Patient-Reported Barriers and Limitations to Attending Diabetes Group Visits

J Prim Care Community Health. 2015 Oct;6(4):279-81. doi: 10.1177/2150131915585107. Epub 2015 May 5.


Purpose: Through this exploratory study, we sought to understand why group visit participation is low among adult patients with type 2 diabetes.

Methods: Eligible study participants included adult patients with type 2 diabetes. After a pilot survey was sent to a random sample of 48 patients, the remaining 187 eligible patients were invited to complete a revised version of the survey.

Results: Most frequently cited reasons for not attending group visits included diabetes under control, work and/or other responsibilities, and time barriers. There was variability in the desired time for the visits, though the majority of patients preferred evening visits. While some patients reported copays as a challenge, the likelihood of attending did not decrease for this subgroup. Most patients surveyed (54%) indicated interest in diabetes group visits.

Conclusion: Implementing strategies to address the patient-identified system barriers (eg, time, transportation, and copays) may increase participation in diabetes group visits.

Keywords: chronic disease management; diabetes; group education; group visits.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Diabetes Mellitus, Type 2 / therapy*
  • Female
  • Health Services Accessibility*
  • Humans
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care
  • Surveys and Questionnaires