Exploring the Experiences and Needs of Patients with Type 2 Diabetes Mellitus in Sleman Regency, Yogyakarta, Indonesia: Protocol for a Qualitative Study

Background: Type 2 diabetes mellitus (T2DM) is a chronic disease that can cause adverse effects if not managed effectively. The prevalence of T2DM will continue to rise every year, and data from the International Diabetes Federation show that the number of patients diagnosed with T2DM in Indonesia i...

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Main Authors: Linawati, Yunita, Kristin, Erna, Prabandari, Yayi Suryo, Kristina, Susi Ari
Format: Article
Language:English
Published: JMIR Publications Inc. 2022
Subjects:
Online Access:https://repository.ugm.ac.id/284273/1/Linawati_KKMK.pdf
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author Linawati, Yunita
Kristin, Erna
Prabandari, Yayi Suryo
Kristina, Susi Ari
author_facet Linawati, Yunita
Kristin, Erna
Prabandari, Yayi Suryo
Kristina, Susi Ari
author_sort Linawati, Yunita
collection UGM
description Background: Type 2 diabetes mellitus (T2DM) is a chronic disease that can cause adverse effects if not managed effectively. The prevalence of T2DM will continue to rise every year, and data from the International Diabetes Federation show that the number of patients diagnosed with T2DM in Indonesia is predicted to increase from 10.3 million in 2017 to 16.7 million in 2045. Managing T2DM properly is a challenge for the patients because they need to implement lifestyle changes that involve the self-monitoring of blood glucose, consuming prescribed medication properly, maintaining a healthy diet, getting sufficient physical training, keeping a healthy sleeping pattern, managing stress properly, and consulting medical professionals regularly. The worldwide intervention for T2DM focuses on self-management education. The varied results in studies about interventions show that no particular intervention method can be regarded as the most effective. In Indonesia, there are limited studies on educational interventions to improve the quality of life and health of patients with T2DM. Objective: This study aims to explore the experiences and needs of patients with T2DM in Sleman Regency, Yogyakarta, Indonesia, to develop effective self-management education. Methods: The study will use the phenomenology method with purposive sampling to collect data. The inclusion criteria are patients in the Chronic Disease Self-Management Program at the Sleman Regency Public Health Center who are aged ≥18 years, diagnosed with T2DM for more than a year, with hemoglobin A1c levels ≤7.5% and >7.5%, capable of communicating verbally and literate in the Indonesian language, not deaf, and willing to participate. The data collection is based on the Social Cognitive Theory, which involves selecting assessment targets and analyzing personal factors, environment, and behavior that determine the knowledge, attitude, and adherence of persons with T2DM. Researchers will collect the data through in-depth, face-to-face interviews to learn about knowledge, self-efficacy, outcome expectancy, outcome experience, worry, illness belief, treatment belief, diet, physical activity, medicine intake, treatment pattern, support system, as well as ethnic and cultural influences. The results will be taken from unstructured and open-ended questions written in Indonesian according to the interview guidelines. The data analysis process will go through several stages: reading the data thoroughly; coding; sorting the categories; creating the themes; making general descriptions; and presenting the data in charts, narratives, and recorded quotations from the interviews. Results: This study received a grant in May 2021 and gained permission from the Medical and Health Research Ethics Committee of Universitas Gadjah Mada, Indonesia, on July 1, 2021. Data collection started on August 12, 2021, and the results are expected to be published in 2022. Conclusions: The results of this study will be used to design an educational intervention model to improve the knowledge, attitude, and adherence of patients with T2DM.
