Patient-provider communication: understanding diabetes management among adult females.
OBJECTIVE
The purpose of this study was to explore how adult women manage their diabetes. Recommendations for improving adherence and opportunities to maximize communication between the healthcare provider and individuals who have type 2 diabetes also were described.


METHODS
An exploratory qualitative descriptive design was used to describe the experience of living with type 2 diabetes in adult females. Data were obtained via individual in-depth interviews with five women over age 50 with type 2 diabetes. Participants were interviewed individually and participated in a focus group.


RESULTS
Participants clearly identified three major themes affecting adherence to treatment regimens: communication with the healthcare provider, knowledge of diabetes, and the consequences of poor glycemic control. For these participants, patient-provider communication was the most important factor affecting diabetes adherence.


CONCLUSIONS
Individual autonomy asserted in day-to-day management is often perceived as non-compliance by the healthcare provider; while provider's descriptions of potential severe complications are viewed as scare tactics by the patients.


CONCLUSIONS
Improved communication offers the clinician the opportunity to develop a partnership with patients to build mutually acceptable treatment plans and reach mutually agreed upon goals. Empowering the individual with skills needed to negotiate treatment regimens will encourage positive health decisions and improved outcomes.
Matthews
Susan M
SM
College of Nursing, University of Kentucky, Hartford, KY 42347, United States. smatth8672@aol.com
Peden
Ann R
AR
Rowles
Graham D
GD
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003142:Communication; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D019468:Disease Management; D005260:Female; D017144:Focus Groups; D006801:Humans; D008875:Middle Aged; D011369:Professional-Patient Relations; D036301:Qualitative Research