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A mixed‐methods exploration of non‐attendance at diabetes appointments using peer researchers

Bibliographic Data

ID19507440
AuthorsClaire E Eades (0000-0002-4845-332X, Faculty of Health Sciences and Sport University of Stirling Stirling UK, corresponding author), Helen Alexander (0000-0001-8310-5067, NHS Lanarkshire Bothwell UK)
Year2019
Volume22
Issue6
Pages1260-1271
Publication date2019-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.12959
PMID31486184
OpenAlexW2972234792
LanguageEN
Citations received2
References cited18

BACKGROUND: Non-attendance at diabetes appointments is costly to the health service and linked with poorer patient outcomes. OBJECTIVE: Peer researchers aimed to conduct interviews and survey people who miss appointments about their beliefs and perceptions regarding their diabetes and diabetes appointments. DESIGN: A mixed-methods cross-sectional design with interviews conducted by peer researchers with diabetes and a questionnaire was used. SETTING AND PARTICIPANTS: Peer researchers conducted semi-structured telephone interviews in one health board in Scotland with ten people who had missed diabetes appointments. A further 34 people who had missed appointments completed a questionnaire. The study was informed by two psychological theories (the Theory of Planned Behaviour and the Self-Regulation Model), and interviews were analysed using thematic analysis. RESULTS: Interviewees planned to attend appointments but practical barriers, low perceived value of appointments and the feeling that diabetes had little impact upon their lives' emerged as key reasons for missing appointments. Questionnaire data supported these findings and showed that respondents perceived diabetes to have only mildly serious consequence and cause limited concern and emotional impact. Participants' understanding of their condition and perceptions of personal control and treatment control were low. Gender, perceived behavioural control and emotional representations were significantly associated with the number of appointments missed in the previous year. CONCLUSIONS: These findings highlight the importance of psychological variables in predicting non-attendance at diabetes appointments and provide avenues for how non-attendance might be tackled

Attendance · Medical education · Peer review · Political science · Chemistry · Computer Science · Emergency and Acute Care Studies · Healthcare Decision-Making and Restraints · Healthcare Operations and Scheduling Optimization · Medicine · Psychology

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    Open Access•Howard Leventhal, Michael A Diefenbach et al.•Cognitive Therapy and Research•1992

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    Open Access•Juan Pablo Domecq, Gabriela Prutsky et al.•BMC Health Services Research•2014

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    Open Access•Edward Broadbent, Elizabeth Broadbent et al.•Journal of Psychosomatic Research•2006

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    Open Access•Icek Ajzen•Organizational Behavior and Human…•1991

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    Open Access•Jo Brett, Sophie Staniszewska et al.•Health Expectations•2014

  • Missed Appointments and Poor Glycemic Control

    Andrew J Karter, Melissa M Parker et al.•Medical Care•2004

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    Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

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    Open Access•Valerie L Lawson, Valerie Lawson et al.•Journal of Health Psychology•2005

Unique citing works2
Citations per year0,4
Citation span2021 - 2023 (3)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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Open DOISci-HubOpen Access
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