ArticlePatient preference and adherence2025
Perceptions and Experiences of Self-Management in Patients with Prediabetes: A Qualitative Study in China.
Article in Patient preference and adherence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Health behaviors and symptom clusters mediate self-management efficacy and quality of life in lung cancer immunotherapy.Scientific reports · 2026Article
- Profiles of Health Behavior Motivation in a Chinese Population with Prediabetes and Its Association with Self-Management Ability: Based on Self-Determination Theory.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Article
- Living Through Sweat: A Qualitative Study of the Pre-Surgical Decision-Making Trajectory in Patients with Palmar Hyperhidrosis.Patient preference and adherence · 2026Article
- Navigating ambivalence: perspectives on healthy eating habits and readiness for change among Swedish men with prediabetes.Frontiers in clinical diabetes and healthcare · 2026Article
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Authors and funding
5 authors.
Funding
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Abstract
Purpose: This study aimed to investigate self-management experiences among individuals with prediabetes and analyze their potential self-management needs, thereby informing strategies to enhance self-management efficacy and facilitate the development of evidence-based, personalized interventions. Patients and Methods: Twelve prediabetes patients from a physical examination center in Nanchong, China, were recruited using purposive sampling. An interpretive phenomenological research method was employed. Semi-structured, in-depth interviews were conducted to explore patients' self-management experiences. The interviews were audio-recorded, transcribed, and analyzed thematically to develop the results. In addition, web-based information support and peer support facilitated patient self-management. Results: Four overarching themes emerged: (1) cognitive limitations, (2) intrinsic motivation, (3) hurdles to overcome, (4) perceived social support. Revealed the debilitating effect of non-medical terminology expression on the potential harm of the disease, neglect of diagnosis and health education by healthcare providers exacerbated the lack of awareness of prediabetes among patients. The complex social environment (unhealthy food environment, heavy work pressure, etc.) confronts prediabetes with self-management dilemmas. It was also revealed that patients' behavioral change motivation was "threat-benefit" dual-driven and was strongly influenced by family ethics, with family culture significantly influencing health decision-making. In addition, web-based information support and peer support facilitate patient self-management. Conclusion: This study investigated the perceptions and self-management experiences of individuals with prediabetes, proposing targeted intervention strategies. Key recommendations include: (1) Healthcare providers' perceptions and attitudes toward prediabetes significantly influence patient engagement, necessitating standardized diagnostic and treatment protocols that emphasize disease progression risks during initial diagnosis to enhance clinical awareness; (2) Implementation of motivational interviewing (MI) techniques could effectively strengthen patients' intrinsic motivation for behavioral modification; (3) Multidimensional support systems should be established through AI-powered medical question-answering systems, standardized nutritional labeling regulations, family-involved health education programs, and peer-led "health coach" initiatives. These strategies provide a framework for developing comprehensive prediabetes management interventions aimed at improving self-management ability.
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