{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T16:31:51Z","timestamp":1785774711441,"version":"3.56.0"},"reference-count":25,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"vor","delay-in-days":442,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Diabetes Christchurch Inc"},{"name":"Pegasus Health (Charitable) Ltd"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,28]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Regular diabetic foot checks, at least annually, are important for early identification of risk factors and prevention of ulceration and amputation. To ensure this, most general practices in Aotearoa New Zealand (NZ) offer free annual diabetes reviews (ADRs) which include a comprehensive foot evaluation. However, attendance rates at these ADRs are low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore patients\u2019 perspectives on the barriers to attending ADRs and foot checks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi-structured interviews with people with type 2 diabetes who were overdue their ADR (n\u2009=\u200913; 7 women, 6 M\u0101ori) from two urban practices were conducted. Interviews were audio recorded and transcribed verbatim and then analysed using an inductive thematic analysis approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified three key themes demonstrating barriers to attendance: healthcare-associated factors (suboptimal clinician-patient relationship, not having a consistent general practitioner (GP)); patient-related factors (co-morbid health conditions, issues surrounding identity, and logistical issues); and systemic factors (COVID-19 pandemic, travel distance to the practice, unawareness of available foot care services). Participants\u2019 feedback focused on patient-centred approaches for improvements to service delivery, for example using online educational materials, and utilising culturally appropriate models of health including Te Whare Tapa Wh\u0101 and Wh\u0101nau Ora approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>We identified several barriers to attendance, some of which are potentially modifiable. Addressing modifiable barriers and incorporating suggestions made by participants may improve access to the ADR and reduce non-attendance. Further participatory action research could explore these insights in ways that facilitate tino rangatiratanga (self-determination) and palpable action.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc23081","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T19:29:01Z","timestamp":1709580541000},"page":"53-60","source":"Crossref","is-referenced-by-count":2,"title":["Patient perceptions of barriers to attending annual diabetes review and foot assessment in general practice: a qualitative study"],"prefix":"10.1071","volume":"16","author":[{"given":"William","family":"Ju","sequence":"first","affiliation":[{"name":"ADepartment of Primary Care and Clinical Simulation, University of Otago, Christchurch, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2423-4162","authenticated-orcid":true,"given":"Ibrahim S.","family":"Al-Busaidi","sequence":"additional","affiliation":[{"name":"ADepartment of Primary Care and Clinical Simulation, University of Otago, Christchurch, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Lunt","sequence":"additional","affiliation":[{"name":"BDepartment of Medicine, University of Otago, Christchurch, New Zealand."},{"name":"CDiabetes Centre, Christchurch Hospital, Christchurch, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2794-8876","authenticated-orcid":true,"given":"Ben","family":"Hudson","sequence":"additional","affiliation":[{"name":"ADepartment of Primary Care and Clinical Simulation, University of Otago, Christchurch, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2024,3,5]]},"reference":[{"issue":"2","key":"2025111815315782200_R1","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1080\/07853890.2016.1231932","article-title":"Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis.","volume":"49","author":"Zhang","year":"2017","journal-title":"Ann Med"},{"key":"2025111815315782200_R2","doi-asserted-by":"publisher","first-page":"2205","DOI":"10.2337\/dci21-0026","article-title":"Causation Research on Diabetic Foot Complications\u2014What I Learned From Roger Pecoraro: The 2021 Roger E. 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