Exploring type 2 diabetes self-management practices in rural Bangladesh: facilitators, barriers and expectations-a qualitative study protocol

BMJ Open. 2024 May 2;14(5):e081385. doi: 10.1136/bmjopen-2023-081385.

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a global public health crisis impacting low-income and middle-income countries such as Bangladesh. While self-management is encouraged for individuals with T2DM, there is a significant lack of knowledge regarding the factors of facilitators, barriers and expectations associated with T2DM self-management in Bangladesh. This research aims to investigate the potential elements that support, impede and are anticipated in the effective practice of self-management for T2DM in rural areas of Bangladesh.

Methods and analysis: This study will use an exploratory qualitative approach. 16 focus group discussions, 13 in-depth interviews and 9 key informant interviews will be conducted among multilevel stakeholders, including people with T2DM, their caregivers, healthcare providers, health managers/administrators and policy planners. Interviews will be audio-recorded, transcribed, translated and analysed using thematic analysis.

Ethics and dissemination: This research project has been approved by the Monash University Human Research Ethics Committee (project reference number: 39483) and the Ethical Review Committee of the Centre for Injury Prevention and Research, Bangladesh (Memo: CIPRB/ERC/2023/14). Research findings will be disseminated in peer-reviewed journals and conference presentations. Published reports will include group data. Individual data privacy will be strictly maintained.

Keywords: diabetes & endocrinology; public health; qualitative research.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bangladesh
  • Diabetes Mellitus, Type 2* / therapy
  • Focus Groups*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Interviews as Topic
  • Qualitative Research*
  • Research Design
  • Rural Population*
  • Self-Management*