Scholarlink

Introduction <p>People with a&#xa0;low socioeconomic position (SEP) have an increased risk of type&#xa0;2 diabetes mellitus (T2DM), yet they are less effectively reached by lifestyle interventions and are more likely to discontinue them prematurely. This may further exacerbate existing health inequalities. The objective of this study is to explore barriers and facilitators to a&#xa0;healthy lifestyle among people with (or at high risk of) T2DM living in low-SEP neighborhoods, from the perspectives of patients and healthcare professionals.</p> Methods <p>A&#xa0;qualitative study using semi-structured interviews and focus groups with eleven patients and fifteen healthcare professionals from low-SEP neighborhoods in The Hague, the Netherlands.</p> Results <p>Seven themes were identified: knowledge, motivation, culture, social support, finances, physical and mental capacity, and system-level barriers. An interesting finding was the considerable variation in which factors patients experienced as barriers or facilitators: factors that hindered one individual were not necessarily relevant to another. Despite this diversity, a&#xa0;common pattern emerged: no patient stated ‘I&#xa0;don’t want to,’ but rather ‘I&#xa0;can’t’ or ‘I&#xa0;relapse.’ The identified barriers relate to autonomy, competence, self-efficacy, and social support, which helps explain why intentions to change do not always translate into sustained behavior.</p> Conclusion <p>The substantial variation in barriers and facilitators within this population suggests that standardized lifestyle interventions may insufficiently address individual needs. A&#xa0;more personalized approach is needed, in which each individual’s primary needs are identified. For patients whose core barriers lie outside the lifestyle domain, effective care may not begin with behaviour change, but with creating the conditions under which sustained motivation can emerge and healthy living becomes more self-evident.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

‘Ik wil wel, maar ik kan niet’: naar maatwerk in leefstijlzorg voor mensen met (een hoog risico op) diabetes type 2 mellitus in wijken met een lage sociaaleconomische positie

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年6月19日

查看全文
  • Anne K. Smit,
  • Johanneke E. Oosterman,
  • Rimke C. Vos,
  • Jessica C. Kiefte-de Jong

摘要

Introduction

People with a low socioeconomic position (SEP) have an increased risk of type 2 diabetes mellitus (T2DM), yet they are less effectively reached by lifestyle interventions and are more likely to discontinue them prematurely. This may further exacerbate existing health inequalities. The objective of this study is to explore barriers and facilitators to a healthy lifestyle among people with (or at high risk of) T2DM living in low-SEP neighborhoods, from the perspectives of patients and healthcare professionals.

Methods

A qualitative study using semi-structured interviews and focus groups with eleven patients and fifteen healthcare professionals from low-SEP neighborhoods in The Hague, the Netherlands.

Results

Seven themes were identified: knowledge, motivation, culture, social support, finances, physical and mental capacity, and system-level barriers. An interesting finding was the considerable variation in which factors patients experienced as barriers or facilitators: factors that hindered one individual were not necessarily relevant to another. Despite this diversity, a common pattern emerged: no patient stated ‘I don’t want to,’ but rather ‘I can’t’ or ‘I relapse.’ The identified barriers relate to autonomy, competence, self-efficacy, and social support, which helps explain why intentions to change do not always translate into sustained behavior.

Conclusion

The substantial variation in barriers and facilitators within this population suggests that standardized lifestyle interventions may insufficiently address individual needs. A more personalized approach is needed, in which each individual’s primary needs are identified. For patients whose core barriers lie outside the lifestyle domain, effective care may not begin with behaviour change, but with creating the conditions under which sustained motivation can emerge and healthy living becomes more self-evident.