Type 2 Diabetes Treatment Burden Themes Mentioned and GP Response Approaches Used (N = 77 Segments)
| Theme | Subthemesa | Total mentions, No. | Response approaches identified | Total uses, No. |
|---|---|---|---|---|
| Medication | Management of medications, complexity of medication use, ambivalence toward medication, side effects and hypoglycemia, insulin- or injection-related burden (see Supplemental Table 1) | 20 | Shared decision making Confidence and self-efficacy support Active listening and nonverbal skills Health education Express empathy | 4 1 1 1 1 |
| Personal resources | Expenses, time, travel | 17 | Active listening and nonverbal skills Use examples Shared decision making Follow-up and referral Online and teleconsultation | 2 1 1 1 1 |
| Medical information | Cumbersome medical information, lack of sources of information, biased information | 15 | Confidence and self-efficacy support Follow-up and referral Patient background awareness Health education | 1 1 1 1 |
| Administrative | Periodic examination/monitoring, arranging appointments, documentation and paperwork, glucose meter | 14 | Health record management Motivational interviewing Active listening and nonverbal skills Confidence and self-efficacy support Follow-up and referral Shared decision making | 4 3 2 1 1 1 |
| Health care system | Health care fragmentation, health care provider, insurance or recourse use, difficulty with health care access | 10 | Active listening and nonverbal skills Online and teleconsultation Health record management Health education Use examples | 3 1 1 1 1 |
| Consequences | Interpersonal and social challenges, well-being, quality of life | 9 | Emotional and psychosocial care Motivational interviewing Shared decision making | 1 1 1 |
| Lifestyle changing | Interruption of lifestyle and daily routines, challenges of health behaviors | 7 | Patient background awareness Confidence and self-efficacy support | 3 2 |
| Antecedents | Patient’s comorbidities, socioeconomic status | 5 | Emotional and psychosocial care Active listening and nonverbal skills | 1 1 |
GP = general practitioner.
↵a The analytic framework used in this table was developed based on findings from our previous research.8 The analysis presented here extends and applies the prior work’s insights to new data within the scope of the current research.