title: Risk of type 2 diabetes: health care provider perceptions of prevention adherence.
abstract: The aim of the current study was to describe health care providers' perceptions as to why individuals may or may not follow recommendations for reducing risk of developing type 2 diabetes. A grounded theory research design guided data collection and analysis. Data were collected from 16 health care providers through semi-structured interviews. Results demonstrated that health care providers perceived prevention adherence as related to individual characteristics of the patient and activities of the provider. Specifically, providers described assessment of patient-based characteristics associated with behavior, context, and traits. In addition, providers discussed giving attention to the patient-provider relationship and helping the patient incorporate small lifestyle changes. Providers might utilize social cognitive theory to understand personal and socio-structural aspects of adherence. In addition, providers should focus assessment and relationship building efforts on factors that support self-efficacy.
authors.affiliation: Fay W. Whitney School of Nursing, University of Wyoming, Laramie, WY 82071-2000, USA. Electronic address: jthoma41@uwyo.edu.
authors.forename: Jenifer J
authors.initials: JJ
authors.lastname: Thomas
authors.affiliation: Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229-2994, USA. Electronic address: moringj@uthscsa.edu.
authors.forename: John C
authors.initials: JC
authors.lastname: Moring
authors.affiliation: Fay W. Whitney School of Nursing, University of Wyoming, Laramie, WY 82071-2000, USA.
authors.forename: Terra
authors.initials: T
authors.lastname: Harvey
authors.affiliation: Fay W. Whitney School of Nursing, University of Wyoming, Laramie, WY 82071-2000, USA.
authors.forename: Talisha
authors.initials: T
authors.lastname: Hobbs
authors.affiliation: Fay W. Whitney School of Nursing, University of Wyoming, Laramie, WY 82071-2000, USA.
authors.forename: Adara
authors.initials: A
authors.lastname: Lindt
mesh_terms: D001291:Attitude of Health Personnel; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D010349:Patient Compliance
keywords: Adherence; Provider perceptions; Social cognitive theory; Type 2 diabetes risk