New Possibilities in Life with Type 2 Diabetes: Experiences from Participating in a Guided Self-Determination Programme in General Practice

Research suggests that guided self-determination programmes can support self-management of diabetes by empowering self-determined goal setting and competence building. As most research in this area has focused on people with type 1 diabetes, knowledge is lacking on how adults with type 2 diabetes me...

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Main Authors: Bjørg Karlsen, Bettina Rasmussen Bruun, Bjørg Oftedal
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2018/6137628
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author Bjørg Karlsen
Bettina Rasmussen Bruun
Bjørg Oftedal
author_facet Bjørg Karlsen
Bettina Rasmussen Bruun
Bjørg Oftedal
author_sort Bjørg Karlsen
collection DOAJ
description Research suggests that guided self-determination programmes can support self-management of diabetes by empowering self-determined goal setting and competence building. As most research in this area has focused on people with type 1 diabetes, knowledge is lacking on how adults with type 2 diabetes mellitus experience participation in such programmes. This study reports the modelling phase of a complex intervention design that explored the experiences of adults with type 2 diabetes who participated in a nurse-led guided self-determination programme in general practice and examines how the programme affected patients’ motivation to self-manage diabetes. The qualitative design with semistructured interviews included 9 adults with type 2 diabetes who participated in the programme. Qualitative content analysis was used to analyse the data. The findings indicate that the participants experienced new life possibilities after participating in the programme, which seemed to have a positive influence on their motivation for self-management. Through reflections about how to live with diabetes, the participants reinterpreted their life with diabetes by gradually developing a closer relationship with the disease, moving towards acceptance. The fact that dialogue with the nurses was seen to be on an equal footing helped support the participants to become more self-determined.
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spelling doaj-art-18b3c802fb1a43d3832a9bbb21bf97ad2025-08-20T03:17:35ZengWileyNursing Research and Practice2090-14292090-14372018-01-01201810.1155/2018/61376286137628New Possibilities in Life with Type 2 Diabetes: Experiences from Participating in a Guided Self-Determination Programme in General PracticeBjørg Karlsen0Bettina Rasmussen Bruun1Bjørg Oftedal2Faculty of Health Science, University of Stavanger, 4036 Stavanger, NorwayDepartment of Home Care, Municipality of Stavanger, Stavanger, NorwayFaculty of Health Science, University of Stavanger, 4036 Stavanger, NorwayResearch suggests that guided self-determination programmes can support self-management of diabetes by empowering self-determined goal setting and competence building. As most research in this area has focused on people with type 1 diabetes, knowledge is lacking on how adults with type 2 diabetes mellitus experience participation in such programmes. This study reports the modelling phase of a complex intervention design that explored the experiences of adults with type 2 diabetes who participated in a nurse-led guided self-determination programme in general practice and examines how the programme affected patients’ motivation to self-manage diabetes. The qualitative design with semistructured interviews included 9 adults with type 2 diabetes who participated in the programme. Qualitative content analysis was used to analyse the data. The findings indicate that the participants experienced new life possibilities after participating in the programme, which seemed to have a positive influence on their motivation for self-management. Through reflections about how to live with diabetes, the participants reinterpreted their life with diabetes by gradually developing a closer relationship with the disease, moving towards acceptance. The fact that dialogue with the nurses was seen to be on an equal footing helped support the participants to become more self-determined.http://dx.doi.org/10.1155/2018/6137628
spellingShingle Bjørg Karlsen
Bettina Rasmussen Bruun
Bjørg Oftedal
New Possibilities in Life with Type 2 Diabetes: Experiences from Participating in a Guided Self-Determination Programme in General Practice
Nursing Research and Practice
title New Possibilities in Life with Type 2 Diabetes: Experiences from Participating in a Guided Self-Determination Programme in General Practice
title_full New Possibilities in Life with Type 2 Diabetes: Experiences from Participating in a Guided Self-Determination Programme in General Practice
title_fullStr New Possibilities in Life with Type 2 Diabetes: Experiences from Participating in a Guided Self-Determination Programme in General Practice
title_full_unstemmed New Possibilities in Life with Type 2 Diabetes: Experiences from Participating in a Guided Self-Determination Programme in General Practice
title_short New Possibilities in Life with Type 2 Diabetes: Experiences from Participating in a Guided Self-Determination Programme in General Practice
title_sort new possibilities in life with type 2 diabetes experiences from participating in a guided self determination programme in general practice
url http://dx.doi.org/10.1155/2018/6137628
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