title: Assessment of perceived barriers in self-care of insulin-requiring diabetic patients.
abstract: To gain more insight into perceived barriers in the self-management of insulin-treated diabetic patients, a cross-sectional study was conducted at our outpatient clinic. The Barriers in Diabetes Questionnaire (BDQ), consisting of three subscales, was completed by 240 patients (type I and II). Additional background information and medical data were gathered. Mean BDQ scores indicated that most barriers relate to 'self-regulation in specific situations'. No significant relationships were found between BDQ subscale-scores on the one hand and age, sex, educational level, type or duration of diabetes on the other. Patients with a higher HbA1c showed significantly higher scores on two of the three subscales. A significant negative correlation was found between patients' subjective evaluation of their health status and their BDQ-scores. It is concluded that the BDQ can be a valuable assessment tool for health care providers to tailor diabetes education and care to the patients' individual needs.
authors.affiliation: Institute for Research in Extramural Medicine (EMGO Institute), Vrije Universiteit, Amsterdam, The Netherlands.
authors.forename: E D
authors.initials: ED
authors.lastname: Mollem
authors.forename: F J
authors.initials: FJ
authors.lastname: Snoek
authors.forename: R J
authors.initials: RJ
authors.lastname: Heine
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000188:drug therapy* / Q000523:psychology; D006801:Humans; D007328:Insulin / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D015203:Reproducibility of Results; D012646:Self Administration; D011795:Surveys and Questionnaires / Q000592:standards
chemical_list: D007328:Insulin