Table 1—

Attitudes about insulin therapy, unwilling vs. willing subjects

Expected harm: Insulin therapy can cause problems, such as blindness16.
Illness severity: Taking insulin means my diabetes will become a more serious disease46.735.438.10.000
Restrictiveness: Insulin therapy would restrict my life; it would be harder to travel, eat out, etc.56.141.644.80.000
Lack of fairness: I’ve done everything I was supposed to; if I had to do insulin therapy, it just wouldn’t be fair41.521.926.80.000
Anticipated pain: I couldn’t take the needle every day; it would be just too painful50.830.234.70.000
Problematic hypoglycemia: Insulin therapy might cause serious problems with low blood sugar49.337.940.60.021
Low self-efficacy: I’m not confident I could handle the demands of insulin therapy58.139.743.90.000
Personal failure: Insulin therapy would mean I had failed, that I hadn’t done a good enough job taking care of my diabetes55.033.638.40.000
Permanence: Once you start insulin, you can never quit53.142.644.90.000
  • Data are percentages of subjects who agree (either mildly, moderately, or strongly) with each barrier.

  • *

    * P values compare differences between willing and unwilling subjects.