Studying the Hurdles of Insulin Prescription (SHIP©): development, scoring and initial validation of a new self-administered questionnaire

Abstract

Background: Although insulin therapy is well-accepted by symptomatic diabetic patients, it is still often delayed in less severe patients, in whom injectable insulin remains under-used. A better understanding of patients' perception of insulin would eventually help physicians to adopt the most appropriate dialogue when having to motivate patients to initiate or to intensify insulin injection.

Psychological resistance to insulin therapy in adults with type 2 diabetes: mixed‐method systematic review

“…2005, Larkin et al. 2008); the hurdles of insulin prescription (Martinez et al. 2007); and a resistance to treatment questionnaire (Mishali et al.…”

“…For example, participants listed a number of barriers regarding the details of the procedure, such as: ‘Do you think I can go and excuse myself (from my boss) to eat at the precise time?’ (Bogatean & Hancu 2004, p. 249); ‘takes time and energy’ and ‘[drawing up the] right amount [of insulin is] difficult’ (Larkin et al. 2008, p. 516); ‘Fear that treatment gets more complicated’ (Martinez et al. 2007, p. 4); ‘I just don’t have enough time for regular doses of insulin’ (Petrak et al.…”

“…1997). People unwilling to take insulin had more concerns about the issue of hypoglycaemia, for example: ‘Fear of having more hypoglycaemia’ (Martinez et al. 2007, p. 56) and ‘An insulin overdose can lead to extremely low blood glucose levels.…”

Diabetes treatment-related quality of life is associated with levels of self-care activities in insulin injection among Japanese patients with type 2 diabetes: Diabetes Distress and Care Registry at Tenri (DDCRT 8)

“…Although there were several questionnaires developed to assess patient perceptions of insulin therapy that could affect insulin adherence [13,[15][16][17][18][19][20], few of these studies assessed the association between the factors that could affect insulin adherence and levels of self-care activities in insulin injection in other than Western countries. A recent study found that insulin injection-related problems such as interference with daily activities, injection pain and embarrassment were independent risk factors for insulin omission [21].…”

The injection technique: results of a questionnaire study of diabetic patients in Russia. New international guidelines on the injectiontechnique

“…Имеются литературные данные, показывающие, что не со всеми пациентами проводятся занятия по технике инъекций, но даже с теми, кто получает подобную информацию от меди-цинских работников, обсуждаются далеко не все важные аспекты правильного выполнения инъекций [24][25][26].…”