{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:39:59Z","timestamp":1786448399572,"version":"build-2736575974"},"reference-count":65,"publisher":"Wiley","issue":"11-12","license":[{"start":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T00:00:00Z","timestamp":1551830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To explore patient and healthcare provider (HCP) perspectives about patients\u2019 barriers to the performance of diabetic self\u2010care behaviours in Ghana.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Sub\u2010Saharan African urban populations are increasingly affected by type 2 diabetes due to nutrition transition, sedentary lifestyles and ageing. Diabetic self\u2010care is critical to improving clinical outcomes. However, little is known about barriers to diabetic self\u2010care (diet, exercise, medication taking, self\u2010monitoring of blood glucose and foot care) in sub\u2010Saharan Africa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Qualitative study that followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines<jats:bold>.<\/jats:bold><\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured interviews were conducted among 23 people living with type 2 diabetes and 14 HCPs recruited from the diabetes clinics of three hospitals in Tamale, Ghana. Interviews were audiotaped and transcribed verbatim. The constant comparative method of data analysis was used and identified themes classified according to constructs of the theory of planned behaviour (TPB): attitudes\/behavioural beliefs, subjective norms and perceived behavioural control.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Barriers relating to attitudes included misconceptions that diabetes was caused by spiritual forces or curses, use of herbal medicines, intentional nonadherence, difficulty changing old habits, and feeling or lacking motivation to exercise. Barriers relating to subjective norms were inadequate family support, social stigma (usually by spouses and other members of the community) and cultural beliefs. Perceived behavioural control barriers were poor income levels, lack of glucometers, busy work schedules, long distance to the hospital and inadequate access to variety of foods due to erratic supply of foods or seasonality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Both patients and HCPs discussed similar barriers and those relating to attitude and behavioural control were commonly discussed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Interventions to improve adherence to diabetic self\u2010care should focus on helping persons with diabetes develop favourable attitudes and how to overcome behavioural control barriers. Such interventions should have both individualised and community\u2010wide approaches.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14835","type":"journal-article","created":{"date-parts":[[2019,2,21]],"date-time":"2019-02-21T19:16:39Z","timestamp":1550776599000},"page":"2296-2308","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":129,"title":["Barriers to diabetic self\u2010care: A qualitative study of patients\u2019 and healthcare providers\u2019 perspectives"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0230-5783","authenticated-orcid":false,"given":"Victor","family":"Mogre","sequence":"first","affiliation":[{"name":"Department of Health Professions Education and Innovative Learning, School of Medicine and Health Sciences University for Development Studies Tamale Ghana"},{"name":"School of Medicine and Public Health University of Newcastle Callaghan New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie A.","family":"Johnson","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle Callaghan New South Wales Australia"},{"name":"Hunter Medical Research Institute New Lambton New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flora","family":"Tzelepis","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle Callaghan New South Wales Australia"},{"name":"Hunter Medical Research Institute New Lambton New South Wales Australia"},{"name":"Hunter New England Population Health, Hunter New England Local Health District Wallsend New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Paul","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Newcastle Callaghan New South Wales Australia"},{"name":"Hunter Medical Research Institute New Lambton New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,6]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Illinois State University & Mennonite College of Nursing","author":"Abdulrehman M. 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