Enablers and Barriers to Medication Self-Management in Patients With Type 2 Diabetes: A Qualitative Study Using the COM-B Model

作者：Huiqin Li, Ying Li, Jing Wang, Yuyao Zhang, Shiyan Ben · 发表于：Patient Preference and Adherence · 年份：2025 · DOI：10.2147/ppa.s503350 · 被引用次数：12 · 研究领域：Diabetes Management and Education、Medication Adherence and Compliance、Mobile Health and mHealth Applications

Introduction: Type 2 diabetes mellitus is a chronic disease of global concern. Medication self-management is the process by which an individual actively plans, monitors, evaluates, feeds back, controls, and regulates their medication through their behavior and awareness. Patients' medication self-management is key to glycemic control. A comprehensive understanding of the factors influencing medication self-management and the implementation of effective intervention programs is therefore paramount. Objective: To examine the enablers and barriers to medication self-management in patients with type 2 diabetes mellitus and to propose a corresponding medication self-management program to improve medication self-management. Methods: This qualitative study drew up the interview outline with reference to the COM-B model. Sampling was done using purposive sampling method and data collection was done using semi-structured interviews. The interviews mainly included patients' challenges and facilitators in the process of medication self-management. The data were analyzed using a framework analysis method, and themes were generated using the COM-B model. Results: A total of 20 patients participated in this study. The enablers identified within the COM-B model were the policy support for medical insurance and higher medication self-efficacy. The barriers include low medication literacy, aging of body functions, changes in living habits, the impact of work, limited medical resources, misgui...