TABLE 1.

Overview of Main Themes and Sub-Themes

Main ThemesSub-ThemesDefinitions
Meaning of DSM  Providers’ perceptions of what DSM is 
 Patients’ understanding Understanding the severity of the disease and risks of diabetes complications 
 Patients’ actions Patients’ active responsibility for taking care of their diabetes 
Facilitators  Factors that promote patients’ DSM 
 Education Providers’ efforts to help patients understand diabetes 
 Health care providers Need for Arabic-speaking dietitians and diabetes educators and a multidisciplinary team approach 
 Motivational strategies Providers’ methods for increasing patients’ motivation for DSM 
 Family support/involvement Role of family members in helping patients manage their diabetes 
Barriers  Factors that hinder patients’ DSM 
 Diabetes disease itself Characteristics of diabetes itself; frequently no symptoms 
 Fear Patients’ fears of diabetes medications and treatments 
 Denial Patients’ refusal to recognize the facts of diabetes and its management 
 Misconceptions/lack of understanding Patients’ lack of understanding of diabetes treatment and complications 
 Health care system Characteristics of health care providers and the health care system 
Cultural factors  Aspects of the Arab culture that influence DSM 
 Disease as weakness General view of disease as stigma 
 Family is central Family as provider of support that is crucial to DSM 
 Food Food as central to the Arabic culture, affecting patients’ behavior 
 View of physicians Positive and negative views that affect patients’ behavior 
Main ThemesSub-ThemesDefinitions
Meaning of DSM  Providers’ perceptions of what DSM is 
 Patients’ understanding Understanding the severity of the disease and risks of diabetes complications 
 Patients’ actions Patients’ active responsibility for taking care of their diabetes 
Facilitators  Factors that promote patients’ DSM 
 Education Providers’ efforts to help patients understand diabetes 
 Health care providers Need for Arabic-speaking dietitians and diabetes educators and a multidisciplinary team approach 
 Motivational strategies Providers’ methods for increasing patients’ motivation for DSM 
 Family support/involvement Role of family members in helping patients manage their diabetes 
Barriers  Factors that hinder patients’ DSM 
 Diabetes disease itself Characteristics of diabetes itself; frequently no symptoms 
 Fear Patients’ fears of diabetes medications and treatments 
 Denial Patients’ refusal to recognize the facts of diabetes and its management 
 Misconceptions/lack of understanding Patients’ lack of understanding of diabetes treatment and complications 
 Health care system Characteristics of health care providers and the health care system 
Cultural factors  Aspects of the Arab culture that influence DSM 
 Disease as weakness General view of disease as stigma 
 Family is central Family as provider of support that is crucial to DSM 
 Food Food as central to the Arabic culture, affecting patients’ behavior 
 View of physicians Positive and negative views that affect patients’ behavior 
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