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. 2022 Jun 23;39(9):e14886. doi: 10.1111/dme.14886

TABLE 5.

Themes and sub‐themes pertaining to emotions, evaluations and plans (COM‐B header Motivation)

Main themes PWD sub‐themes HCPs sub‐themes (views about PWD situation and how HCPs' activity could better support PWD)
Motivation
Emotions and burden of living with diabetes Shock, denial and fear at diagnosis PWD's struggle with diagnosis and lifestyle changes
Frustration, anger, guilt, stigma PWD's depression, anxiety, distress, social stigma
‘It's your fault’—feelings of being judged Avoid ‘shaming’—HCPs finding the best communication language
Beliefs and motivation to manage diabetes ‘It's not that serious yet’ Often only when symptoms appear, PWD realise the seriousness of diabetes
Feelings of not being able to manage diabetes or change behaviours Make PWD believe they can manage their diabetes
It is difficult to get motivated

Lack of PWD's motivation as main barrier

Emphasis on PWD's engagement

Plans and goals Monitoring, keeping records and reminders Monitoring and keeping records
Diabetes impacts on daily routine and hard to maintain new routine ‘No holidays’—PWD's constant self‐management