title: Understanding why people with type 1 diabetes do not attend for specialist advice: a qualitative analysis of the views of people with insulin-dependent diabetes who do not attend diabetes clinic.
abstract: Attendance at diabetes clinic is associated with improved medical outcome, however, significant numbers of people with type 1 diabetes choose not to attend. In order to understand the reasons underlying this decision, qualitative interviews were carried out with 12 long-term non-attenders. Three distinct groups emerged differing in terms of their cognitive and emotional responses to diabetes and their coping strategies: (1) the 'High fear' group; (2) the 'Patient as expert' group; and (3) the 'Low motivation' group. These differences should be recognized and suitable approaches developed to ensure that all people with diabetes are able to accept appropriate specialist support.
authors.affiliation: Wrexham Academic Unit, Wales College of Medicine, Cardiff University, Wrexham, UK. val.lawson@new-tr.wales.nhs.uk
authors.forename: Valerie L
authors.initials: VL
authors.lastname: Lawson
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Lyne
authors.forename: John N
authors.initials: JN
authors.lastname: Harvey
authors.forename: Christine E
authors.initials: CE
authors.lastname: Bundy
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000553:Ambulatory Care / Q000523:psychology*; D001294:Attitude to Health; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010465:Perception; D016312:Treatment Refusal / Q000523:psychology*