A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes
The study examined the motives that people living with type 2 diabetes (T2D) had for self-managing their condition and ways they used to assess the success of their self-management efforts. Using semistruc...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2015/638205 |
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| Summary: | The study examined
the motives that people living with type 2
diabetes (T2D) had for self-managing their
condition and ways they used to assess the
success of their self-management efforts. Using
semistructured interviews
(N=25),
focus groups (3
× N=12
participants), and open-ended questionnaires
(N=6),
people living with and self-managing T2D were
recruited from a community-based T2D
participation group. Most participants were
older (aged 60+) and lived in a
socioeconomically deprived area in the United
Kingdom. Data were analysed thematically using
framework analysis. Patients’ motives for
self-management included (i) concern about the
anticipative effects of T2D; (ii) wishing to
“stay well”; (iii) maintaining
independence; (iv) reducing the need for
healthcare professionals; and (v) improving
quality of life. Six self-management styles were
found and pertained to self-managing: (i)
through routinisation; (ii) as a burden; (iii)
as maintenance; (iv) through delegation; (v)
through comanagement; and (vi) through
autonomy. Motivators for self-management shaped
the criteria people used to judge the success of
their self-management practices and influenced
their self-management style. The findings show
that styles of T2D self-management are mediated
and moderated by sociocontextual issues.
Healthcare professionals should take these into
account when supporting people living with
T2D. |
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| ISSN: | 2314-6745 2314-6753 |