{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T17:17:50Z","timestamp":1767892670934,"version":"3.49.0"},"reference-count":49,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T00:00:00Z","timestamp":1668384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003976","name":"Israel National Institute for Health Policy Research","doi-asserted-by":"publisher","award":["#R\/289\/2017"],"award-info":[{"award-number":["#R\/289\/2017"]}],"id":[{"id":"10.13039\/501100003976","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Patient-Reported Outcome Measures (PROMs) aim to evaluate the quality of care based on the perspectives of patients rather than clinical indicators. Qualitative research is needed to identify these perspectives in people with type 2 diabetes.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>To identify, for the first time in Israel, aspects valuable for people with type 2 diabetes that can be relevant for PROMs in diabetes care.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A qualitative study included three focus groups totalling 19 people with type 2 diabetes. Inclusion criteria were: (1)type 2 diabetes, (2)diabetes duration of at least six months, and (3)adults aged 45\u201380 years. Purposive sampling enabled recruitment of heterogeneous participants. Also, two experts\u2019 panels with healthcare providers involved in diabetes care (n = 23) were conducted to provide triangulation of information (more testimony about what is valuable for people with type 2 diabetes). Discussions were recorded, transcribed and thematically analysed.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>Four domains were deemed valuable for people with type 2 diabetes: (1)challenges of living with diabetes, including reduced physical function, healthy lifestyle struggles, sexual dysfunction, and financial burden, (2)mental health issues, including depression, distress, anxiety, frustration, and loneliness, (3)self-management ability, including management of lifestyle modifications and treatment, knowledge about the disease and treatment, and (4)patient-clinician relationships, including the devotion of clinicians, trust in clinicians and treatment, shared decision-making, and multidisciplinary care under one roof. Experts favour using PROMs in diabetes routine care and even acknowledged their necessity to improve the treatment process. However, only some of the domains raised by people with type 2 diabetes were identified by the experts.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>There are content gaps between perspectives of people with type 2 diabetes and their healthcare providers. PROMs are essential in addressing issues largely not addressed in routine diabetes care. We recommend that researchers and healthcare providers, who intend to utilize PROMs for diabetes care, consider the aforementioned domains.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0277424","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T18:24:43Z","timestamp":1668450283000},"page":"e0277424","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":8,"title":["What is important for people with type 2 diabetes? A focus group study to identify relevant aspects for Patient-Reported Outcome Measures in diabetes care"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0582-7782","authenticated-orcid":true,"given":"Nura","family":"Abdel-Rahman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orly","family":"Manor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liora","family":"Valinsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ofri","family":"Mosenzon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3369-2758","authenticated-orcid":true,"given":"Ronit","family":"Calderon-Margalit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sveta","family":"Roberman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2022,11,14]]},"reference":[{"key":"pone.0277424.ref001","doi-asserted-by":"crossref","first-page":"2477","DOI":"10.1056\/NEJMp1011024","article-title":"What is value in health care?","volume":"363","author":"ME Porter","year":"2010","journal-title":"N Engl J Med. 2010\/12\/08"},{"key":"pone.0277424.ref002","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1056\/NEJMp0904131","article-title":"A Strategy for Health Care Reform\u2014Toward a Value-Based System","volume":"361","author":"ME Porter","year":"2009","journal-title":"N Engl J Med"},{"key":"pone.0277424.ref003","article-title":"Measuring What Matters in Diabetes","author":"R Rodriguez-Gutierrez","year":"2019","journal-title":"JAMA"},{"key":"pone.0277424.ref004","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1056\/NEJMp1511701","article-title":"Standardizing Patient Outcomes Measurement","volume":"374","author":"ME Porter","year":"2016","journal-title":"N Engl J Med"},{"key":"pone.0277424.ref005","doi-asserted-by":"crossref","first-page":"S125","DOI":"10.1111\/j.1524-4733.2007.00275.x","article-title":"Patient-Reported Outcomes to Support Medical Product Labeling Claims: FDA Perspective (formerly with FDA); 4 Mapi Values Ltd, Cheshire, UK (formerly with FDA); Why a Guidance on Patient-Reported Outcomes (PROs)?","volume":"10","author":"DL Patrick","year":"2007","journal-title":"Value Heal"},{"key":"pone.0277424.ref006","article-title":"Patient-Reported Outcome Measures in Registry-Based Studies of Type 2 Diabetes Mellitus: a Systematic Review","volume":"19","author":"YT Chen","year":"2019","journal-title":"Curr Diab Rep"},{"key":"pone.0277424.ref007","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1056\/NEJMp1611252","article-title":"Patient-Reported Outcomes\u2014Harnessing