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The Diabetes Educator

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Understanding Why People with Type 1 Diabetes Do Not Attend for Specialist Advice: A Qualitative Analysis of the Views of People with Insulin-dependent Diabetes Who Do Not Attend Diabetes Clinic

Valerie L. Lawson

Wales College of Medicine, Cardiff University, UK, val.lawson{at}new-tr.wales.nhs.uk

Patricia A. Lyne

Wales College of Medicine, Cardiff University, UK

John N. Harvey

Wales College of Medicine, Cardiff University, UK

Christine E. Bundy

University of Manchester, UK

Attendance at diabetes clinic is associated with improved medical outcome, however, significant numbers of people with type 1 diabetes choose not to attend. In order to understand the reasons underlying this decision, qualitative interviews were carried out with 12 long-term non-attenders. Three distinct groups emerged differing in terms of their cognitive and emotional responses to diabetes and their coping strategies: (1) the ‘High fear’ group; (2) the ‘Patient as expert’ group; and (3) the ‘Low motivation’ group. These differences should be recognized and suitable approaches developed to ensure that all people with diabetes are able to accept appropriate specialist support.

Key Words: clinic attendance • diabetes • interpretative phenomenological analysis • qualitative research

Journal of Health Psychology, Vol. 10, No. 3, 409-423 (2005)
DOI: 10.1177/1359105305051426
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