‘What’s the Point?’ - Understanding why people with Type 2 diabetes decline structured education

Florence Findlay-White, Mary Slevin, Marion Carey, Vivien Coates

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Structured diabetes education (SDE) is an evidence-based intervention that supports self-management in people with Type 2 diabetes. In the UK, healthcare providers working in primary care are responsible for referring people with Type 2 diabetes to SDE programmes. However, national audits record a high percentage of non-attenders. We explored the personal experience of living with Type 2 diabetes that led to individuals declining invitations to attend SDE programmes. The themes suggested that emotional, cognitive and social issues related to diagnosis and living with diabetes may be responsible for declining to attend SDE and that these may be masked by explanations of practical barriers. A person-centred approach to understanding the personal meaning of being diagnosed and living with Type 2 diabetes may help identify psychosocial barriers to attending SDE.
Original languageEnglish
Pages (from-to)1-10
Number of pages10
JournalClinical Diabetes
Issue number1
Early online date2 Mar 2020
Publication statusPublished online - 2 Mar 2020

Bibliographical note

Diabetes UK, a charity for people living with diabetes, funded this research.


  • Structured diabetes education
  • Type 2 diabetes
  • Psycho-social barriers


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