AU - Abazari, Parvaneh AU - Vanaki, Zohreh AU - Mohammadi, Eesa AU - Amini, Masoud Massoud TI - Barriers to Effective Diabetes Self-Management Education PT - JOURNAL ARTICLE TA - IJME JN - IJME VO - 13 VI - 3 IP - 3 4099 - http://ijme.mui.ac.ir/article-1-2255-en.html 4100 - http://ijme.mui.ac.ir/article-1-2255-en.pdf SO - IJME 3 ABĀ  - Introduction: Self-management education is the key component of diabetes care. Furthermore, high levels of patient non-compliance or non-adherence to the treatment regimen suggest that patient education for self-management is faced with some shortcomings. This study aimed to identify barriers to effective diabetes self-management education. Methods: This is a traditional review of published studies during 1990-2010 on barriers to diabetes self-management and control. Electronic search through Iranian and international databases was done. Results: Barriers to effective diabetes self-management education were put in two main categories including patient-related barriers and caregiver-related barriers. The most common patient-related barriers are demographic barriers (such as age, sex, education, and health literacy), financial problems, lack of attention to the disease, psychological problems, and insufficient knowledge. Patient-caregiver relationship, inadequate knowledge, and high workload were caregiver-related barriers. Conclusion: The results of this review introduced a variety of factors that can affect the effectiveness of diabetes self-management education. Patients and caregivers are facing serious challenges due to these barriers. Understanding and attemping to overcome these barriers may help us to empower patients to achieve self-management. CP - IRAN IN - (*) Associate Professor, Nursing Department, Faculty of Medical Sciences,Tarbiat Modares University,Tehran, Iran. E-mail: vanaki_z@modares.ac.ir LG - eng PB - IJME PG - 221 PT - Review article YR - 2013