Living with diabetes in the Brazilian Amazon: Exploring barriers and supports for healthy lifestyle practices
Authors' conclusion
Barriers and facilitators to healthy lifestyle adoption among people with T2DM in the Brazilian Amazon are strongly influenced by attitudinal, social and environmental factors.
Study context
- Population
- Patients with T2D and community health workers from primary health care services in the Brazilian Amazon15 home interviews
- Participants
- 47 vs 17
- Comparison
- Patients with T2D vs community health workers (CHWs)
- Patients with T2Dn = 47
- CHWsn = 17
- Outcome
- Barriers and facilitators to healthy lifestyle habits
Methodological detailsWorld Café group discussions, semi-structured interviews, thematic analysis, ICF Environmental Factors framework, Data collected in two World Café sessions (one patients, one CHWs) and 15 semi-structured home interviews; thematic analysis with Atlas.ti 24
- World Café group discussions
- Semi-structured interviews
- Thematic analysis
- ICF Environmental Factors framework
- Data collected in two World Café sessions (one patients, one CHWs) and 15 semi-structured home interviews; thematic analysis with Atlas.ti 24
Main finding
As reported in the abstract
- Three major categories emerged: attitudinal, social and physical factors
- Attitudinal barriers: resistance to behaviour change, denial of disease severity, physical limitations; facilitators: fear of complications, valuing life
- Social barriers: lack of family support, insecurity, transportation difficulties; facilitators: family involvement, professional guidance, trust in CHWs
- Physical barriers: inadequate infrastructure, adverse weather, no safe public spaces for physical activity; facilitator: proximity to local markets and fairs
Original publication
Living with diabetes in the Brazilian Amazon: Exploring barriers and supports for healthy lifestyle practices. Diabet Med. Published 15 July 2026. doi:10.
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