Why do people with diabetes miss appointments?

Eades, C. & Alexander, H.  | 2019| A mixed‐methods exploration of non‐attendance at diabetes appointments using peer researchers | Health Expectations |https://doi.org/10.1111/hex.12959

A team of researchers conducted telephone interviews people with diabetes who had missed appointments 10 people were interviewed, a further 34 people who had missed appointments completed a questionnaire.  The data produced provide insights into their perceptions of their diabetes and diabetes appointments. Key reasons for missing appointments were low perceived value of appointments and the feeling that diabetes had little impact upon their lives’. 




Non‐attendance at diabetes appointments is costly to the health service and linked with poorer patient outcomes.



Peer researchers aimed to conduct interviews and survey people who miss appointments about their beliefs and perceptions regarding their diabetes and diabetes appointments.



A mixed‐methods cross‐sectional design with interviews conducted by peer researchers with diabetes and a questionnaire was used.


Setting and participants

Peer researchers conducted semi‐structured telephone interviews in one health board in Scotland with ten people who had missed diabetes appointments. A further 34 people who had missed appointments completed a questionnaire. The study was informed by two psychological theories (the Theory of Planned Behaviour and the Self‐Regulation Model), and interviews were analysed using thematic analysis.



Interviewees planned to attend appointments but practical barriers, low perceived value of appointments and the feeling that diabetes had little impact upon their lives’ emerged as key reasons for missing appointments. Questionnaire data supported these findings and showed that respondents perceived diabetes to have only mildly serious consequence and cause limited concern and emotional impact. Participants’ understanding of their condition and perceptions of personal control and treatment control were low. Gender, perceived behavioural control and emotional representations were significantly associated with the number of appointments missed in the previous year.


These findings highlight the importance of psychological variables in predicting non‐attendance at diabetes appointments and provide avenues for how non‐attendance might be tackled.


The full article is available from Health Expectations 

Diabetes and weight loss how do we get it right? [Podcast]

NICE Talks | September 2018 | Diabetes and weight loss how do we get it right? 

A new podcast from NICE Talks looks at type 2 diabetes prevention. Pav Kalsi, a clinical adviser from diabetes UK debunks some lifestyle tips and explains some of the NICE recommendations for prevention. Di, a patient expert from NICE and Bob talk about their personal experiences and give us advice for the future (Source: NICE Talks).


Listen to it via Soundcloud 

‘Drink Free Days’ to encourage middle- aged drinkers to cut down

Public Health England | September 2018 |Public Health England and Drinkaware launch Drink Free Days

A new press release from Public Health England highlights how two thirds of regular drinkers say that cutting down on their drinking is harder than improving diet or exercise.

In a new collaboration Public Health England and alcohol education charity Drinkaware have  jointly launching a new campaign ‘Drink Free Days’ to help people cut down on the amount of alcohol they are regularly drinking. 


The campaign has been designed to encourage middle aged drinkers to reduce their alcohol intake by taking days off from drinking, which is a way of reducing health risks from alcohol.

The more alcohol people drink , the greater their risk of developing a number of serious potentially life limiting health conditions, such as high blood pressure and heart disease, as well as 7 types of cancer (Source: PHE).


Read the full release here 

You can download the Drink Free Days app from Public Health England here 


Diabetes UK Curb your alcohol consumption and be healthier, says Public Health England

RCGP’s response to the  Alcohol guidelines ‘set for a reason’, says RCGP

Drinkaware’s Drink Compare Calculator 

In the media:

BBC News Middle-aged should have ‘drink-free’ days, say campaigners