title: Life-long battle: Perceptions of type 2 diabetes in Thailand.
abstract: BACKGROUND
  The number of people in Thailand who have Type 2 diabetes has increased dramatically making it one of the country's major health problems. The rising prevalence of diabetes in Thailand is associated with dietary changes, reduced physical activity and health education. Although there is much research about health education programmes, the most effective methods for promoting sustainability and adherence to self-management among diabetics remains unclear.
  
  
  OBJECTIVE
  To examine the perceptions of participants in Thailand regarding Type 2 diabetes and to utilize the findings to formulate a model for patient education.
  
  
  METHODS
  A grounded theory approach was selected and semi-structured face to face interviews and focus group were used to gather data from 33 adults with Type 2 diabetes.
  
  
  RESULTS
  Five explanatory categories emerged from the data: causing lifelong stress and worry, finding their own ways, after a while, still cannot and wanting a normal life.
  
  
  CONCLUSIONS
  A new approach to patient education about Type 2 diabetes in Thailand is needed to give patients a better understanding, provide recommendations that they can apply to their daily lives, and include information about alternative medication. The Buddhist way of thinking and effective strategies enhancing self-efficacy should be applied to patient education to promote sustainability and adherence to self-management.
authors.affiliation: Faculty of Health, Birmingham City University, Birmingham, UK nitima_suparee@hotmail.com.
authors.forename: Nitima
authors.initials: N
authors.lastname: Suparee
authors.affiliation: Faculty of Health, Birmingham City University, Birmingham, UK.
authors.forename: Paula
authors.initials: P
authors.lastname: McGee
authors.affiliation: Faculty of Health, Birmingham City University, Birmingham, UK.
authors.forename: Salim
authors.initials: S
authors.lastname: Khan
authors.affiliation: Faculty of Nursing, Mahidol University, Bangkok, Thailand.
authors.forename: Wanpen
authors.initials: W
authors.lastname: Pinyopasakul
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002016:Buddhism / Q000523:psychology; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D066296:Grounded Theory; D006801:Humans; D007407:Interviews as Topic; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods; D010465:Perception; D036301:Qualitative Research; D012648:Self Care / Q000523:psychology*; D013315:Stress, Psychological; D013785:Thailand
keywords: Diabetes mellitus Type 2; Thailand; patient education; perception