对一的定性访谈。对加拿大30名2型糖尿病患者进行了访谈，他们来自全国各地，涵盖不同性别（47%为女性）、不同糖尿病病程（平均12.9±7.9年）、不同类型的用药方案（15人使用多种药物联合治疗）以及不同服药水平（低、中、高参与度组各10人）。
访谈中与服药相关的主题映射到TDF的14个主题领域中的12个，知识和技能领域除外。根据高频主题或服药水平低和高的人群有不同观点的主题确定，最突出的领域是：（1）情绪；（2）记忆、注意力和决策过程；（3）行为调节；（4）对后果的信念；（5）目标；（6）环境背景和资源。
通过我们的访谈，出现了几个重点关注领域，可能有助于提高服药率。为了验证这些发现，未来有必要进行定量研究，以帮助支持2型糖尿病患者克服服药的心理和行为障碍。
