title: Facilitators and barriers of adaptation to diabetes: experiences of Iranian patients.
abstract: BACKGROUND
  Diabetes mellitus is one of the most challenging and burdensome chronic diseases of the 21st century and More than 1% of the Iranian urban population older than 20 years develops Type 2 diabetes each year. Living with diabetes mellitus has been described as a dynamic personal transitional adaptation, based on restructuring of the illness perceived experience and management of the self. Adaptation to Type 2 Diabetes mellitus is an integral part of diabetes care.This study explored the experiences of facilitators and barriers adaptation to Type 2 Diabetes by Iranian patients.
  
  
  METHODS
  This study was conducted by using qualitative content analysis. Data were collected via in-depth, semi-structured and face to face interviews with 15 patients with type2 diabetes.
  
  
  RESULTS
  Three themes emerged from collected data, including a) individual context with Beliefs, personal background, and previous experience subthemes. b) supportive system with Family, Society and Health organizations subthemes and c) self-comparison with comparison with other diabetes and comparison with other diseases subthemes.
  
  
  CONCLUSIONS
  Identifying and managing Facilitators and Barriers adaptation to Type 2 Diabetes mellitus are an integral part of diabetes care. This study provides a better understanding of the factors from perspective of patients and it can be utilized by health care providers to adapt their health care and education contents to better meet the needs of people with diabetes.
authors.forename: Hossein
authors.initials: H
authors.lastname: Karimi Moonaghi
authors.affiliation: Department of Post Graduate, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. namdarah871@mums.ac.ir.
authors.forename: Hossein
authors.initials: H
authors.lastname: Namdar Areshtanab
authors.forename: Leila
authors.initials: L
authors.lastname: Jouybari
authors.forename: Mohammad
authors.initials: M
authors.lastname: Arshadi Bostanabad
authors.forename: Heather
authors.initials: H
authors.lastname: McDonald