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spelling oai:generic.eprints.org:2842732023-12-05T01:42:23Z https://repository.ugm.ac.id/284273/ Exploring the Experiences and Needs of Patients with Type 2 Diabetes Mellitus in Sleman Regency, Yogyakarta, Indonesia: Protocol for a Qualitative Study Linawati, Yunita Kristin, Erna Prabandari, Yayi Suryo Kristina, Susi Ari Public Health and Health Services Background: Type 2 diabetes mellitus (T2DM) is a chronic disease that can cause adverse effects if not managed effectively. The prevalence of T2DM will continue to rise every year, and data from the International Diabetes Federation show that the number of patients diagnosed with T2DM in Indonesia is predicted to increase from 10.3 million in 2017 to 16.7 million in 2045. Managing T2DM properly is a challenge for the patients because they need to implement lifestyle changes that involve the self-monitoring of blood glucose, consuming prescribed medication properly, maintaining a healthy diet, getting sufficient physical training, keeping a healthy sleeping pattern, managing stress properly, and consulting medical professionals regularly. The worldwide intervention for T2DM focuses on self-management education. The varied results in studies about interventions show that no particular intervention method can be regarded as the most effective. In Indonesia, there are limited studies on educational interventions to improve the quality of life and health of patients with T2DM. Objective: This study aims to explore the experiences and needs of patients with T2DM in Sleman Regency, Yogyakarta, Indonesia, to develop effective self-management education. Methods: The study will use the phenomenology method with purposive sampling to collect data. The inclusion criteria are patients in the Chronic Disease Self-Management Program at the Sleman Regency Public Health Center who are aged ≥18 years, diagnosed with T2DM for more than a year, with hemoglobin A1c levels ≤7.5% and >7.5%, capable of communicating verbally and literate in the Indonesian language, not deaf, and willing to participate. The data collection is based on the Social Cognitive Theory, which involves selecting assessment targets and analyzing personal factors, environment, and behavior that determine the knowledge, attitude, and adherence of persons with T2DM. Researchers will collect the data through in-depth, face-to-face interviews to learn about knowledge, self-efficacy, outcome expectancy, outcome experience, worry, illness belief, treatment belief, diet, physical activity, medicine intake, treatment pattern, support system, as well as ethnic and cultural influences. The results will be taken from unstructured and open-ended questions written in Indonesian according to the interview guidelines. The data analysis process will go through several stages: reading the data thoroughly; coding; sorting the categories; creating the themes; making general descriptions; and presenting the data in charts, narratives, and recorded quotations from the interviews. Results: This study received a grant in May 2021 and gained permission from the Medical and Health Research Ethics Committee of Universitas Gadjah Mada, Indonesia, on July 1, 2021. Data collection started on August 12, 2021, and the results are expected to be published in 2022. Conclusions: The results of this study will be used to design an educational intervention model to improve the knowledge, attitude, and adherence of patients with T2DM. JMIR Publications Inc. 2022-09-06 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/284273/1/Linawati_KKMK.pdf Linawati, Yunita and Kristin, Erna and Prabandari, Yayi Suryo and Kristina, Susi Ari (2022) Exploring the Experiences and Needs of Patients with Type 2 Diabetes Mellitus in Sleman Regency, Yogyakarta, Indonesia: Protocol for a Qualitative Study. JMIR RESEARCH PROTOCOLS, 11 (e37528). pp. 1-6. ISSN 19290748 https://www.researchprotocols.org/2022/9/e37528 https://doi.org/10.2196/37528
spellingShingle Public Health and Health Services
Linawati, Yunita
Kristin, Erna
Prabandari, Yayi Suryo
Kristina, Susi Ari
Exploring the Experiences and Needs of Patients with Type 2 Diabetes Mellitus in Sleman Regency, Yogyakarta, Indonesia: Protocol for a Qualitative Study
title Exploring the Experiences and Needs of Patients with Type 2 Diabetes Mellitus in Sleman Regency, Yogyakarta, Indonesia: Protocol for a Qualitative Study
title_full Exploring the Experiences and Needs of Patients with Type 2 Diabetes Mellitus in Sleman Regency, Yogyakarta, Indonesia: Protocol for a Qualitative Study
title_fullStr Exploring the Experiences and Needs of Patients with Type 2 Diabetes Mellitus in Sleman Regency, Yogyakarta, Indonesia: Protocol for a Qualitative Study
title_full_unstemmed Exploring the Experiences and Needs of Patients with Type 2 Diabetes Mellitus in Sleman Regency, Yogyakarta, Indonesia: Protocol for a Qualitative Study
title_short Exploring the Experiences and Needs of Patients with Type 2 Diabetes Mellitus in Sleman Regency, Yogyakarta, Indonesia: Protocol for a Qualitative Study
title_sort exploring the experiences and needs of patients with type 2 diabetes mellitus in sleman regency yogyakarta indonesia protocol for a qualitative study
topic Public Health and Health Services
url https://repository.ugm.ac.id/284273/1/Linawati_KKMK.pdf
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