Patients\u2019 Voices to Improve Clinical Care","volume":"376","author":"E. Basch","year":"2017","journal-title":"N Engl J Med"},{"key":"pone.0277424.ref008","article-title":"Patient Reported Outcomes Measures","author":"NHS England","year":"2017"},{"key":"pone.0277424.ref009","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1111\/hex.12442","article-title":"Patient involvement in the development of patient-reported outcome measures: a scoping review","volume":"20","author":"B Wiering","year":"2017","journal-title":"Heal Expect"},{"key":"pone.0277424.ref010","doi-asserted-by":"crossref","first-page":"11","DOI":"10.2337\/cd18-0105","article-title":"Standards of medical care in diabetes\u20142019 abridged for primary care providers","volume":"37","author":"EL Johnson","year":"2019","journal-title":"Clin Diabetes"},{"key":"pone.0277424.ref011","doi-asserted-by":"crossref","first-page":"2126","DOI":"10.2337\/dc16-2053","article-title":"Psychosocial care for people with diabetes: A position statement of the American diabetes association","author":"D Young-Hyman","year":"2016","journal-title":"Diabetes Care. American Diabetes Association Inc."},{"key":"pone.0277424.ref012","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1111\/j.1464-5491.2009.02682.x","article-title":"Not all roads lead to Rome\u2014a review of quality of life measurement in adults with diabetes","volume":"26","author":"J Speight","year":"2009","journal-title":"Diabet Med"},{"key":"pone.0277424.ref013","article-title":"Patient-Reported Experience and Outcome Measures in People Living with Diabetes: A Scoping Review of Instruments","author":"J Martin-Delgado","year":"2021","journal-title":"Patient\u2014Patient-Centered Outcomes Res"},{"key":"pone.0277424.ref014","first-page":"1","article-title":"Patient-reported outcome measures for assessing health-related quality of life in people with type 2 diabetes: A systematic review","volume":"2","author":"M Langendoen-Gort","year":"2022","journal-title":"Rev Endocr Metab Disord 2022"},{"key":"pone.0277424.ref015","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.pcd.2011.04.004","article-title":"PANORAMA: A European study to evaluate quality of life and treatment satisfaction in patients with type-2 diabetes mellitus\u2014Study design","volume":"5","author":"C Bradley","year":"2011","journal-title":"Prim Care Diabetes"},{"key":"pone.0277424.ref016","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.diabres.2012.11.016","article-title":"Diabetes attitudes Wishes and Needs 2 (DAWN2): A multinational, multi-stakeholder study of psychosocial issues in diabetes and person-centred diabetes care","volume":"99","author":"M Peyrot","year":"2013","journal-title":"Diabetes Res Clin Pract"},{"key":"pone.0277424.ref017","doi-asserted-by":"crossref","first-page":"e0245269","DOI":"10.1371\/journal.pone.0245269","article-title":"Patient-reported outcomes for diabetes and hypertension care in low- and middle-income countries: A scoping review","volume":"16","author":"S Masyuko","year":"2021","journal-title":"PLoS One"},{"key":"pone.0277424.ref018","article-title":"Development and validation in Ecuador of the EPD Questionnaire, a diabetes-specific patient-reported experience and outcome measure: A mixed-methods study","author":"J Martin-Delgado","year":"2021","journal-title":"Heal Expect"},{"key":"pone.0277424.ref019","first-page":"0\u20133","article-title":"A standard set of person-centred outcomes for diabetes mellitus: results of an international and unified approach","author":"J Nano","year":"2020","journal-title":"Diabet Med"},{"key":"pone.0277424.ref020","first-page":"1","article-title":"What is important for you? A qualitative interview study of living with diabetes and experiences of diabetes care to establish a basis for a tailored patient-reported outcome measure for the Swedish National Diabetes Register","volume":"6","author":"MS Engstr\u00f6m","year":"2016","journal-title":"BMJ Open"},{"key":"pone.0277424.ref021","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1007\/s11892-019-1190-x","article-title":"Can the Routine Use of Patient-Reported Outcome Measures Improve the Delivery of Person-Centered Diabetes Care? A Review of Recent Developments and a Case Study","volume":"19","author":"SE Skovlund","year":"2019","journal-title":"Curr Diab Rep"},{"key":"pone.0277424.ref022","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/2045-4015-1-3","article-title":"Community healthcare in Israel: Quality indicators 2007\u20132009","volume":"1","author":"DH Jaffe","year":"2012","journal-title":"Isr J Health Policy Res"},{"key":"pone.0277424.ref023","unstructured":"Israel National program for quality indicators in community healthcare. [cited 26 Aug 2020]. Available: https:\/\/en.israelhealthindicators.org\/"},{"key":"pone.0277424.ref024","author":"R Calderon-Margalit","year":"2017","journal-title":"National Program for Quality Indicators in Community Healthcare in Israel, Report 2013\u20132017"},{"key":"pone.0277424.ref025","doi-asserted-by":"crossref","first-page":"114523","DOI":"10.1016\/j.socscimed.2021.114523","article-title":"Sample sizes for saturation in qualitative research: A systematic review of empirical tests","volume":"292","author":"M Hennink","year":"2022","journal-title":"Soc Sci Med"},{"key":"pone.0277424.ref026","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1007\/s11135-017-0574-8","article-title":"Saturation in qualitative research: exploring its conceptualization and operationalization","volume":"52","author":"B Saunders","year":"2018","journal-title":"Qual Quant"},{"key":"pone.0277424.ref027","volume-title":"Qualitative