TABLE 4.
Themes and sub‐themes pertaining to physical and social environment (COM‐B header Opportunity)
| Main themes | PWD sub‐themes | HCPs sub‐themes (views about PWD situation and how HCPs' activity could better support PWD) |
|---|---|---|
| Opportunity | ||
| Social support—family, friends and other PWD | Include family in diabetes care | PWD making changes as a family |
| Learn from others—successful examples are good motivators | PWD to share experiences | |
| Online social support | ||
| Community resources | ‘Wellness centre’ and community meetings | Available community resources for PWD |
| Themes and sub‐themes focused on diabetes care service provision: | ||
| Holistic approach | ‘Main thing is the wellness aspect’ | PWD's physical and mental wellbeing |
| More than just weight and medication | ‘More than just numbers and glucose’ | |
| More personalisation | HCPs remembering preferences and personal achievements | HCPs remembering personal activities and personal achievements |
| Personalised goals and plans—acknowledge what they can do | HCPs understanding PWD preferences, needs and limitations | |
| Support and encouragement from HCPs | Good relationship with HCPs | PWD and HCPs relationship and rapport |
| Feeling more than just a number | PWD feeling valued and HCPs non‐judgemental language | |
| Shared decision making | Ownership of diabetes care and professional role | |
| More coordination | More communication and collaboration between all HCPs | HCPs team‐based approach (including prompt advice for primary care) |
| Shared health care data | Shared health care data | |
| Care coordinator—one person for all of your diabetes assistance | Case manager—one point of contact, an advocate | |
| ‘Wellness centre’—a casual place with all services under the same roof | ‘Super clinic’—all services under the same roof, always the same HCPs | |
| Proactive assistance | Genuine focus on prevention | More focus on secondary prevention |
| ‘Accountability’—someone watching health data | Monitoring health data, including remotely | |
| Prompt access and someone to contact | Prompt care | |
| Regular support with a long‐term perspective | Regular and long‐term care | |
| Improve access using technology | Increase use of telehealth | |