PSYCHOSOCIAL INFLUENCES ON BEHAVIOURAL ADHERENCE AMONG TYPE-II DIABETIC PATIENTS ON INSULIN: A QUALITATIVE STUDY

Abstract

Once type-II diabetes diagnosed, the patient's life radically altered due to long-term illness characterized by high blood sugar levels. Type-II diabetes is often called adult-onset diabetes or type 2 diabetes mellitus. Type-II diabetes patients use insulin for survival. However, assessment of psychosocial factors made by the patients to adhere to this behavioural remains unexplored. Current study analyzed qualitatively psychosocial factors that affect the minds and behaviours of type-II diabetes patients adhering to treatment. A purposive sample of 06 male and 06 female type-II patients on insulin was taken and interviewed using thematic analysis. Behavioural adherence becomes known as a foremost theme in current analysis because type-II diabetes patients on insulin adhered to their behaviour with this perspective that behaviour was more beneficial than other diabetes prevention. Sub themes suggested patients realized benefits of their attitude, subjective norms, perceived behaviour control and intentions. Based on these themes and sub themes, it was proposed that type-II diabetes patients on insulin effectively managed by their behaviour and made them feel better. Behaviour adherence will help the health psychologists, social workers, diabetologist, endocrinologist and neurologist to work on curative level by focusing on those factors that reduce the behaviour adherence. Non-adherence led to negative consequences like low quality of life, higher morbidity, healthcare costs, and mortality.