<abstract xml:lang="en" xmlns="http://www.w3.org/1999/xhtml"><bold>Objectives:</bold> Diabetes is a chronic disease where patient's ability for self management is very important. Patients are every day taking decisions how to integrate treatment recommendations into their lives without impacting the quality of life. The aim of this study was to explore participants' perceived barriers to adherence to treatment.<bold>Methods:</bold> A qualitative study with five focus groups of patients with Type 2 diabetes and one group of experts on diabetes mellitus was performed in the central area of Slovenia. The transcribed text was independently analysed by principles of grounded theory with codes merging into themes and categories.<bold>Results:</bold> Time changes patients' attitudes toward disease. Good education about the disease and their own experience with the disease help patients to adapt to different life situations and to regain control in their life. Family and friends are not always supportive to diabetes treatment. Some patients deny having disease in social encounters because they feel stigmatised. Diabetes also challenges patient's working ability and financial welfare. Patients also emphasise that mutual trust with physician and his true interest in patients' problems is very important for good results of medical care. They refuse universal advice and expect that the doctor helps them to develop self-management skills and coping with the disease. Additional prerequisites for good self management are also adequate organisation of life and adequate personal characteristics of the patients.<bold>Discussion:</bold> This study offers additional insights into patients' views of the barriers to adherence. Patients feel empowered for occasional departure from recommended treatment in some social and life situations. Better medical care could be the result of good balance between social expectations of the patients, treatment and working demands on one side and individualised support of the physician with patients' own capacity to rearrange life on the other side.</abstract>

Department of Family medicine, University of Ljubljana, Medical School University of Ljubljana, Poljanski nasip 58, 1000 Ljubljana, Slovenia

Department of Family medicine, University of Maribor, Medical School University of Ljubljana, Slomškov trg 15, 2000 Maribor, Slovenia

Patients' adherence to treatment of diabetes mellitus

Effectiveness of school-based smoking prevention programmes

Ministrstvo za zdravje, Štefanova 5, 1000 Ljubljana

Assessment of geographical patterns of chronic respiratory diseases in children of Koper municipality

Medicinska fakulteta, Katedra za druzKinsko medicino, Univerza v Ljubljani, Poljanski nasip 58, 1000 Ljubljana

Medicinska fakulteta, Katedra za druzKinsko medicino, Univerza v Mariboru, Slomškov trg 15, 2000 Maribor Kontaktni

The vision of health centers in Slovenia

<abstract xml:lang="en" xmlns="http://www.w3.org/1999/xhtml"><bold>Problem:</bold> Relations between adolescents' substance dependency status (yes-no) as independent and adolescent self and family evaluations and parental indicators of substance dependency as dependent variables were studied.<bold>Methods:</bold> All together 197 families were included (father, mother, adolescent - mean age of adolescent was 17.2 years). Rosenberg self - esteem scale, originally constructed semantic differential perceived family climate, Zung depression scale and SASSI-3 (Substance Abuse Subtle Screening Inventory) instrument were applied. Multivariate and univariate approach were applied to verify hypotheses about differences in dependent variables regarding the independent one also with estimated mothers' and fathers' dependency as two covariates.<bold>Results:</bold> Level of depression was significantly higher, but level of self-esteem and family climate evaluation were significantly lower in dependent adolescents. Fathers of non-dependent adolescents and mothers of dependent adolescents were found more substance dependency vulnerable. Adolescent dependence status differed more frequently in fathers' than in mothers' SASSI-3 sub scores.<bold>Conclusions:</bold> Results indicate that in group of substance dependent adolescent families with healthier and more engaged fathers participated in the study. Support for mothers' vulnerability and need for fathers' involvement in treatment of dependent adolescent is underlined.</abstract>

University Psychiatric Hospital Ljubljana, Zaloška 29, 1000 Ljubljana, Slovenia

Faculty of Arts, Chair of Social Psychology, University of Ljubljana, Aškerčeva 2, 1000 Ljubljana

Adolescent substance dependency in relation to parental substance (ab)use

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