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GPs underlined the need for improved, structured support to sustain SM in chronic care beyond current program standards.
A study published in July 2025 issue of BMC Primary Care highlighted the critical role of self-management (SM) in chronic disease care and managed the limited information available on its integration within German disease management programs (DMP).
Researchers aimed to explore general practitioners (GP) experiences and strategies in supporting SM.
They employed an exploratory qualitative design and performed 5 focus group discussions (FGD) with 20 GPs in August and September 2020. Participants were purposively selected from teaching practices affiliated with the University Hospital Cologne. Using a semi-structured interview guide, GP experiences and views on SM were explored in question blocks. A multi-professional team analyzed the data using Kuckartz’ method of qualitative content analysis.
The results showed that the FGDs addressed 3 key areas: GPs’ views on patient SM in DMPs for type 2 diabetes mellitus (T2DM) and coronary heart disease (CHD), perceptions of factors influencing SM motivation, and strategies to enhance patient motivation. Conversations centered on patient motivation and ability to maintain sustainable SM in daily routines. Many GPs adopted a patient-centered approach, acknowledging complex individual, social, and institutional factors that affect SM in those with chronic conditions.
Investigators concluded that while GPs routinely supported SM within DMPs, sustained patient engagement required additional standardized measures beyond existing care.
Source: bmcprimcare.biomedcentral.com/articles/10.1186/s12875-025-02896-w