What is important for you? A qualitative interview study of living with diabetes and experiences of diabetes care to establish a basis for a tailored Patient-Reported Outcome Measure for the Swedish National Diabetes Register

Maria Svedbo Engström, Janeth Leksell, Unn-Britt Johansson, Soffia Gudbjörnsdottir, Maria Svedbo Engström, Janeth Leksell, Unn-Britt Johansson, Soffia Gudbjörnsdottir

Abstract

Objectives: There is a growing emphasis on the perspective of individuals living with diabetes and the need for a more person-centred diabetes care. At present, the Swedish National Diabetes Register (NDR) lacks patient-reported outcome measures (PROMs) based on the perspective of the patient. As a basis for a new PROM, the aim of this study was to describe important aspects in life for adult individuals with diabetes.

Design: Semistructured qualitative interviews analysed using content analysis.

Setting: Hospital-based outpatient clinics and primary healthcare clinics in Sweden.

Participants: 29 adults with type 1 diabetes mellitus (DM) (n=15) and type 2 DM (n=14).

Inclusion criteria: Swedish adults (≥ 18 years) living with type 1 DM or type 2 DM (duration ≥ 5 years) able to describe their situation in Swedish. Purposive sampling generated heterogeneous characteristics.

Results: To live a good life with diabetes is demanding for the individual, but experienced barriers can be eased by support from others in the personal sphere, and by professional support from diabetes care. Diabetes care was a crucial resource to nurture the individual's ability and knowledge to manage diabetes, and to facilitate life with diabetes by supplying support, guidance, medical treatment and technical devices tailored to individual needs. The analysis resulted in the overarching theme 'To live a good life with diabetes' constituting the two main categories 'How I feel and how things are going with my diabetes' and 'Support from diabetes care in managing diabetes' including five different categories.

Conclusions: Common aspects were identified including the experience of living with diabetes and support from diabetes care. These will be used to establish a basis for a tailored PROM for the NDR.

Keywords: QUALITATIVE RESEARCH.

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