research practice","author":"J Ritchie","year":"2003"},{"key":"pone.0277424.ref028","first-page":"369","article-title":"Strengths and Limitations of Qualitative and Quantitative Research Methods Innovation and Entrepreneurship View project Observatory of Portuguese Academic Spin-offs View project European Journal of Education Studies STRENGTHS AND LIMITATIONS OF QUALITATIV","volume":"3","author":"F Almeida","year":"2017","journal-title":"Eur J Educ Stud"},{"key":"pone.0277424.ref029","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1177\/1742395309102243","article-title":"\u201cWorried all the time\u201d: Distress and the circumstances of everyday life among immigrant Australians with type 2 Diabetes","volume":"5","author":"L Manderson","year":"2009","journal-title":"Chronic Illn"},{"key":"pone.0277424.ref030","doi-asserted-by":"crossref","article-title":"Non-severe nocturnal hypoglycemic events: experience and impacts on patient functioning and well-being","author":"M Brod","DOI":"10.1007\/s11136-012-0234-3"},{"key":"pone.0277424.ref031","doi-asserted-by":"crossref","first-page":"267","DOI":"10.2337\/dc16-2655","article-title":"Predictors of quality of life and other patient-Reported outcomes in the PANORAMA multinational study of people with type 2 diabetes","volume":"41","author":"C Bradley","year":"2018","journal-title":"Diabetes Care"},{"key":"pone.0277424.ref032","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1007\/s11136-009-9496-9","article-title":"Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items","volume":"18","author":"RD Hays","year":"2009","journal-title":"Qual Life Res"},{"key":"pone.0277424.ref033","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1023\/A:1026485130100","article-title":"The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life: the ADDQoL","volume":"8","author":"C Bradley","year":"1999","journal-title":"Qual Life Res"},{"key":"pone.0277424.ref034","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1080\/0092623X.2014.966399","article-title":"Prevalence and Correlates of Sexual Dysfunction in Men and Women With Type 2 Diabetes","volume":"41","author":"A Rutte","year":"2015","journal-title":"J Sex Marital Ther"},{"key":"pone.0277424.ref035","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1080\/0092623X.2015.1033578","article-title":"Type 2 Diabetes Patients\u2019 Needs and Preferences for Care Concerning Sexual Problems: A Cross-Sectional Survey and Qualitative Interviews","volume":"42","author":"A Rutte","year":"2016","journal-title":"J Sex Marital Ther"},{"issue":"8","key":"pone.0277424.ref036","doi-asserted-by":"crossref","first-page":"e25002","DOI":"10.2196\/25002","article-title":"Measurement Properties of Patient-Reported Outcome Measures for Diabetes: Systematic Review","volume":"23","author":"PJ Ling Wee","year":"2021","journal-title":"J Med Internet Res"},{"key":"pone.0277424.ref037","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.vhri.2014.06.010","article-title":"Determinants of cost-related nonadherence to medications among chronically ill patients in maccabi healthcare services, Israel","volume":"4","author":"T Simon-Tuval","year":"2014","journal-title":"Value Heal Reg Issues"},{"key":"pone.0277424.ref038","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1177\/0145721707304079","article-title":"The psychological impact of living with diabetes women\u2019s day-to-day experiences","volume":"33","author":"S Penckofer","year":"2007","journal-title":"Diabetes Educ"},{"key":"pone.0277424.ref039","first-page":"4","article-title":"Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes","author":"J Reyes","year":"2017","journal-title":"Glob Qual Nurs Res"},{"key":"pone.0277424.ref040","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1007\/s00592-019-01295-9","article-title":"The prevalence of comorbid depression in patients with type 2 diabetes: an updated systematic review and meta-analysis on huge number of observational studies","volume":"56","author":"M Khaledi","year":"2019","journal-title":"Acta Diabetol"},{"key":"pone.0277424.ref041","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1111\/dme.13448","article-title":"The prevalence of diabetes-specific emotional distress in people with Type 2 diabetes: a systematic review and meta-analysis","volume":"34","author":"NE Perrin","year":"2017","journal-title":"Diabet Med"},{"key":"pone.0277424.ref042","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.pec.2003.07.010","article-title":"Diagnosis of type 2 diabetes: A qualitative analysis of patients\u2019 emotional reactions and views about information provision","volume":"53","author":"E Peel","year":"2004","journal-title":"Patient Educ Couns"},{"key":"pone.0277424.ref043","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1177\/0145721705284372","article-title":"Using focus groups to develop a culturally competent diabetes self-management program for Mexican Americans","volume":"32","author":"D Vincent","year":"2006","journal-title":"Diabetes Educ"},{"key":"pone.0277424.ref044","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1016\/j.socscimed.2008.12.033","article-title":"The effects of trust in physician on self-efficacy, adherence and diabetes outcomes","volume":"68","author":"YY Lee","year":"2009","journal-title":"Soc Sci Med"},{"key":"pone.0277424.ref045","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1080\/10410236.2012.710873","article-title":"Patient Trust in Physicians and Shared Decision-Making Among African-Americans With Diabetes","volume":"28","author":"ME Peek","year":"2013","journal-title":"Heal 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