Universität zu Köln

Pilic, Larisa ORCID: 0000-0001-6410-1642, Molkentin, Kira, Herrmann, Alina ORCID: 0000-0002-6502-106X, Redaèlli, Marcus ORCID: 0000-0001-8830-1999, Kupsch, Lisa, Lehmann, Lion ORCID: 0000-0001-9216-3568, Bödecker, August-Wilhelm, Müller, Beate Sigrid ORCID: 0000-0002-6745-1047, Stock, Stephanie ORCID: 0000-0002-1726-9300 and Wilm, Stefan (2025). GPs’ experienced challenges and strategies for supporting patient self-management in disease management programs for type 2 diabetes mellitus and coronary heart disease - a qualitative study. BMC Primary Care, 26 (1). pp. 1-13. Springer Nature. ISSN 2731-4553

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Abstract

[Artikel-Nr.: 222] Background: Effective self-management (SM) is essential for improving health and preventing severe complications in patients with lifestyle-related chronic conditions, such as type 2 diabetes mellitus (T2DM) and coronary heart disease (CHD). Thus, enhancing patients’ SM through self-management support has become an integral part of chronic care programs worldwide. However, information on the current focus on SM in German disease management programs (DMPs) is very limited. The aim of this study was to understand general practitioners’ (GPs’) experiences and strategies for promoting SM. Methods: An exploratory qualitative design was selected, resulting in the conduct of five focus group discussions with 20 GPs in August and September 2020. The GPs were recruited from the teaching practices of the University Hospital Cologne through purposive sampling. Their experiences and opinions on SM were assessed in questions blocks using a semi-structured interview guide and analysed by a multi-professional team employing Kuckartz’ method of qualitative content analysis. Results: The focus group discussions were structured around three main categories: (1) GPs’ perceived patient SM in the DMPs for T2DM and CHD, (2) GPs’ perceptions of factors influencing patient motivation for SM, and (3) strategies fostering patient motivation for SM. Discussions revolved around patients’ motivation and capabilities to implement a sustainable SM in their daily lives. Many GPs followed a patient-centered approach to foster SM in their patients, considering various challenging individual, social and institutional factors that influence SM in chronically ill patients. Conclusion: GPs regularly support their patients’ SM as a routine part of the DMP through ongoing consultations and education. However, they face several challenges in facilitating a sustainable patient SM, which requires support by additional and standardized measures beyond the current DMP care to be effective. [Hinweis: Publisher Correction: GPs’ experienced challenges and strategies for supporting patient self-management in disease management programs for type 2 diabetes mellitus and coronary heart disease - a qualitative study ; in: BMC Primary Care (2025) 26:341 ; https://doi.org/10.1186/s12875-025-03068-6 ; s. KUPS-ID: 80120].

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Pilic, Larisa UNSPECIFIED https://orcid.org/0000-0001-6410-1642 UNSPECIFIED Molkentin, Kira UNSPECIFIED UNSPECIFIED UNSPECIFIED Herrmann, Alina UNSPECIFIED https://orcid.org/0000-0002-6502-106X UNSPECIFIED Redaèlli, Marcus UNSPECIFIED https://orcid.org/0000-0001-8830-1999 UNSPECIFIED Kupsch, Lisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Lehmann, Lion UNSPECIFIED https://orcid.org/0000-0001-9216-3568 UNSPECIFIED Bödecker, August-Wilhelm UNSPECIFIED UNSPECIFIED UNSPECIFIED Müller, Beate Sigrid UNSPECIFIED https://orcid.org/0000-0002-6745-1047 UNSPECIFIED Stock, Stephanie UNSPECIFIED https://orcid.org/0000-0002-1726-9300 UNSPECIFIED Wilm, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-801196
Identification Number:	10.1186/s12875-025-02896-w
Journal or Publication Title:	BMC Primary Care
Volume:	26
Number:	1
Page Range:	pp. 1-13
Number of Pages:	13
Date:	12 July 2025
Publisher:	Springer Nature
ISSN:	2731-4553
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Allgemeinmedizin > Institut für Allgemeinmedizin
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Patient motivation ; Self-management ; Disease management program (DMP) ; Type 2 diabetes mellitus (T2DM) ; Coronary heart disease (CHD) ; General practice English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/80119