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Challenges and barriers in managing Type 2 diabetes

Insights from a qualitative study of patients’ experiences at a university hospital in Qassim, Saudi Arabia

Bibliographic Data

ID19530205
AuthorsAndrew Dumale Ngo (0009-0006-7007-1340, Qassim University, corresponding author), Mohammed Bien Kulintang (0000-0003-4777-3003, Shaqra University), Talal Ali F Alharbi (0000-0003-0972-4294, Qassim University), Rasha Mohammed Hussien (0000-0002-6050-2841, Qassim University), R Hussein (0000-0001-6650-0735, Qassim University), Hani Al‐Najjar (0000-0002-6251-8388, Qassim University), Fadhel Majed Alharbi (Qassim University), Metab Algeffari (0000-0002-0614-2558, Qassim University), Yara H Sawan (0009-0003-0894-2713, Qassim University)
Year2026
Volume19
Issue1
Pages2591543-2591543
Publication date2026-12-31
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2025.2591543
PMID41504720
OpenAlexW7119520473
LanguageEN
References cited38

Background Type 2 diabetes is a global health issue, with unique challenges in Qassim, Saudi Arabia. Patients face barriers such as lifestyle, diet, healthcare access, and psychological impacts. Understanding these challenges is crucial for improving diabetes care and support.Objective The aim of this study was to explore the challenges and barriers faced by patients in managing Type 2 diabetes at a University Hospital in Qassim, Saudi Arabia, to provide insights for improving diabetes care and support.Methods A qualitative descriptive phenomenological design used semi-structured interviews and purposive sampling. Face-to-face interviews (Sept 2024–Jan 2025) were audio recorded and transcribed verbatim. Data were analyzed using Collaizi’s thematic analysis.Results This study provides a comprehensive understanding of the key challenges and facilitators influencing the management of Type 2 diabetes. Thematic analysis identified five core themes: Challenges in Adapting Lifestyle and Behavior, Dietary Struggles and Social Pressures, Barriers to Effective Healthcare and Medication Use, Psychological and Emotional Burden of Diabetes, and Gaps in Patient Education and Support for Self-Management. Participants faced challenges of balancing self-care with work and social duties, dietary struggles tied to culture, healthcare barriers, emotional distress, and the vital role of education in disease management.Conclusion A patient-centered approach is key to managing Type 2 diabetes in Qassim, Saudi Arabia. Addressing lifestyle, healthcare, and psychological challenges can improve self-management and outcomes. Providers should offer tailored education, enhance care access, and support emotional and social needs. Policies should promote culturally sensitive, community-based interventions to improve adherence and quality of life

Health care · Psychological intervention · Qualitative research · Quality (philosophy) · Quality management · Social support · University hospital · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Mobile Health and mHealth Applications

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