Journal of Public Health

, Volume 19, Issue 1, pp 65–71

Resources for and barriers to effective diabetes care management—experiences and perspectives of people with type 2 diabetes

  • Martina K. Hasseler
  • Marco von der Heide
  • Sonja Indefrey
Original Article

DOI: 10.1007/s10389-010-0354-6

Cite this article as:
Hasseler, M.K., von der Heide, M. & Indefrey, S. J Public Health (2011) 19: 65. doi:10.1007/s10389-010-0354-6



To identify barriers and resources of effective diabetes care management from the perspectives of patients with diabetes.


The current health care situation of patients with diabetes indicates that the German health care system is not sufficiently prepared for the increasing incidence rate.


Qualitative design reflecting symbolic interactionism as a methodological background. Problem-centered interviews were used for data collection. A qualitative content analysis was applied for data analysis.


Findings suggest a need for individual- and resource-oriented concepts of care in home settings. Participants rate exercise, professional and social support as well as self-efficacy as important resources in diabetes management. Barriers such as lacking acceptance of the disease, problems in adjustment to a new diet as well as utilization of diabetes education in the daily routine, cognitive impairment and impaired perception of physical changes, such as neuropathy, were identified.


Prevention-orientated counseling and education concepts in diabetes management should systematically integrate the resources of patients with diabetes and tackle the barriers they perceive in order to support them in their specific care needs.


Diabetes management Nurse-led diabetes clinic Primary care Prevention Health promotion 

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Martina K. Hasseler
    • 1
  • Marco von der Heide
    • 2
  • Sonja Indefrey
    • 2
  1. 1.HAW HamburgFakultät Wirtschaft & Soziales, PflegewissenschaftHamburgGermany
  2. 2.Staatsexamen PflegewissenschaftUniversität OsnabrückOsnabrückGermany

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