Diabetes Distress Sources among Filipinos with Type 2 Diabetes Mellitus in the Outpatient Department of a Tertiary Government Hospital

Authors

  • Mark David DG. Francisco UP - Philippine General Hospital, Department of Medicine, Division of Endocrinology, Diabetes and Metabolism
  • Franz Michael M. Magnaye
  • Al Joseph R. Molina
  • Mark Anthony S. Sandoval

DOI:

https://doi.org/10.47895/amp.v56i6.2992

Keywords:

diabetes distress, outpatient, type 2 diabetes mellitus

Abstract

Objective. The sources of diabetes distress, defined as hidden negative emotions from the demands of daily self-management, are unknown to Filipinos with type 2 diabetes mellitus in the outpatient department. Therefore, we aimed to 1) explore the sources of distress in the perspective of Filipinos with type 2 diabetes mellitus and 2) create a conceptual framework of diabetes distress for Filipinos with T2DM.

Methods. Focus group discussions were done and audiotaped among Filipinos with type 2 diabetes (n=17). The transcript underwent content analysis to generate themes and subthemes. Relationships were determined between codes, categories, and themes elicited in the study to create a conceptual framework unique to Filipinos.

Results. The content analysis revealed five themes of diabetes distress: caregiver factor, socio-economic factor, psycho-emotional factor, medication-related factor, and health care service delivery factor. The socio-economic factor was a distinct theme missing in the prevailing validated questionnaires. Therefore, an adapted conceptual framework was created, as approved by the expert panel.

Conclusion. In conclusion, Filipinos with type 2 diabetes mellitus in the outpatient department have multiple sources of diabetes distress, namely, caregiver factor, socio-economic factor, psycho-emotional factor, medication-related factor, and health care service delivery factor. The socio-economic factor is a unique theme identified among Filipinos. Recognizing the sources of diabetes distress is vital to accurately screen Filipinos with type 2 diabetes mellitus and optimize management outcomes. The study findings will help develop and validate the questionnaire to screen diabetes distress unique to Filipinos.

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Published

2022-04-08

How to Cite

1.
Diabetes Distress Sources among Filipinos with Type 2 Diabetes Mellitus in the Outpatient Department of a Tertiary Government Hospital. Acta Med Philipp [Internet]. 2022 Apr. 8 [cited 2025 Apr. 4];56(6). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/2992