title: Patient explanations for non-attendance at type 2 diabetes self-management education: a qualitative study.
abstract: OBJECTIVE
  To explore reasons for non-attendance at type 2 diabetes self-management education.
  
  
  METHODS
  To elicit the main themes explaining non-attendance, 15 semi-structured interviews were conducted with persons referred to, but not attending, self-management education. Systematic text condensation was applied to code and generate themes subsequently organised under individual and organisational factors.
  
  
  RESULTS
  Individual (illness, lack of perceived benefit) and organisational factors relating to schedule (four whole days, time of day, notification) and content (supermarket visit) were cited as reasons for non-attendance.
  
  
  CONCLUSIONS
  In this study, patients cited both individual and organisational factors as explaining non-attendance at type 2 diabetes self-management education. Further studies should take into account the importance of timing and of tailoring schedules and content to individuals' life situations and resources. As organisational factors are likely to vary across programmes and settings, more case studies are needed to further elucidate the dynamic relationship between individual and organisational factors to explain non-attendance at type 2 diabetes self-management education.
authors.affiliation: Health Promotion Research, Steno Diabetes Center A/S, Gentofte, Denmark.
authors.forename: Nete
authors.initials: N
authors.lastname: Schwennesen
authors.affiliation: Department of Endocrinology M, Odense University Hospital, Odense, Denmark.
authors.forename: Jan Erik
authors.initials: JE
authors.lastname: Henriksen
authors.affiliation: Health Promotion Research, Steno Diabetes Center A/S, Gentofte, Denmark.
authors.forename: Ingrid
authors.initials: I
authors.lastname: Willaing
mesh_terms: D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D036301:Qualitative Research; D012648:Self Care
keywords: diabetes mellitus type 2; nonattendance; self-management education; semi-structured interviews; systematic text condensation